Spokane vs Vancouver: Nurse Practitioner Salary (2026)
Compare nurse practitioner salaries between Spokane, WA and Vancouver, WA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Spokane, WA | Vancouver, WA |
|---|---|---|
| Median Salary | $146,889 | $165,430▲ |
| Hourly Rate | $70.61 | $79.53▲ |
| Entry Level (P10) | $112,802 | $120,008▲ |
| 25th Percentile | $130,595 | $147,899▲ |
| 75th Percentile | $164,620 | $202,598▲ |
| Top Earner (P90) | $189,355 | $229,142▲ |
| Total Employed | 530▲ | 37 |
Verdict
Vancouver, WA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Spokane.
The salary gap between Spokane and Vancouver is $18,541 (12.62%). Vancouver's median is +20.87% compared to the US national median of $136,864.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Spokane spans $76,553,Vancouver spans $109,134. Vancouver has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Vancouver ($154,032 effective) pays 5.23% more than Spokane ($146,383 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Spokane if…
- ✓Larger job market (530 employed)
- ✓You prefer the Washington area and lifestyle
Choose Vancouver if…
- ✓Higher median salary ($165,430/year)
- ✓Better top-earner potential ($229,142)
- ✓Better purchasing power (CoL-adjusted: $154,032)
- ✓You prefer the Washington area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Spokane grew 4.9% from 2019 to 2025, compared to 1.0% growth in Vancouver over the same period.
Spokane, WA
$135,410 (2019) → $141,990 (2025)
Vancouver, WA
$158,300 (2024) → $159,913 (2025)
View Full Salary Data
Spokane, WA
Vancouver, WA
Frequently Asked Questions
Which city pays nurse practitioners more: Spokane or Vancouver?
What is the hourly rate difference between Spokane and Vancouver?
Should I relocate from Spokane to Vancouver as a nurse practitioner?
What do entry-level nurse practitioners earn in Spokane vs Vancouver?
Written by Maria Gonzalez, MSN, NP-C
Career Analyst
Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS , released .
Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov