The median annual wage for nurse practitioners working in Modesto, CA, sits at $173,380, per BLS survey data. It runs 34% above the national median of $129,030 for this occupation — pay here is notably stronger than the U.S. average. The middle 50% land between $162,980 and $217,360 — a 54,380 range that reflects differences in seniority, employer type, and specialization. The average (mean) of $187,690 comes in higher than the median, which usually means a share of high earners is pulling the average up. The catch: Modesto is roughly in line with the national cost of living (cost index 100 against a 100 baseline), so that headline number buys less than it would elsewhere. On an hourly basis that is about $83.36, useful for comparing contract or part-time offers.

For context, the national median for nurse practitioners across all U.S. metros in our data is $129,030.