Nurse Practitioner Hourly Pay in Fairfax, VA: $59.69 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Fairfax, VA runs $59.69 at the median for 2026 — annualizing to $124,157 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Fairfax's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $57.84 nationally would. A 24-hour part-time schedule grosses $74,494 per year.
Based on BLS state-level estimates · View source

In Fairfax, Virginia, the projected median nurse practitioner hourly pay is $59.69, which is notably lower than the national hourly median of $65.80. This rate impacts various work arrangements, including part-time roles often found in primary care exam rooms, hospital outpatient clinics, urgent care facilities, and telehealth platforms. For instance, a nurse practitioner working three days a week may find themselves earning between $47.66 and $73.67 per hour, depending on experience and specialization. The hourly range in Fairfax allows entry-level practitioners a foothold in the industry while also rewarding top earners with competitive pay, highlighting the flexibility inherent in the profession, from traditional settings to modern telehealth visits.
About the Fairfax Market
Salary estimated from Virginia average ($124,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $47.66 | $381.28 |
| Lower Range (P25) | $53.92 | $431.35 |
| Median (P50) | $59.69 | $477.53 |
| Upper Range (P75) | $68.61 | $548.86 |
| Top Earners (P90) | $73.67 | $589.33 |
Estimated Annual Income by Work Schedule in Fairfax
Based on $59.69/hr median hourly rate · 2026 est.
At $59.69/hr, a nurse practitioner working full-time (40 hr/wk) in Fairfax, VA can expect to earn approximately $124,157 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $71,629. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Fairfax.
Hourly Rate Calculator
Schedule Comparison in Fairfax
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,387.63 | $10,346 | $124,157 |
| Part-Time (24 hrs) | $1,432.58 | $6,208 | $74,494 |
| Per Diem (16 hrs) | $955.05 | $4,139 | $49,663 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Fairfax) | $59.69 |
| 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 Fairfax, VA earn a median of $124,157 per year (2026 est.), which is 9.28% lower than the national median of $136,864 and 4.50% below the Virginia state average of $130,007.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $59.69/hr = $74,494/year (purchasing power: $72,184).
Working 40h/week (full-time) = $124,157/year (purchasing power: $120,307).
CoL index: 103.2 (100 = national average).
2019 BLS Actual
$47.90/hr
2025 BLS Actual
$57.70/hr
2026 Current Est.
$59.69/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Fairfax (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $47.90/hr | Actual |
| 2020 | $48.71/hr | Actual |
| 2021 | $52.63/hr | Actual |
| 2022 | $53.04/hr | Actual |
| 2023 | $55.07/hr | Actual |
| 2024 | $58.74/hr | Actual |
| 2025 | $57.70/hr | Actual |
| 2026(current) | $59.69/hr | Estimated |
| 2027 | $61.75/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Fairfax grew 20.5% from $47.90/hr (2019) to $57.70/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $61.75/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 Fairfax 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 Fairfax
Evaluating the earning potential for nurse practitioners working in Fairfax illustrates the diverse opportunities available. A part-time nurse practitioner working 24 hours a week could take home over $74,000 annually, which contrasts significantly with the higher income of full-time colleagues. Those opting for per diem positions might find themselves billing $80-$140 per hour, especially in urgent care and specialty clinics, while telehealth roles, such as PMHNPs, may command even higher rates of $150-$200 per hour. Additionally, hourly rates can differ between employer types; for example, retail health clinics or urgent care chains may offer lower hourly pay but include benefits that attract candidates. Negotiating for hourly rates can yield better outcomes when practitioners are aware of industry benchmarks and the trade-offs between benefits and hourly pay, making it crucial for them to evaluate their options based on personal financial goals and career aspirations in Fairfax, VA.
More salary data for Fairfax, VA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Fairfax in 2026?
How much do part-time nurse practitioners make in Fairfax?
Are nurse practitioners in Fairfax paid hourly or salary?
How much does a full-time nurse practitioner make per year in Fairfax?
Do nurse practitioners earn more per hour working part-time in Fairfax?
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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 Fairfax. 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 Fairfax 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