Last Updated: April 2026
Registered Nurse Salary Guide 2026 — Complete RN Pay Data
The average registered nurse salary in the United States is approximately $89,000/year ($42.80/hr) in 2026. But that average conceals a $62,000 range — from $62,000 in Mississippi to over $124,000 in California. This guide breaks down RN pay by state, specialty, experience, and care setting so you know exactly what you should be earning.
RN Salary by State (2026)
Geography is the single biggest driver of RN pay. California nurses earn 2× what Mississippi nurses earn. Below are the top-paying states alongside national average benchmarks.
RN Salary by State — Top Paying + National Benchmark
| State | Avg. Annual Salary | Avg. Hourly Rate |
|---|---|---|
| California | $124,000 | $59.62/hr |
| Hawaii | $106,000 | $50.96/hr |
| Washington | $102,000 | $49.04/hr |
| Oregon | $98,000 | $47.12/hr |
| Alaska | $97,000 | $46.63/hr |
| New York | $96,000 | $46.15/hr |
| Massachusetts | $95,000 | $45.67/hr |
| Connecticut | $93,000 | $44.71/hr |
| New Jersey | $91,000 | $43.75/hr |
| National Average | $89,010 | $42.80/hr |
| Texas | $84,000 | $40.38/hr |
| Florida | $76,000 | $36.54/hr |
| Mississippi | $62,000 | $29.81/hr |
Source: BLS OEWS 2025 + NurseSalaryIntel data
RN Salary by Specialty (2026)
Specialty is the second-biggest lever. An ICU nurse earns roughly $18,000 more than a med-surg nurse. Advanced practice nurses (NPs, CRNAs, CNMs) earn $30,000–$125,000 more than bedside RNs.
Nursing Salary by Specialty (2026)
| Specialty | Avg. Annual Salary | Notes |
|---|---|---|
| CRNA (Certified Registered Nurse Anesthetist) | $214,000 | Master's/DNP required |
| Nurse Practitioner (NP) | $126,000 | MSN/DNP required |
| Nurse Midwife (CNM) | $118,000 | MSN required |
| Clinical Nurse Specialist (CNS) | $112,000 | MSN required |
| OR / Surgical RN | $98,000 | CNOR cert valued |
| ICU / Critical Care RN | $96,000 | CCRN cert valued |
| ER / Emergency RN | $92,000 | CEN cert valued |
| Labor & Delivery RN | $90,000 | RNC-OB cert valued |
| NICU RN | $89,000 | RNC-NIC cert valued |
| Med-Surg RN | $78,000 | Entry point for most RNs |
Source: BLS OEWS 2025 + NurseSalaryIntel data
RN Salary by Experience Level
Experience adds roughly $1,500–$3,000/year in most health systems through step increases. The biggest jumps happen at the 5-year mark (specialty eligibility) and 10-year mark (charge/lead roles).
RN Salary by Years of Experience
| Experience | Typical Salary Range | Notes |
|---|---|---|
| New Grad (0–1 year) | $65,000–$85,000 | Varies widely by state |
| 2–4 years | $75,000–$95,000 | First raise window |
| 5–9 years | $85,000–$105,000 | Specialty premium kicks in |
| 10–19 years | $95,000–$120,000 | Charge/supervisor opportunities |
| 20+ years | $100,000–$140,000 | Top of step scale |
Source: NurseSalaryIntel data
RN Salary by Care Setting
Hospital nurses typically earn the most. Outpatient, school nursing, and home health tend to pay less but offer better hours and lower physical demand.
- Hospital (acute care): $85,000–$124,000
- Ambulatory / outpatient clinic: $72,000–$90,000
- Long-term care / SNF: $68,000–$82,000
- Home health: $66,000–$80,000
- School nursing: $58,000–$74,000
- Telehealth / case management: $78,000–$95,000
Travel Nursing vs. Staff RN Pay
Travel nurses typically earn 20–40% more than staff nurses in the same market. Weekly packages in high-demand states average $2,800–$3,600 including tax-free stipends. The trade-off is housing instability and no guaranteed benefits continuity.
Full Travel Nurse Salary Guide →How to Increase Your RN Salary
The most effective salary levers for registered nurses, ranked by ROI:
- Relocate to a higher-paying state — Moving from Florida ($76K avg) to California ($124K avg) adds $48,000/year. Even moving from a low-pay state to Washington or Oregon adds $20,000+.
- Advance to BSN — Worth $6,000–$10,000/year at most health systems. Many employers offer tuition reimbursement. Compare ADN vs BSN pay →
- Earn a specialty certification — CCRN, CEN, CNOR, or CMSRN adds $4,000–$12,000 at most facilities. [AFFILIATE_LINK_CERTIFICATION]
- Switch to a higher-acuity unit — Moving from med-surg to ICU or OR typically adds $15,000–$20,000/year.
- Become a Nurse Practitioner — NPs average $126,000, a $37,000 premium over the average RN. How to become an NP →
📊 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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