Nurse Practitioner.
Billings.
$111,000
median salary, 7% below the national average
$97,000 to $131,000. Last updated April 2026.
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Data points to own the conversation.
Billings is 11% cheaper than the national average. For Nurse Practitioners, that shakes out to a median of $111,000, with the full range spanning $97,000 to $131,000. 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.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $100,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$72,000
to $89,000
Mid (3-5 yrs)
$94,000
to $117,000
Senior (6-9 yrs)
$122,000
to $144,000
Lead (10+ yrs)
$139,000
to $172,000
Salary trend
+5% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $31,000 to the total package.
Base
$111,000
Equity
$18,000
Bonus
$11,000
Signing
$2,000
Estimated total: $142,000
How Billings compares
Billings, MT
$111,000
Cost of living: 11% below average
National Average
$120,000
Billings is $9,000 below
Nurse Practitioner salary by city
Salary by role in Billings
What you should know
The Nurse Practitioner landscape in Billings is not what most salary sites will tell you. Billings is Montana's largest city and economic hub, driven by energy, agriculture, and healthcare. The city serves as a regional center for the Northern Plains. Remote work has brought a wave of tech professionals seeking Montana's quality of life, gradually diversifying the local job market. 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 Billings, your dollars stretch further. Cost of living runs 11% below the national average, which means even a median salary buys a stronger lifestyle.
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: montana has a top income tax rate of 5.9% but no state sales tax. Billings has no city income tax. The no sales tax benefit helps offset the state income tax. When someone quotes you $111,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Negotiate remote work arrangements. Billings employers are increasingly open to remote and hybrid setups to attract talent from larger metros. The range for Nurse Practitioners in Billings runs from $97,000 to $131,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A Backend Developer in Billings earns $110,000 (1% less)
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Common questions.
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