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What does a Nurse Practitioners salary really buy you in Virginia?
Virginia is 2.1% pricier than the US averageData: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19
Virginia's Regional Price Parity (RPP) is 102.1, meaning prices are 2.1% higher the national average. A Nurse Practitioners earning $127,810 in Virginia has the equivalent purchasing power of $125,181 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Virginia's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $99,990 | $97,933 | $-2,056 |
| 25th Percentile (P25) | $109,180 | $106,934 | $-2,245 |
| Median (P50) | $127,810 | $125,181 | $-2,628 |
| 75th Percentile (P75) | $139,500 | $136,630 | $-2,869 |
| 90th Percentile (P90) | $161,470 | $158,148 | $-3,321 |
Virginia's cost of living is close to the national average, so $127,810 keeps most of its value at $125,181 in real terms. Location choice here is more about career opportunities than cost arbitrage.
With an RPP of 102.1, Virginia is within a few percent of the national cost-of-living baseline. Salary adjustment for Nurse Practitioners is therefore minor — what you earn is close to what you'd keep in real purchasing power.
After adjusting for Virginia's cost of living, $127,810 nominal nets out to $125,181 in real purchasing power — a small 2.1% loss. The state's cost profile is close enough to average that COL alone shouldn't drive location decisions for this Nurse Practitioners.
Virginia ranks #47 of 51 — bottom quartile for Nurse Practitioners real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.
Where does Nurse Practitioners salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
Virginia ranks #47 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 Virginia after taxes →
A Nurse Practitioners in Virginia earns a median salary of $127,810 per year. After adjusting for Virginia's cost of living (RPP=102.1), the real purchasing power is $125,181 — a -2.1% difference.
Virginia's cost of living is 2.1% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Virginia is 102.1 (US average = 100).
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.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Nurse Practitioners in Virginia: $127,810 x (100 / 102.1) = $125,181. This represents what the salary would be worth in a state with average living costs.
Partially — a Nurse Practitioners's nominal salary of $127,810 in Virginia has 2.1% less purchasing power due to higher living costs. The real value is $125,181. However, Virginia may offer better career opportunities, networking, and industry access.
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