Nurse Practitioner Hourly Pay in Spearfish, SD: $58.55 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Spearfish, SD runs $58.55 at the median for 2026 — annualizing to $121,781 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Spearfish's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $63.10 nationally would. A 24-hour part-time schedule grosses $73,074 per year.
Based on BLS state-level estimates · View source
In 2026, the nurse practitioner hourly pay in Spearfish, South Dakota, is projected to reach $58.55, which is approximately 11.02% lower than the national hourly median of $65.80. This hourly rate provides a solid income for those working in various settings, such as primary care, outpatient clinics, urgent care facilities, retail health clinics, and telehealth services. For part-time professionals who work three days a week, the potential earnings could still contribute meaningfully to financial stability, while per-diem nurse practitioners also have opportunities to earn competitive wages. The hourly range varies significantly, with entry-level positions starting at around $45.62 and experienced practitioners earning up to $70.73 per hour, reflecting differing levels of expertise and responsibilities within the profession.
About the Spearfish Market
Salary estimated from South Dakota average ($122,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $45.62 | $364.97 |
| Lower Range (P25) | $55.51 | $444.09 |
| Median (P50) | $58.55 | $468.42 |
| Upper Range (P75) | $66.35 | $530.82 |
| Top Earners (P90) | $70.73 | $565.83 |
Estimated Annual Income by Work Schedule in Spearfish
Based on $58.55/hr median hourly rate · 2026 est.
At $58.55/hr, a nurse practitioner working full-time (40 hr/wk) in Spearfish, SD can expect to earn approximately $121,790 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $70,263. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Spearfish.
Hourly Rate Calculator
Schedule Comparison in Spearfish
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,342.11 | $10,149 | $121,790 |
| Part-Time (24 hrs) | $1,405.26 | $6,089 | $73,074 |
| Per Diem (16 hrs) | $936.84 | $4,060 | $48,716 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Spearfish) | $58.55 |
| 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 Spearfish, SD earn a median of $121,781 per year (2026 est.), which is 11.02% lower than the national median of $136,864 and 4.10% below the South Dakota state average of $126,988.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $58.55/hr = $73,074/year (purchasing power: $78,743).
Working 40h/week (full-time) = $121,790/year (purchasing power: $131,239).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$46.98/hr
2025 BLS Actual
$56.60/hr
2026 Current Est.
$58.55/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Spearfish (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $46.98/hr | Actual |
| 2020 | $47.78/hr | Actual |
| 2021 | $51.63/hr | Actual |
| 2022 | $52.03/hr | Actual |
| 2023 | $54.02/hr | Actual |
| 2024 | $52.19/hr | Actual |
| 2025 | $56.60/hr | Actual |
| 2026(current) | $58.55/hr | Estimated |
| 2027 | $60.57/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Spearfish grew 20.5% from $46.98/hr (2019) to $56.60/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $60.57/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 Spearfish 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 Spearfish
Exploring the implications of part-time work, a nurse practitioner in Spearfish who opts for a three-day workweek, totaling 24 hours, could make about $68,291 annually, a substantial sum compared to full-time earnings but notably affected by hours worked. Meanwhile, per-diem placements allow even greater flexibility, with locum NPs potentially charging between $80-$140 per hour depending on their specialty, and psychiatric mental health nurse practitioners may secure even higher rates of $150-$200 per hour through asynchronous telehealth platforms. Hourly rates can also differ based on employment arrangements; nurse practitioners in hospital outpatient clinics might earn less than their counterparts in urgent care chains or retail clinics, who often operate on variable pay structures as 1099 contractors. This dynamic can lead to a critical trade-off where NPs must weigh the benefits of lower hourly wages in exchange for essential health insurance packages. When negotiating hourly pay in Spearfish, understanding the market standards and being prepared to discuss value based on specific skills can strengthen one's position significantly.
More salary data for Spearfish, SD:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Spearfish in 2026?
How much do part-time nurse practitioners make in Spearfish?
Are nurse practitioners in Spearfish paid hourly or salary?
How much does a full-time nurse practitioner make per year in Spearfish?
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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 Spearfish. 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 Spearfish 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