Nurse Practitioner Salary in Rochester, NY
Nurse Practitioners in the Rochester, NY metro area earn a median $128,110 a year — 3% less than the national median. After 2026 taxes, that is $92,311 take-home, or $7,693 a month.
Take-home pay calculator
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- Federal income tax$19,480
- Social Security (6.2%)$7,943
- Medicare (1.45%)$1,858
- New York income tax$6,518
- Take-home pay$92,311
Marginal rate: 24% federal + 5.90% state
Nurse Practitioner pay by experience in Rochester, NY
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $105,340 | $50.64 | $77,762 | $6,480 |
| 25th percentile | $107,180 | $51.53 | $78,948 | $6,579 |
| Median (50th) | $128,110 | $61.59 | $92,311 | $7,693 |
| 75th percentile | $132,060 | $63.49 | $94,778 | $7,898 |
| 90th percentile (top earners) | $154,610 | $74.33 | $108,860 | $9,072 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, New York resident, 2026 tax rules.
What $128,110 buys in Rochester, NY
Prices in Rochester, NY are 3.0% lower than the U.S. average (housing costs are 13% below the national average). Adjusted for local prices, a median nurse practitioner's $92,311 take-home pay has the buying power of $95,132 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Rochester, NY has 1.8× the national concentration of nurse practitioner jobs — a strong local market for this occupation.
Best-paying cities for nurse practitioners, adjusted for cost of living
Rochester, NY ranks #94 of 117 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | San Jose, CA | $231,560 | $150,760 | $136,530 |
| 2 | San Francisco, CA | $219,080 | $143,890 | $124,458 |
| 3 | Killeen, TX | $138,670 | $106,047 | $116,366 |
| 4 | Tulsa, OK | $139,460 | $100,857 | $113,050 |
| 5 | Sioux Falls, SD | $130,390 | $100,388 | $110,765 |
| 6 | McAllen, TX | $122,550 | $95,029 | $110,634 |
| 7 | Las Vegas, NV | $144,060 | $109,731 | $109,496 |
| 8 | Fresno, CA | $166,570 | $111,690 | $109,330 |
| 94 | Rochester, NY | $128,110 | $92,311 | $95,132 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 117 metros →
Nurse Practitioner salaries elsewhere in New York
- New York, NY — $163,340
- Buffalo, NY — $132,220
- Syracuse, NY — $132,010
- Kiryas Joel, NY — $151,740
- Albany, NY — $134,590
Frequently asked questions
How much does a nurse practitioner make in Rochester, NY?
The median nurse practitioner salary in the Rochester, NY metro area is $128,110 a year, or about $61.59 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $107,180 and $132,060.
What is a nurse practitioner’s take-home pay in Rochester, NY?
On the median $128,110 salary, a single filer living in New York takes home about $92,311 a year ($7,693 a month) after federal tax, Social Security, Medicare and $6,518 in New York taxes in 2026.
Is Rochester, NY a good place to work as a nurse practitioner?
Pay here is 3% below the national median of $132,300. Local prices are 3.0% below the U.S. average, so the take-home pay buys what $95,132 would in a typical U.S. city. Rochester, NY ranks #94 of 117 metro areas for cost-of-living-adjusted pay in this job.
Can a nurse practitioner afford rent in Rochester, NY?
HUD’s fair market rent for a one-bedroom in Rochester, NY is $1,256 a month ($1,573 for two bedrooms) — 16% of a median nurse practitioner’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Rochester, NY
- Physicians, All Other — $214,550
- Pharmacist — $136,310
- Physician Assistant — $130,430
- Dental Hygienist — $93,650
- Registered Nurse — $86,570
- Physical Therapist — $83,070
- Occupational Therapist — $81,750
- Clinical Laboratory Technologist and Technician — $81,290
- Speech-Language Pathologist — $80,220
- Radiologic Technologist and Technician — $76,390
- Licensed Practical and Licensed Vocational Nurse — $62,060
- Medical Records Specialist — $49,010