Nurse Practitioners, Fresno

$166,570

Local median annual wage in Fresno, CA. Middle half of earners roughly $138,900 to $191,270.

Local salary guide, May 2025, as of May 15, 2026. Cost of living index (2024). Sources stay in methodology · disclaimer.

vs US median
+25.9%
US median
$132,300
Cost of living (102.2) Based on U.S. Bureau of Economic Analysis data. Scores over 100 mean a city is more expensive than the U.S. national average.
102.2
Local pay range The middle 50% of earners in this city make between these amounts, based on official U.S. Bureau of Labor Statistics surveys.
$138,900 to $191,270
Local jobs in field Approximate number of people working in this role locally, not a count of open positions.
570
Job code
29-1171

Nurse Practitioners in Fresno pay a median $166,570 (May 2025), 25.9% above the US median of $132,300. At local prices (index 102.2), that median buys about what $162,984 buys at US-average prices.

What that pay buys

$166,570 in Fresno buys about what $162,984 buys at US-average prices (cost of living index 102.2, 2024). Housing & rent index is 95.7 vs overall 102.2 (US average = 100, 2024).

Nurse Practitioners in nearby metros

Metro Median Local pay range Cost of living
Fresno $166,570 $138,900 to $191,270 102.2
Worcester $135,120 $125,050 to $162,640 102.5
San Francisco $219,080 $176,490 to $241,910 115.6

Local salary guide May 2025 where published for the metro.

FAQ

What is the median salary for Nurse Practitioners in Fresno?
The median annual wage for Nurse Practitioners in Fresno, CA is $166,570 (May 2025 local salary guide).
How does Fresno pay compare to the US median for Nurse Practitioners?
Local median pay is 25.9% above the national median of $132,300.
How does cost of living change what that wage buys?
The cost of living index for Fresno is 102.2 (US average = 100, 2024). The local median of $166,570 has about the same buying power as $162,984 at US-average prices.
How current is this data?
Wages use the local salary guide for May 2025. Price levels use the 2024 cost of living index. See methodology for source details.

What this covers

Includes

  • Cost of living index for everyday expenses (housing, groceries & goods, services)
  • Local salary guide: median pay, typical pay range, and jobs in the field where published
  • Target salary math so you keep the same standard of living after a move
  • Approximate single-filer state income tax take-home on compare pages (see rate sources on the page)

Does not include

  • Local city taxes, credits, filing-status variants, or tax advice
  • Childcare, healthcare premiums, or leave benefits
  • Job openings. “Local jobs in field” is how many people work in the role, not hiring demand

Technical source names (RPP, OEWS) and formulas live on the methodology page.

Local pay figures and cost of living indexes come from official government surveys. See methodology and disclaimer.