Updated October 15, 2026

Nurse Practitioner salary in North Carolina

Nurse Practitioners in North Carolina earn a median of $60.11 per hour, about $125,020 a year, 3% below the U.S. median of $62.12. The middle half earn between $52.36 and $66.03 per hour. The highest median among North Carolina metro areas is in Winston-Salem, NC, at $63.84 per hour. Source: BLS, May 2024.

Nurse Practitioner pay in North Carolina: percentiles

LevelNorth Carolina per hourNorth Carolina per yearU.S. per hour
Lowest 10%$48.14$100,130$47.10
Lower quartile$52.36$108,910$52.86
Median$60.11$125,020$62.12
Upper quartile$66.03$137,340$71.91
Top 10%$76.17$158,430$81.71

Nurse Practitioner pay by metro area in North Carolina

Metro areaMedian / hrMedian / yearEmployedvs North Carolina medianAfter cost of living
Winston-Salem, NC$63.84$132,7906806% above$69.36
Raleigh-Cary, NC$63.14$131,3201,0405% above$64.33
Burlington, NC$62.93$130,890805% above$67.52
Charlotte-Concord-Gastonia, NC-SC$62.81$130,6501,5304% above$64.52
Durham-Chapel Hill, NC$61.32$127,5401,4002% above$62.85
Greenville, NC$60.51$125,8602701% above$68.45
Wilmington, NC$60.20$125,220310in line with$62.43
Greensboro-High Point, NC$59.43$123,6103701% below$64.00
Hickory-Lenoir-Morganton, NC$57.94$120,5202904% below$65.48
Asheville, NC$57.55$119,7004404% below$59.63
Pinehurst-Southern Pines, NC$57.43$119,4601404% below—
Fayetteville, NC$56.68$117,9002306% below$61.62
Jacksonville, NC$56.53$117,580706% below$61.39
Rocky Mount, NC$54.65$113,680409% below$62.09
Goldsboro, NC$51.04$106,1606015% below—

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Nurse Practitioner pay in states next to North Carolina

StateMedian / hrMedian / yearCompared with North Carolina
Georgia$60.60$126,0601% above North Carolina
South Carolina$55.88$116,2407% below North Carolina
Tennessee$52.12$108,42013% below North Carolina
Virginia$59.72$124,2101% below North Carolina

What employers are posting in North Carolina

  • 51roles with published pay
  • $63.82median pay per hour
  • $51–$88typical published range
  • 4employers hiring
EmployerRolesMedian pay / hour
Advocate Health46$63.82
Genesis Healthcare3$57.19
Veterans Health Administration1$79.94
Military Treatment Facilities under DHA1$80.18

Midpoints of pay ranges in 51 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.

Nurse Practitioner jobs in North Carolina · Nurse Practitioner salary nationwide · North Carolina state guide · North Carolina licensing guide

Common questions

How much does a nurse practitioner make in North Carolina?

The median is $60.11 per hour, about $125,020 a year. The lowest 10% earn under $48.14 and the top 10% earn over $76.17 (BLS, May 2024).

Which North Carolina city pays nurse practitioners the most?

Among North Carolina metro areas, Winston-Salem, NC has the highest median at $63.84 per hour. See the metro table for the rest and for pay after cost of living.

Where does North Carolina rank for nurse practitioner pay?

North Carolina ranks 38th of 49 states by median nurse practitioner pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

Free for every candidate

What do employers near you pay nurse practitioners? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

Get your free pay report

110+ Nurse Practitioner roles in North Carolina, sent free by email

Tell us who you are and what you do. We email the report within 24 hours on business days.

Please enter your first name.
Please enter your last name.
That email doesn't look quite right.
Please choose your role.
Please enter your city or ZIP.

Free for candidates. No phone number, no cold calls. One-click unsubscribe.

The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · NP near North Carolina
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your NP pay reportNorth Carolina · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Advocate HealthCharlotte, NC · 46 postings$63.82/ hr$48–$95
  • Genesis HealthcareMount Olive, NC · 3 postings$57.19/ hr$50–$61
  • Eden Internal Medicine PLLCEden, NC · 1 wage offer$53.81/ hr$54–$54

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$51Median$63.82High$88

51 NP postings with published pay in North Carolina, 50 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 51 NP roles

  1. Advanced Practice Nurse (NP) PodiatryPermanent
    $136k–$197k/ year
    Veterans Health Administration · Salisbury, NC · posted today
  2. Behavioral Health Full-Time NP/PAPermanent
    $59.00–$88.50/ hour
    Advocate Health · North Carolina · posted today

+ 49 more in your report. Each one has pay, shift and start date.

I'm interestedOne click. A recruiter writes only after you reply.
Check my pay