Nurse Practitioner Salary in Honolulu, HI: $173,740 (2026)
Quick Answer:A full-time nurse practitioner in Honolulu, HI earns a median $173,740/year (≈ $83.53/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Honolulu's price level (19% above national, BEA RPP 119.3), that paycheck buys what $145,633 would nationally. Nominal pay sits 6.4% above the Hawaii state average.
Based on BLS state-level estimates · View source

Nurse practitioners in Honolulu, Hawaii, enjoy a competitive median annual salary of $173,740, significantly more than the national median of $136,864, reflecting the state’s full-practice authority allowing for independent practice. The salary ranges from $124,278 at the lower end to $232,027 at the top 10%, illustrating a robust income potential across various practice settings. This data, derived from 2025 BLS estimates projected to 2026, highlights a local job market that offers promising compensation for nurse practitioners, driven by the population's healthcare needs and the increased demand for advanced practice providers. Given the unique health landscape in Honolulu, clinicians may find their expertise valued in ways that bolster their earning potential.
About the Honolulu Market
Salary estimated from Hawaii average ($137,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $124,278 | $59.75 |
| Lower Range (P25) | $148,047 | $71.17 |
| Median (P50)(typical) | $173,740 | $83.53 |
| Upper Range (P75) | $210,583 | $101.25 |
| Top Earners (P90) | $232,027 | $111.55 |
Median Salary Position
26.94% above the national average
2026 Salary Percentile Distribution in Honolulu
In Honolulu, HI, the nurse practitioner salary spread from the 10th to 90th percentile is $107,749 (2026 est.). At $173,740, the local median is 26.94% above the national median of $136,864.
Salary Calculator
At 40 hours/week in Honolulu: You'd be in the lower-middle range
How Honolulu Nurse Practitioner Pay Compares
Honolulu median: $173,740/year (2026)
| Compared To | Median Salary | Honolulu Pays |
|---|---|---|
| Hawaii Average | $163,290 | +6.40% more |
| National Average | $136,864 | +26.94% more |
Nurse Practitioners in Honolulu, HI earn a median of $173,740 per year (2026 est.), which is 26.94% higher than the national median of $136,864 and 6.40% above the Hawaii state average of $163,290.
Cost-of-Living Adjusted Salary
Honolulu has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Honolulu, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $173,740 is competitive, the higher cost of living reduces purchasing power to an effective $145,633 — a 16.18% reduction.
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2019 BLS Actual
$139,409
2025 BLS Actual
$167,946
2026 Current Est.
$173,740
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $139,409 | Actual |
| 2020 | $141,770 | Actual |
| 2021 | $153,195 | Actual |
| 2022 | $154,376 | Actual |
| 2023 | $160,279 | Actual |
| 2024 | $173,913 | Actual |
| 2025 | $167,946 | Actual |
| 2026(current) | $173,740 | Estimated |
| 2027 | $179,734 | Projected |
Based on 7 years of BLS OEWS data for the Honolulu metropolitan area, the median nurse practitioner salary grew 20.5% from $139,409 (2019) to $167,946 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $179,734 by 2027 — a total increase of $40,325 (28.93%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Honolulu 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $124,278 – $148,047 |
| 3-5 years (Mid Career) | $148,047 – $173,740 |
| 5+ years (Experienced) | $173,740 – $210,583 |
| 10+ years (Top Earner) | $210,583 – $232,027 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Honolulu
The job market in Honolulu currently employs 68 nurse practitioners, contributing to a strong healthcare community. However, the cost of living index stands at 119.3, which is above the national average, impacting how much take-home pay translates to real purchasing power. Employers such as hospital outpatient clinics and specialty practices tend to offer the highest nurse practitioner pay in Honolulu, reflecting the local demand for specialized care. Factors influencing the wage disparity include the focus population of nurse practitioners, ranging from psychiatric mental health to family practice, as well as the existence of productivity bonuses tied to patient caseload. To maximize earnings in this specific market, nurse practitioners should consider side income from telehealth opportunities, maintain awareness of costs tied to collaboration agreements, and align themselves with practices that offer competitive salaries and incentives.
More salary data for Honolulu, HI:
Frequently Asked Questions
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $167,946 for nurse practitionersin the Honolulu metropolitan area. A 3.45% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Honolulu 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