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How Much Does an NP Make in San Francisco, CA in 2026?

Typical pay for NPs in San Francisco, from federal wage data (May 2025), with the ten-year trend and how the city compares across California.

$219,080
Typical pay a year
$105.33
Typical pay an hour
+30%
vs California · +66% vs US
3,110
NPs employed in the area
Where NP pay falls in San Francisco
from starting out to the top earners
$153,280
Starting out
$176,490
First years
$219,080
Typical
$241,910
Experienced
$273,960
Top 10%

BLS OES May 2025 · San Francisco · Oakland · Fremont metro area

A typical NP in San Francisco, California earns $105.33 per hour, or $219,080 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $18,257 a month. Entry-level positions typically offer around $153,280, and the top 10% of earners make over $273,960.

That pay is 30% above the California figure of $168,520 and 66% above the national figure of $132,300. San Francisco ranks 2nd of 25 metro areas in California for NP pay. About 3,110 NPs work in the San Francisco · Oakland · Fremont area. San Francisco is part of the San Francisco · Oakland · Fremont metro area, and BLS reports pay for the metro as a whole, so Oakland and Fremont share these figures.

NP pay in San Francisco at a glance

  • Typical pay is $105.33 an hour, or $219,080 a year.
  • That is 30% above the California figure, ranking 2nd of 25 metro areas in the state.
  • Entry-level positions typically offer around $153,280; the top 10% make over $273,960.
  • Typical pay rose +71% from 2015 to 2025, against +43% for California as a whole.

BLS OES May 2025

How much does an NP make in San Francisco?

Pay in San Francisco runs from entry-level positions at around $73.69 an hour to more than $131.71 for the top 10% of earners. The table sets each career stage against the California and national figures.

NP pay by career stage in San Francisco

NP pay by career stage in San Francisco
Career stageSan FranciscoCaliforniaUnited States
Starting out$153,280$73.69 an hour$120,340$57.86 an hour$101,340$48.72 an hour
First years$176,490$84.85 an hour$145,980$70.18 an hour$117,990$56.73 an hour
Typical NP$219,080$105.33 an hour$168,520$81.02 an hour$132,300$63.61 an hour
Experienced$241,910$116.30 an hour$209,350$100.65 an hour$156,700$75.34 an hour
Top 10%$273,960$131.71 an hour$240,830$115.78 an hour$174,420$83.86 an hour

BLS OES May 2025 · city figures cover the San Francisco · Oakland · Fremont area as BLS defines it

NP pay growth in San Francisco

$219,080
2025 typical annual pay
−$1,250 vs 2024
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Typical (median) annual wage for NPs in the San Francisco · Oakland · Fremont area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change

In 2015, typical NP pay in San Francisco was $127,760 a year. By 2025 it had reached $219,080, a change of +71%, compared with +43% for California over the same years.

How San Francisco compares with other California cities

San Jose pays NPs the most in California at $231,560 a year, $12,480 more than San Francisco. The lowest-paying area in the state is Ventura at $148,800.

Typical NP pay by metro area in California
#CityTypical payHourlyVs San FranciscoNPs employed
1San Jose
metro incl. Santa Clara · Sunnyvale
$231,560$111.33+6%1,580
2San Francisco
metro incl. Oakland · Fremont
$219,080$105.33this city3,110
3Vallejo$182,370$87.68-17%180
4Napa$176,270$84.74-20%60
5Modesto$173,380$83.36-21%380
6Sacramento
metro incl. Folsom · Roseville
$172,010$82.70-21%1,170
7San Bernardino
metro incl. Riverside · Ontario
$169,920$81.69-22%1,710
8Hanford
metro incl. Corcoran
$168,540$81.03-23%70
9Watsonville
metro incl. Santa Cruz
$167,190$80.38-24%190
10Chico$167,080$80.33-24%140
11Petaluma
metro incl. Santa Rosa
$167,040$80.31-24%280
12Fresno$166,570$80.08-24%570
13Salinas$166,090$79.85-24%140
14Santa Barbara
metro incl. Santa Maria
$165,580$79.60-24%200
15Delano
metro incl. Bakersfield
$165,580$79.61-24%430
16Yuba City$165,020$79.34-25%70
17El Centro$164,700$79.18-25%70
18San Diego
metro incl. Chula Vista · Carlsbad
$163,860$78.78-25%2,340
19San Luis Obispo
metro incl. Paso Robles
$162,950$78.34-26%140
20Anaheim
metro incl. Long Beach · Los Angeles
$161,470$77.63-26%10,060
21Redding$160,480$77.15-27%120
22Visalia$159,430$76.65-27%250
23Stockton
metro incl. Lodi
$159,150$76.52-27%280
24Merced$158,750$76.32-28%100
25Thousand Oaks
metro incl. Oxnard · Ventura
$148,800$71.54-32%320

Every metro area in California with NP wage data · BLS OES May 2025 · California typical pay $168,520

Is San Francisco a good place to work as an NP?

+66%
vs national pay · +30% vs California
3,110
NPs employed in the San Francisco · Oakland · Fremont area
1.3
NP jobs per 1,000 jobs, vs about 2.1 nationally

NPs in San Francisco earn a strong wage by national standards: typical pay is $219,080 a year, 66% above the national figure. For every 1,000 jobs in the San Francisco · Oakland · Fremont area, about 1.3 are NP positions; nationally, the figure is closer to 2.1. That makes NPs a smaller part of the local job market than usual, so employers draw from a smaller pool of qualified candidates.

Frequently asked questions

How much does an NP make in San Francisco, CA?
A typical NP in San Francisco earns $219,080 a year, or $105.33 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $153,280 and the top 10% earn over $273,960.
How much does an NP make an hour in San Francisco?
Typical hourly pay for NPs in San Francisco is $105.33. Entry-level hourly pay runs about $73.69, and the top 10% earn over $131.71 an hour.
What is the starting pay for an NP in San Francisco?
Entry-level NP positions in San Francisco typically offer around $73.69 an hour, or $153,280 a year.
Is NP pay in San Francisco higher than in the rest of California?
San Francisco pay is 30% above the California figure of $168,520 a year, ranking 2nd of 25 metro areas in the state. San Jose pays the most in California at $231,560.

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