Last Updated: May 2026
AGNP Salary 2026: Adult-Gerontology NP Pay by State and Track
Quick Answer
AGNPs earn $126,000/year ($60.58/hr) based on the latest BLS data. Acute care track AGNPs (AGNP-AC) earn $138,000–$148,000/year in hospital settings. Primary care track AGNPs (AGNP-PC) earn $115,000–$155,000/year depending on practice setting and state. California leads at $158,000/year.
The Adult-Gerontology NP credential comes in two tracks — primary care (AGNP-PC) and acute care (AGNP-AC) — which serve very different practice environments and carry meaningfully different salaries. Here's how the two tracks compare and where pay is highest.
AGNP Salary by State (2026)
AGNP Average Salary by State
| State | Avg Annual Salary | Avg Hourly Rate |
|---|---|---|
| California | $158,000 | $75.96/hr |
| Washington | $146,000 | $70.19/hr |
| New York | $142,000 | $68.27/hr |
| Massachusetts | $138,000 | $66.35/hr |
| New Jersey | $136,000 | $65.38/hr |
| National Average | $126,000 | $60.58/hr |
| Texas | $114,000 | $54.81/hr |
| Florida | $110,000 | $52.88/hr |
Source: BLS OEWS 2025 + NurseSalaryIntel 2026 data
AGNP-AC vs. AGNP-PC Salary by Setting
Acute care AGNPs working in procedural specialties (cardiology, pulmonology, GI) consistently earn the most — their billing productivity and procedural involvement justify compensation above standard employed NP rates. Primary care AGNPs in private practice in full practice authority states also approach acute care earnings.
AGNP Salary by Track and Setting
| Track & Setting | Annual Salary Range | Notes |
|---|---|---|
| AGNP-AC (Acute Care) — Hospital | $138,000–$148,000 | ICU, hospitalist, specialty |
| AGNP-AC (Acute Care) — Procedural | $145,000–$165,000 | Cardiology, pulm, GI |
| AGNP-PC (Primary Care) — Private | $130,000–$155,000 | FPA states |
| AGNP-PC (Primary Care) — Employed | $115,000–$130,000 | Outpatient clinic |
| AGNP-PC (Primary Care) — FQHC | $118,000–$135,000 | PSLF eligible |
| AGNP-PC — Telehealth | $108,000–$125,000 | Rapid growth setting |
Source: NurseSalaryIntel 2026 data
AGNP vs. FNP: Which Pays More?
On a primary care basis, FNP and AGNP-PC salaries are nearly identical — both average $122,000–$126,000/year nationally. The real salary divergence comes when comparing AGNP-AC (acute care) to FNP: acute care AGNPs earn $12,000–$23,000/year more, driven by inpatient complexity and hospital billing rates.
FNP offers broader scope — you can see pediatric and OB patients that AGNPs cannot. AGNP-AC offers a clearer path into hospital-based specialty practice with higher earning potential.
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📊 Data Methodology
Salary figures on this page are 2026 estimates derived from the most recent available U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) data, based on the May 2024 survey and published in March 2025. Estimated ranges may also incorporate publicly available 2025 job postings, hospital pay schedules, regional market conditions, and reported compensation trends.
Official 2026 OEWS wage data has not yet been released. All salary figures on this page should be treated as informational estimates rather than official government statistics or guaranteed compensation rates.
Frequently Asked Questions
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