Nurse Practitioner Hourly Pay in Madison, AL: $50.78 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Madison, AL runs $50.78 at the median for 2026 — annualizing to $105,634 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Madison's regional price level (BEA RPP 87.9, 12% below national), each hour of work buys what $57.77 nationally would. A 24-hour part-time schedule grosses $63,378 per year.
Based on BLS state-level estimates · View source
In Madison, Alabama, the nurse practitioner hourly pay is projected to reach $50.78 in 2026. This figure is significantly lower than the national hourly median of $65.80, illustrating a regional disparity in compensation. For those working part-time, such as a nurse practitioner putting in three days a week, this pay translates to a reliable income source, particularly valuable in primary care settings, outpatient clinics, urgent care establishments, and telehealth environments. The hourly range for nurse practitioners in Madison varies widely, from $39.89 for entry-level positions to $66.77 for top earners, reflecting the diverse opportunities available within this field. It's worth noting that these hourly estimates stem from broader annual salary data, offering a foundational insight into practitioner earnings.
About the Madison Market
Salary estimated from Alabama average ($108,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $39.89 | $319.12 |
| Lower Range (P25) | $45.65 | $365.22 |
| Median (P50) | $50.78 | $406.27 |
| Upper Range (P75) | $60.27 | $482.16 |
| Top Earners (P90) | $66.77 | $534.13 |
Estimated Annual Income by Work Schedule in Madison
Based on $50.78/hr median hourly rate · 2026 est.
At $50.78/hr, a nurse practitioner working full-time (40 hr/wk) in Madison, AL can expect to earn approximately $105,630 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $60,940. With a cost-of-living index of 87.90 (below the national average), these earnings stretch further in Madison.
Hourly Rate Calculator
Schedule Comparison in Madison
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,031.34 | $8,802 | $105,630 |
| Part-Time (24 hrs) | $1,218.81 | $5,281 | $63,378 |
| Per Diem (16 hrs) | $812.54 | $3,521 | $42,252 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Madison) | $50.78 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
Nurse Practitioners in Madison, AL earn a median of $105,634 per year (2026 est.), which is 22.82% lower than the national median of $136,864 and 2.50% below the Alabama state average of $108,342.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $50.78/hr = $63,378/year (purchasing power: $72,102).
Working 40h/week (full-time) = $105,630/year (purchasing power: $120,171).
CoL index: 87.9 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$40.75/hr
2025 BLS Actual
$49.09/hr
2026 Current Est.
$50.78/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $40.75/hr | Actual |
| 2020 | $41.44/hr | Actual |
| 2021 | $44.78/hr | Actual |
| 2022 | $45.12/hr | Actual |
| 2023 | $46.85/hr | Actual |
| 2024 | $44.50/hr | Actual |
| 2025 | $49.09/hr | Actual |
| 2026(current) | $50.78/hr | Estimated |
| 2027 | $52.54/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Madison grew 20.5% from $40.75/hr (2019) to $49.09/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $52.54/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Practitioner in Madison
Part-time nurse practitioners working a 24-hour week stand to earn considerably different annual incomes when compared to their full-time counterparts. For instance, part-time practitioners may take home around $62,000 annually, while full-timers might achieve higher totals depending on their roles and employer settings. Locum and per-diem opportunities can further enhance earning potential; these professionals often bill rates between $80 to $140 per hour, particularly for specialty care, with telehealth contracts for psychiatric nurse practitioners occasionally exceeding $150 to $200 per hour. Hourly rates also fluctuate based on the type of employer in Madison. For example, while outpatient clinics and primary care practices may offer more consistent hours and benefits, urgent care chains and retail clinics tend to provide higher hourly wages but lack comprehensive employee benefits. Negotiating pay can be complex, especially for those willing to forego health insurance in exchange for more favorable hourly rates, making it essential for practitioners to weigh the benefits and compensation when pursuing opportunities within Madison's healthcare landscape.
More salary data for Madison, AL:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Madison in 2026?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse practitioners in Madison. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Madison is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
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