Last Updated: April 2026

Nursing Salary Hub — 2026 Complete Guide

The national average RN salary is approximately $89,000/year — but that number obscures a $148,000 range between the lowest-paid nurse role (CNA-adjacent new grad in Mississippi) and the highest (CRNA in California). This hub organizes nursing salary data by specialty, experience, and state, and links to detailed guides for every major role.

Nursing Salary Snapshot — All Major Roles (2026)

The table below shows national salary averages by nursing specialty. State, experience, and certifications all create significant variation from these baselines — use the role-specific guides linked below to get more precise data for your situation.

Nursing Salary by Role (2026)

Nursing RoleAvg. Annual SalaryAvg. Hourly Rate
CRNA$214,000$102.88/hr
Nurse Practitioner (NP)$126,000$60.58/hr
Nurse Midwife (CNM)$122,000$58.65/hr
ICU / Critical Care RN$95,000$45.67/hr
ER / Emergency RN$91,000$43.75/hr
OR / Perioperative RN$89,000$42.79/hr
Charge Nurse (RN)$87,000$41.83/hr
Labor & Delivery RN$85,000$40.87/hr
NICU RN$84,000$40.38/hr
Med-Surg RN$72,000$34.62/hr

Source: BLS OEWS 2025 + NurseSalaryIntel data

How Experience Affects Nursing Salary

Experience is the second-biggest salary driver after specialty and state. Entry-level nurses (0–2 years) typically earn $55,000–$75,000 nationally. Nurses at 3–5 years with specialty certification can reach $80,000–$105,000. At 10+ years, senior bedside nurses in high-pay states routinely earn $110,000–$140,000+.

Union step systems — most common in California, New York, and New England — provide automatic annual step increases that shrink the experience-to-pay gap by 30–40% compared to at-will employment states. If you're in a union hospital, understand your step schedule: that systematic progression is worth tens of thousands over a 10-year period.

See new grad RN salary data and first negotiation guide →

Certifications That Boost Nursing Pay

Board certifications provide the fastest return on investment for nurses not ready to change specialty or pursue advanced degrees. CCRN certification adds $5,000–$12,000/year for ICU nurses. CEN for ER nurses adds $4,000–$9,000. CNOR for OR nurses adds $5,000–$10,000. Most hospitals offer a one-time certification bonus ($1,000–$3,000) plus an ongoing hourly differential.

See full specialty salary rankings and certification ROI →

Salary by State

Geography is the most powerful salary driver in nursing — more than experience or specialty in many cases. California pays $124,000/year on average; Mississippi pays $66,590. Even within states, major metro areas pay 15–30% more than rural markets. If you're willing to relocate or travel, the state premium alone can be worth $30,000–$57,000/year.

See RN salary rankings for all 50 states →

📊 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

What is the average nursing salary in the US in 2026?
The national average RN salary is approximately $89,000/year ($42.79/hour) in 2026, per BLS OEWS data. That average includes all experience levels and specialties. ICU and ER nurses earn 4–8% above the national average; CRNAs earn more than double at $214,000/year. New graduates and Med-Surg nurses typically earn below the national mean.
What nursing specialty pays the most?
CRNAs (Certified Registered Nurse Anesthetists) are the highest-paid nurses, averaging $214,000/year nationally. In top markets like California and New York, experienced CRNAs earn $250,000–$280,000. Among staff RN roles (BSN only), ICU nurses earn the most at approximately $95,000 nationally.
How much does experience affect nursing salary?
Significantly. Entry-level nurses (0–2 years) typically earn 15–25% below the state average. At 5–10 years with specialty certification, most nurses exceed the average. At 15+ years in a high-pay state, bedside nurses routinely earn $110,000–$140,000+. Union step systems in California and New York accelerate this growth through automatic annual step increases.
How does nursing salary compare to other healthcare roles?
Staff RNs earn more than most LPNs ($57,000 average) and CNAs ($38,000 average). NPs and CRNAs earn more than many physicians assistants ($130,000 average) and approach primary care physician salaries in some markets. Compared to hospital administrators and healthcare IT roles, experienced bedside RNs in high-pay states are competitive.
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