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Nurse Practitioners Salary in Iowa: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Nurse Practitioners salary really buy you in Iowa?

Iowa is 11.6% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$130,160
Median annual (2025)
+13.1%
Real Purchasing Power
$147,239
COL-adjusted (RPP=88.4)

Iowa Cost of Living Index

Iowa's Regional Price Parity (RPP) is 88.4, meaning prices are 11.6% lower the national average. A Nurse Practitioners earning $130,160 in Iowa has the equivalent purchasing power of $147,239 in an average-cost US state.

IA: 88.4
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Iowa's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $107,990 $122,160 +$14,170
25th Percentile (P25) $122,720 $138,823 +$16,103
Median (P50) $130,160 $147,239 +$17,079
75th Percentile (P75) $141,940 $160,565 +$18,625
90th Percentile (P90) $167,590 $189,581 +$21,991
Key Insight

A Nurse Practitioners in Iowa earns $130,160 on paper, but low living costs mean your money goes 13% further — like earning $147,239 in an average-cost state. This makes Iowa one of the best value states for this occupation.

What the Cost-of-Living Data Says

Iowa Runs Well Below National Cost

RPP 88.4

Iowa's Regional Price Parity (RPP) of 88.4 means a basket of goods and services costs about 11.6% less than the national average. For a Nurse Practitioners, every dollar earned effectively buys more here than in a 100-RPP state.

Sizable COL Effect Reshapes This Salary

+13.1%

Adjusting $130,160 for Iowa's cost of living yields $147,240 — a 13.1% gain in real purchasing power. This magnitude usually reflects either a materially cheaper or materially pricier metro mix than the national average.

Top-Quartile Adjusted Earnings in Iowa

#6 / 51

Ranked on COL-adjusted median pay for Nurse Practitioners, Iowa places #6 of 51 states — top quartile. Either nominal wages run high, cost of living runs low, or both.

Best States for Nurse Practitioners (After Cost of Living)

Where does Nurse Practitioners salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

1. Alaska
$152,127
RPP 102.0
2. Montana
$151,949
RPP 90.3
$151,120
RPP 91.0
$150,213
RPP 88.8
$149,795
RPP 112.5
6. Iowa
$147,239
RPP 88.4
$147,138
RPP 89.8
$146,640
RPP 88.7
$146,424
RPP 108.8
$146,409
RPP 88.0

Iowa ranks #6 out of 51 states for Nurse Practitioners after cost-of-living adjustment.

How much do you actually take home? See Nurse Practitioners take-home pay in Iowa after taxes →

Frequently Asked Questions

What is the real salary for a Nurse Practitioners in Iowa after cost of living?

A Nurse Practitioners in Iowa earns a median salary of $130,160 per year. After adjusting for Iowa's cost of living (RPP=88.4), the real purchasing power is $147,239 — a +13.1% difference.

Is Iowa expensive to live in?

Iowa's cost of living is 11.6% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for Iowa is 88.4 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Nurse Practitioners in Iowa: $130,160 x (100 / 88.4) = $147,239. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Nurse Practitioners in Iowa financially?

From a purchasing power perspective, yes. A Nurse Practitioners in Iowa enjoys 13.1% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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