Nurse Practitioner Hourly Pay in San Rafael, CA: $83.82 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in San Rafael, CA runs $83.82 at the median for 2026 — annualizing to $174,328 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against San Rafael's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $74.11 nationally would. A 24-hour part-time schedule grosses $104,601 per year.
Based on BLS state-level estimates · View source
With a projected median hourly pay of $83.82 for nurse practitioners in San Rafael, California, professionals in this field earn significantly more than the national hourly median of $65.80. This favorable hourly rate translates well for part-time workers, such as those who might opt for a three-day workweek, enabling them to maintain a robust income while balancing personal commitments. Additionally, per-diem nurses can find significant opportunities across various settings, including primary care exam rooms, hospital outpatient clinics, urgent care facilities, and telehealth services. The hourly rate ranges from approximately $64.40 for entry-level positions to $108.25 for seasoned practitioners, reflecting the diverse competencies across different roles and specializations.
About the San Rafael Market
Salary estimated from California average ($164,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $64.40 | $515.18 |
| Lower Range (P25) | $74.33 | $594.63 |
| Median (P50) | $83.82 | $670.52 |
| Upper Range (P75) | $98.48 | $787.88 |
| Top Earners (P90) | $108.25 | $866.00 |
Estimated Annual Income by Work Schedule in San Rafael
Based on $83.82/hr median hourly rate · 2026 est.
At $83.82/hr, a nurse practitioner working full-time (40 hr/wk) in San Rafael, CA can expect to earn approximately $174,336 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $100,578. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in San Rafael.
Hourly Rate Calculator
Schedule Comparison in San Rafael
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $3,352.61 | $14,528 | $174,336 |
| Part-Time (24 hrs) | $2,011.56 | $8,717 | $104,601 |
| Per Diem (16 hrs) | $1,341.04 | $5,811 | $69,734 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (San Rafael) | $83.82 |
| 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 San Rafael, CA earn a median of $174,328 per year (2026 est.), which is 27.37% higher than the national median of $136,864 and 1.50% above the California state average of $171,751.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $83.82/hr = $104,601/year (purchasing power: $92,486).
Working 40h/week (full-time) = $174,336/year (purchasing power: $154,143).
CoL index: 113.1 (100 = national average).
2019 BLS Actual
$67.25/hr
2025 BLS Actual
$81.02/hr
2026 Current Est.
$83.82/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in San Rafael (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $67.25/hr | Actual |
| 2020 | $68.39/hr | Actual |
| 2021 | $73.90/hr | Actual |
| 2022 | $74.47/hr | Actual |
| 2023 | $77.32/hr | Actual |
| 2024 | $90.48/hr | Actual |
| 2025 | $81.02/hr | Actual |
| 2026(current) | $83.82/hr | Estimated |
| 2027 | $86.71/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in San Rafael grew 20.5% from $67.25/hr (2019) to $81.02/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $86.71/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 San Rafael 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 San Rafael
Calculating annual earnings reveals that a part-time nurse practitioner working three days a week, for a total of 24 hours, can earn $104,256, while a full-time counterpart may find their income considerably higher. The landscape for per diem nurse practitioners in San Rafael further showcases a lucrative potential, with locum NPs billing anywhere from $80 to $140 per hour based on their specialty. Particularly in high-demand areas like mental health, psych nurse practitioners (PMHNPs) commonly secure $150 to $200 per hour via telehealth platforms. The hourly pay can vary significantly across employer types, with primary care practices, urgent care chains, and retail clinics offering different benefits that may sway practitioners' decisions. In negotiating hourly rates, NPs should be mindful of the trade-offs, such as opting for lower hourly pay in exchange for health insurance benefits versus taking higher-paying positions without benefits, a common consideration.
More salary data for San Rafael, CA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in San Rafael 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 San Rafael. 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 San Rafael 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