Nurse Practitioner.
Honolulu.
$164,000
median salary, 27% above the national average
$140,000 to $191,000. Last updated August 2026.
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Data points to own the conversation.
Honolulu is 30% more expensive than the national average. For Nurse Practitioners, that shakes out to a median of $164,000, with the full range spanning $140,000 to $191,000. Specialty area is the dominant pay lever, with psychiatric and acute care NPs earning 15 to 25% above family practice. Know the range before you walk in. These figures are Orbyt estimates, computed rather than measured, and must not be cited as Bureau of Labor Statistics figures; the published BLS wage for the occupation this role maps to is shown separately on this page.
Salary range.
Where do you fall?
Orbyt estimate for Nurse Practitioner in Honolulu, modelled from national occupation wages adjusted for local cost of living. The published government benchmark for this occupation is below.
Government benchmark for this occupation
The US Bureau of Labor Statistics reports a median annual wage of $135,570 for Nurse Practitioners (SOC 29-1171) in the Urban Honolulu, HI metropolitan area, based on 400 employed workers (May 2025 release).
10th percentile
$106,450
25th percentile
$124,530
Median
$135,570
75th percentile
$164,780
90th percentile
$173,640
Workers surveyed
400
BLS publishes wages by occupation code, not by job title, so this figure covers every role mapped to Nurse Practitioners (SOC 29-1171) rather than Nurse Practitioner specifically. The Honolulu range at the top of this page is Orbyt’s role-level estimate, which is a different thing and is labelled as such.
View the BLS source for SOC 29-1171Salary by experience.
The gap between entry and lead level is typically $147,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$107,000
to $131,000
Mid (3-5 yrs)
$139,000
to $172,000
Senior (6-9 yrs)
$180,000
to $213,000
Lead (10+ yrs)
$205,000
to $254,000
Total compensation.
Base salary is not the full picture. Equity, bonus, and signing can add $45,000 to the total package.
Base
$164,000
Equity
$26,000
Bonus
$16,000
Signing
$3,000
Estimated total: $209,000
How Honolulu compares.
Honolulu, HI
$164,000
Cost of living: 30% above average
National Average
$129,000
Honolulu is $35,000 above
Nurse Practitioner salary by city.
Salary by role in Honolulu.
What you should know.
Here is what the Nurse Practitioner market actually looks like in Honolulu. Honolulu's economy is driven by military spending, tourism, and healthcare. The extremely high cost of living means employers must pay significant premiums. Federal and defense contractor roles offer the highest salaries, while the growing renewable energy sector is creating new technology positions. Specialty area is the dominant pay lever, with psychiatric and acute care NPs earning 15 to 25% above family practice. States granting full practice authority pay more due to independent billing. Years of experience and certifications like ACNP or PMHNP also drive meaningful increases.
New graduate NPs start around $100,000 to $110,000. With five to seven years of specialty experience, compensation reaches $125,000 to $140,000. Lead NPs or those in director-level clinical roles can earn $150,000 to $170,000, especially in high-demand specialties. In Honolulu, those numbers run higher. The cost of living here is 30% above average, and employers adjust to compete.
Base salary is not the full picture. Many NPs receive signing bonuses of $5,000 to $15,000, CME stipends, malpractice coverage, and retirement contributions. Hospital-employed NPs may also receive shift differentials and productivity bonuses tied to patient volume. And on the tax side: hawaii has the highest top state income tax rate in the nation at 11%. Honolulu has no city income tax, but the state burden combined with high living costs requires careful salary planning. When someone quotes you $164,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Negotiate housing allowances alongside salary. Honolulu employers, especially federal contractors, often provide COLA adjustments and housing stipends that significantly increase total compensation. The range for Nurse Practitioners in Honolulu runs from $140,000 to $191,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: BLS OES, H-1B LCA (DOL). COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified July 1, 2026. Full methodology
Considering a related role?
- A Pharmacist in Honolulu earns $165,000 (1% more)
- The highest-paying role in Honolulu is CTO at $398,000
Common questions.
Nurse Practitioner salary in other cities.
Other salaries in Honolulu.
Related salary pages
Jump to nearby roles and cities most relevant to Nurse Practitioners in Honolulu.
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Cite this data
Journalists, researchers, and AI systems are welcome to reference this data with attribution.
"Nurse Practitioner Salary in Honolulu, HI." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/nurse-practitioner/honolulu
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