Nurse Salary 2025 in US Breakdown: Ultimate Guide to How Much Nurses Really Make
HOW MUCH DO NURSES MAKE IN US?
2025 Nurse Salary Breakdown: How Much Are Nurses Really Making This Year?
Are you wondering what the nurse salary in 2025 in US really looks like? You’re not alone. With nursing continuing to rank among the most respected and in-demand healthcare professions, understanding nurse salary trends in 2025 is crucial—whether you’re a nursing student, a new graduate, or a seasoned RN considering a raise or career shift.
According to the most recent data from the U.S. Bureau of Labor Statistics (BLS), the average 2025 nurse salary in US reflects both the growing demand for healthcare professionals and regional differences in pay. This guide offers a full breakdown of nurse salary 2025 in US data—including average RN income, pay by specialty, salary differences by state, and key factors that affect how much a nurse earns today.
In this ultimate nurse salary guide, you’ll find:
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The average RN salary in 2025 by the hour and by year
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A comparison of nurse salary trends from 2021 to 2025
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Pay differences by nursing role and specialization
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How location, education, union status, and certifications affect your nurse salary 2025 in US
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A list of the highest and lowest-paying states for nurses
Whether you’re exploring nursing as a career or negotiating your next contract, this nurse salary 2025 in US overview will help you understand what you’re worth and how to increase your earning potential.
What Is the Average Nurse Salary in US 2025?
So, how much do registered nurses make in 2025? Based on the 2024–2025 U.S. BLS data, the average nurse salary in 2025 is approximately $98,430 per year, or around $47.32 per hour. These figures mark a steady increase from previous years, as shown in the table below:
| Year | Employment | Hourly Nurse Salary | Annual Nurse Salary |
|---|---|---|---|
| 2024 | 3,282,010 | $47.32 | $98,430 |
| 2023 | 3,175,390 | $45.42 | $94,480 |
| 2022 | 3,072,700 | $42.80 | $89,010 |
| 2021 | 3,047,530 | $39.78 | $82,750 |
These numbers show how nurse salary 2025 in US continue to grow, thanks to increased demand, workforce expansion, and inflation adjustments. Whether you’re entering the field or planning a role upgrade, knowing your market value is more important than ever in today’s healthcare landscape.
Nurse Salary 2025 in US: How RN Pay Compares Nationally and by Role
The median nurse salary 2025 in US stands strong at $93,600 per year, or about $45 per hour, according to the latest data. This puts the average nurse salary 2025 in US nearly double the national average income for all occupations in the U.S., which currently hovers around $49,500. These numbers reflect not just demand, but the critical value that nurses bring to the healthcare system.
However, not all nursing roles earn the same. While registered nurses (RNs) have a competitive average, licensed practical nurses (LPNs) and nursing assistants, who typically require less formal training, earn considerably less. On the other hand, advanced practice registered nurses (APRNs)—such as nurse anesthetists, nurse midwives, and nurse practitioners—earn significantly more, often exceeding six figures. These differences play a major role in understanding the full picture of nurse salary 2025 in US across all nursing levels.
In addition to role, other important salary influencers include education level, location, union membership, hospital type, and specialty area. While the national nurse salary average is a good benchmark, actual salaries can vary dramatically from state to state. That’s why we’ve included a comprehensive breakdown of RN salary by state using the most recent BLS 2024–2025 data.
Nurse Salary by State: A Detailed Comparison for 2025
Where you work directly impacts your nurse salary 2025 in US. Factors like cost of living, regional nurse demand, and local labor market trends create wide salary variations nationwide. States along the West Coast and the Northeast tend to offer the highest RN salaries, while many Southern and Midwestern states fall below the national average.
Here’s a snapshot of the average registered nurse salary 2025 in US across all U.S. states:
| State | 2024 RN Salary | 2023 RN Salary | 2022 RN Salary |
|---|---|---|---|
| California | $148,330 | $137,690 | $124,000 |
| Hawaii | $123,720 | $119,710 | $106,530 |
| Oregon | $120,470 | $113,440 | $98,630 |
| Massachusetts | $112,610 | $108,850 | $96,630 |
| Alaska | $112,040 | $109,210 | $97,230 |
| Washington | $115,740 | $111,030 | $95,350 |
| New York | $110,490 | $106,620 | $93,320 |
| District of Columbia | $109,240 | $106,850 | $98,540 |
| New Jersey | $106,990 | $101,960 | $89,690 |
| Connecticut | $103,670 | $101,840 | $88,530 |
| (…full table continues in original content…) |
These numbers confirm that nurse salary 2025 in US varies widely by geography. For example, an RN in California earns nearly double what an RN in Alabama might earn. That’s why many nurses consider relocation to boost earnings—or explore travel nursing opportunities, which we’ll discuss later in this guide.
Nurse Salary 2025 in US by State: Highest and Lowest Paying Regions
According to the most recent BLS 2025 nurse salary data, there’s a significant geographic divide in what registered nurses earn across the United States. The top-paying states for RNs in 2025 continue to be concentrated along the West Coast and in the Northeast—regions with high demand, union support, and elevated living costs.
💼 Top 5 Highest-Paying States for RNs (nurse salary 2025 in US)
| State | Average RN Salary (2025) |
|---|---|
| California | $148,330 |
| Hawaii | $123,720 |
| Oregon | $120,470 |
| Washington | $115,740 |
| Massachusetts | $112,610 |
California leads the nation once again, with the highest nurse salary 2025 in US, averaging around $148,000 per year. This is largely attributed to strong nursing unions, aggressive wage negotiations, and the state’s high cost of living. Hawaii, Oregon, Washington, and Massachusetts round out the top five—each offering RN salaries well above $110K annually.
Other high-paying states include Alaska ($112K), New York ($110K), and the District of Columbia (~$109K), all reflecting favorable wage policies for healthcare professionals.
🧾 Lowest-Paying States for RNs in 2025
On the flip side, nurse salary 2025 in US data shows that Southern and Midwestern states tend to offer lower RN wages.
| State | Average RN Salary (2025) |
|---|---|
| South Dakota | $72,210 |
| Mississippi | $79,470 |
| Iowa | $77,780 |
| Kansas | $79,430 |
| Arkansas | $77,720 |
South Dakota ranks as the lowest-paying state for RNs in 2025, with an average RN salary just above $72,000 per year. Other states like Mississippi, Arkansas, Iowa, and Kansas all fall in the high $70Ks to low $80Ks, noticeably below the national RN average of $98,430.
These wage differences often reflect regional cost-of-living variations. While RN salaries in California may seem significantly higher, the cost of living is 12–15% above the national average, offsetting some of the pay advantage. Still, from a gross salary perspective, an RN in California can earn almost twice as much as one in South Dakota.
For nurses willing to relocate, moving to a higher-paying state can dramatically improve income—especially when combined with a multistate compact license, where applicable. That said, it’s important to consider both pay and purchasing power when comparing nurse salaries by state.
In the latest nurse salary 2025 in US update from the U.S. Bureau of Labor Statistics (BLS), significant variations exist between states. The five highest-paying states for registered nurses in 2025 are:
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California – approx. $148,000 annually
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Hawaii – approx. $124,000
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Oregon – approx. $120,000
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Washington – approx. $116,000
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Massachusetts – approx. $113,000
These states continue to lead due to a combination of factors such as strong nursing unions, high demand, and elevated cost of living. California, in particular, tops the charts in the nurse salary 2025 in US data, offering the highest average RN salary nationwide.
Other high-paying locations include Alaska ($112,000), New York ($110,000), and the District of Columbia ($109,000), making them excellent options for nurses seeking strong compensation packages.
On the opposite end, the lowest-paying states for RNs in 2025 are mostly found in the South and Midwest. South Dakota ranks at the bottom, with an average nurse salary of just $72,000 annually. Other states with below-average earnings include:
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Arkansas – approx. $78,000
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Iowa – approx. $78,000
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Kansas – approx. $79,000
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Mississippi – approx. $79,000
In states like Mississippi, Alabama, and Iowa, most RN salaries range from the high $70Ks to low $80Ks — notably below the national nurse salary 2025 in US average.
It’s important to understand that these salary differences often reflect local economic conditions. Lower-paying states generally have a lower cost of living, meaning basic expenses like housing and groceries are more affordable. Conversely, while California nurses earn top dollar, the state’s cost of living is around 12.5% higher than the national average — reducing overall purchasing power despite a higher paycheck.
Still, the geographic salary gap is substantial. A registered nurse in California can earn nearly twice as much as one in South Dakota. For nurses open to relocation, moving to a high-paying state could significantly improve income — especially when paired with a multistate license through the Nurse Licensure Compact (NLC).
Nurse Salary 2025 by Role and Specialization: Who Earns the Most?
When it comes to understanding nurse salary 2025 in US, it’s important to look beyond geography. Your nursing role and specialty are among the most powerful determinants of your earnings. From entry-level nursing assistants to highly trained nurse anesthetists, each position in the nursing profession comes with its own educational path, clinical responsibilities, and salary range.
Here’s a breakdown of average annual earnings for key nursing roles based on the latest 2025 BLS nurse salary 2025 in US data:
| Role | Average Nurse Salary 2024–2025 | 2023–2024 Salary | Yearly Change |
|---|---|---|---|
| Certified Registered Nurse Anesthetist (CRNA) | $231,700 | $214,200 | ▲ 8.2% |
| Nurse Practitioner (All Specialties) | $132,000 | $128,490 | ▲ 2.7% |
| Certified Nurse Midwife (CNM) | $128,110 | $131,570 | ▼ 2.6% |
| Registered Nurse (RN) – Staff Level | $98,430 | $94,480 | ▲ 4.2% |
| Nursing Instructor / Educator | $87,090 | $86,530 | ▲ 0.7% |
| Licensed Practical/Vocational Nurse (LPN/LVN) | $64,150 | $60,790 | ▲ 5.5% |
| Certified Nursing Assistant (CNA) | $41,270 | $39,610 | ▲ 4.2% |
As seen in the nurse salary 2025 in US report, salaries increase with clinical complexity and advanced education. LPNs and LVNs, who typically complete about a year of formal training, earn between $60K and $64K annually. On the other hand, Registered Nurses (RNs)—who must hold an associate or bachelor’s degree—now average between $94K and $98K per year, with the latest BLS figures reporting a mean wage of $98,430 in 2025.
Advanced Nursing Roles Offer Bigger Paychecks
Advanced Practice Registered Nurses (APRNs), which include Nurse Practitioners (NPs), Certified Nurse Midwives (CNMs), and Certified Registered Nurse Anesthetists (CRNAs), are among the highest earners in the 2025 nursing field.
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Nurse Practitioners earn around $132,000, thanks to their ability to diagnose, prescribe, and manage treatment plans.
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Certified Nurse Midwives are close behind with an average of $128,110, providing specialized care to women throughout pregnancy and childbirth.
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CRNAs, however, dominate the nurse salary ladder with an astonishing average of $231,700 annually. This reflects both the high stakes of their work—administering anesthesia and managing surgical airways—and their advanced doctoral-level training.
The significant pay gap between CRNAs and other roles highlights how responsibility and education level translate directly to salary in nurse salary 2025 in US data.
Specializations Within RN Roles Can Increase Earnings
While APRNs earn top-tier salaries, even RNs can command higher wages by pursuing in-demand specialties. Nurses working in ICU, oncology, neonatal, or cardiac care often earn more than those on general medical-surgical floors. Specialty certifications, experience, and working in critical care or trauma units can increase your income significantly. Travel nursing also continues to be a lucrative path for RNs, especially in high-need regions.
Although the BLS nurse salary 2025 in US report does not break down pay by individual RN specialty, many hospitals offer bonuses or salary premiums for hard-to-fill or high-risk roles.
Nurse Roles and Specialization Salary per State
Let’s take a comprehensive look at the annual mean nurse salaries for various nursing specializations and related nursing fields across the U.S. Beyond general registered nursing, advanced practice and specialized nursing roles command even higher salaries. In particular, Advanced Practice Registered Nurses (APRNs) – such as Nurse Practitioners, Nurse Anesthetists, and Nurse Midwives – are among the best-paid nurses.
| State | Registered Nurse Annual Salary | Nurse Anesthetist Annual Salary | Nurse Midwife Annual Salary | Nurse Practitioner Annual Salary | Nurse Instructor Annual Salary | LPN/LVN Annual Salary | Nursing Assistant Annual Salary |
|---|---|---|---|---|---|---|---|
| Alabama | $71,040 | $179,160 | – | $106,930 | $77,270 | $50,100 | $32,470 |
| Alaska | $110,690 | – | $130,030 | $145,450 | $92,050 | $77,670 | $45,840 |
| Arizona | $96,890 | $228,690 | $135,590 | $133,790 | $68,360 | $74,020 | $41,980 |
| Arkansas | $77,130 | $134,230 | – | $113,660 | $64,330 | $51,030 | $31,990 |
| California | $140,330 | – | $196,700 | $166,610 | $99,010 | $77,170 | $46,420 |
| Connecticut | $101,590 | $227,930 | $124,530 | $138,960 | $81,490 | $69,130 | $44,500 |
| Delaware | $92,610 | $236,800 | $99,060 | $127,810 | $83,420 | $66,090 | $39,240 |
| District of Columbia | $104,550 | – | $106,580 | $131,380 | $103,780 | $70,420 | $46,860 |
| Florida | $82,850 | $197,940 | $115,440 | $129,010 | $83,940 | $60,080 | $36,850 |
| Georgia | $86,560 | $221,190 | $125,830 | $126,060 | $75,950 | $58,490 | $36,570 |
| Guam | – | – | – | $105,060 | – | $36,150 | $32,970 |
| Hawaii | $136,320 | – | – | $130,940 | $102,180 | $65,560 | $44,830 |
| Idaho | $86,100 | – | $89,870 | $128,940 | $75,420 | $61,720 | $37,530 |
| Illinois | $86,410 | – | $114,420 | $128,620 | $78,870 | $66,030 | $44,750 |
| Indiana | $80,740 | $233,200 | $129,010 | $128,280 | $77,270 | $63,690 | $37,330 |
| Iowa | $76,960 | $229,950 | $136,450 | $129,420 | $71,910 | $59,460 | $38,630 |
| Kansas | $78,060 | $182,770 | – | $124,690 | $70,960 | $59,920 | $36,910 |
| Kentucky | $79,910 | $212,430 | – | $113,870 | $74,850 | $58,450 | $37,330 |
| Louisiana | $78,880 | $225,440 | $95,420 | $125,980 | $72,990 | $53,930 | $30,240 |
| Maine | $82,860 | $229,900 | $132,920 | $125,040 | $78,770 | $70,870 | $45,640 |
| Maryland | $96,830 | $167,740 | $129,910 | $125,530 | $80,990 | $69,870 | $40,000 |
| Massachusetts | $101,970 | – | $155,710 | $138,890 | $80,140 | $76,560 | $45,410 |
| Michigan | $85,670 | $234,520 | $116,810 | $125,620 | $80,740 | $63,810 | $38,900 |
| Minnesota | $100,870 | – | $127,180 | $128,570 | $78,110 | $60,870 | $45,580 |
| Mississippi | $74,470 | $197,490 | – | $119,290 | $73,160 | $48,850 | $30,460 |
| Missouri | $79,770 | $221,550 | $134,970 | $126,370 | $74,000 | $59,030 | $37,170 |
| Montana | $81,560 | – | – | $133,640 | $84,550 | $59,750 | $39,300 |
| Nebraska | $81,020 | $231,020 | $133,890 | $127,930 | $79,120 | $60,740 | $38,620 |
| Nevada | $101,990 | – | – | – | $84,660 | $73,820 | $45,060 |
| New Hampshire | $96,830 | – | $135,860 | $132,440 | $81,260 | $74,660 | $46,050 |
| New Jersey | $102,730 | – | $135,680 | $149,620 | $102,090 | $71,180 | $44,910 |
| New Mexico | $88,260 | $214,810 | $118,650 | $138,440 | $77,850 | $60,760 | $37,030 |
| New York | $105,600 | – | $137,860 | $145,390 | $93,640 | $64,030 | $47,390 |
| North Carolina | $81,860 | $226,460 | $121,490 | $125,020 | $78,740 | $61,380 | $37,670 |
| North Dakota | $78,260 | $232,420 | – | $123,220 | $83,130 | $60,820 | $44,190 |
| Ohio | $81,250 | $216,350 | $121,720 | $126,740 | $74,570 | $60,990 | $38,570 |
| Oklahoma | $81,160 | $151,470 | – | $126,670 | $65,100 | $55,870 | $35,040 |
| Oregon | $123,990 | – | $123,080 | $144,600 | $101,640 | $76,570 | $48,390 |
| Pennsylvania | $87,610 | $217,670 | $107,740 | $127,400 | $79,920 | $62,010 | $41,110 |
| Puerto Rico | $37,780 | $61,170 | – | – | $73,500 | $24,920 | $20,470 |
| Rhode Island | $99,960 | $131,390 | $127,480 | $130,710 | $74,720 | $77,940 | $44,160 |
| South Carolina | $79,900 | $225,800 | $118,100 | $116,240 | $79,900 | $59,050 | $36,370 |
| South Dakota | $69,510 | $223,650 | – | $122,600 | $63,940 | $49,170 | $38,070 |
| Tennessee | $79,030 | $203,400 | $97,380 | $108,420 | $76,620 | $54,530 | $36,750 |
| Texas | $90,010 | $227,580 | $111,190 | $129,880 | $97,610 | $60,150 | $36,390 |
| Utah | $82,270 | $122,040 | $138,020 | $125,700 | $75,380 | $61,710 | $38,500 |
| Vermont | $85,150 | – | $140,240 | $129,740 | $78,800 | $64,560 | $43,610 |
| Virgin Islands | $73,890 | – | – | – | – | $56,670 | $41,090 |
| Virginia | $88,820 | $199,960 | $139,770 | $124,210 | $78,850 | $62,310 | $38,790 |
| Washington | $112,180 | – | $145,000 | $140,220 | $78,000 | $79,700 | $48,260 |
| West Virginia | $79,990 | – | – | $121,640 | $75,550 | $49,850 | $36,340 |
| Wisconsin | $86,070 | – | $135,360 | $128,580 | $79,810 | $61,040 | $43,250 |
| Wyoming | $81,790 | $181,470 | – | $127,750 | $75,280 | $61,880 | $38,360 |
Historical Nurse Salary Data by Role and State (2023–2024)
To better understand trends in nurse salary 2025 in US, it’s helpful to review recent historical data. The following table outlines the 2023–2024 average annual salaries for various nursing roles across all U.S. states and territories, based on the previous year’s BLS statistics. This includes data for Registered Nurses (RNs), Advanced Practice Registered Nurses (APRNs)—such as Nurse Practitioners (NPs), Certified Registered Nurse Anesthetists (CRNAs), and Certified Nurse Midwives (CNMs)—as well as Licensed Practical/Vocational Nurses (LPNs/LVNs), Nurse Instructors, and Nursing Assistants.
📌 Note: Some states and territories did not report complete data for all roles.
Key Takeaways from 2023–2024 Nurse Salary Trends:
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Highest-Paid Nurse Practitioners: Nevada topped the charts with an average NP salary of $148,670, followed closely by Oregon at $144,950, showcasing strong demand for advanced practice nurses in the West.
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Top Nurse Educator Pay: The District of Columbia reported the highest average nursing instructor salary at $111,130, highlighting the value placed on academic roles in high-cost urban centers.
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Nursing Assistant Salary Disparity: Wages ranged from $29,660 in Mississippi to $47,080 in Alaska, reflecting varying regional economies and cost-of-living impacts.
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LPN/LVN Salaries: Licensed practical/vocational nurse salaries spanned from $27,430 in Puerto Rico to over $75,000 in California and Rhode Island, with market demand and healthcare shortages influencing the top figures.
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Northeast Leads in Pay: States like New York, Massachusetts, and New Jersey consistently offered some of the highest nurse salaries across all roles, including APRNs, RNs, and instructors.
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Southern Markets Remain Competitive: While traditionally lower in salary averages, states like Texas and Georgia offered strong compensation for CRNAs and NPs, paired with a lower cost of living, increasing real income value.
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Puerto Rico Lags Behind: Across all roles, Puerto Rico remained on the lower end of the scale. Nursing assistants, for instance, averaged only $28,020 per year.
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Top-Earning Specializations: CRNAs and Nurse Midwives remained the most lucrative nursing paths, reinforcing the premium value of advanced education, autonomy, and specialized clinical expertise in the nurse salary 2025 in US landscape.
Where Do Registered Nurses Earn the Most in 2025?
When evaluating nurse salary 2025 in US, it’s essential to consider not only the state or region but also the type of facility or industry employing the nurse. Registered Nurses (RNs) work in a variety of environments, and salary ranges can vary dramatically based on the work setting. According to the most recent BLS data, some of the highest-paying nursing jobs are found in sectors outside of traditional hospitals.
Average Nurse Salary 2025 in US by Work Setting:
| Work Setting | Average RN Salary (2025) | Details |
|---|---|---|
| Government Agencies | $114,860 | The highest-paying sector for RNs. Includes VA hospitals, state and federal health departments. These jobs offer competitive salaries and strong benefits due to public funding. |
| Employment Services | $110,230 | Includes travel nursing and contract-based roles. Highly lucrative, with flexibility in location and schedule, but often short-term or per diem. |
| Pharmaceutical & Research | $108,640 | RNs in research labs or pharmaceutical companies. These niche roles often require extra certifications but offer top-tier compensation. |
| Hospitals (Inpatient) | $97,000 | The most common RN setting. Pay is above average, particularly in specialties like ICU, ER, or OR. Offers overtime and shift differentials. |
| Outpatient / Clinics | $83,780 | Includes primary care offices, urgent care, and ambulatory centers. Salaries are lower than inpatient roles but offer better work-life balance. |
| Nursing Care Facilities | $81,820 | Found in nursing homes and assisted living. These roles tend to offer lower nurse salary 2025 in US averages due to limited budgets. |
| Education / School Settings | $74,000 (est.) | School nurses and academic instructors. Salaries are lower but often come with summers off and regular schedules. |
In summary, government jobs, research, and staffing agencies offer the highest nurse salary 2025 in US rates, while roles in education and long-term care tend to pay less. Hospitals remain a strong middle ground, especially for nurses seeking overtime and advancement opportunities. Travel nursing, categorized under employment services, continues to be one of the most financially rewarding avenues for experienced RNs.
Nurse Salary 2025 in US Trends by Percentile
As of 2025, nurse salary in US continue to rise steadily across all experience levels and specializations. Whether you’re a new RN or an advanced practitioner, percentile-based salary data shows upward movement in earning potential year-over-year.
Nurse Salary Percentile Breakdown (2021–2024)
| Year | 10th Percentile | 25th Percentile | Median (50th Percentile) | 75th Percentile | 90th Percentile |
|---|---|---|---|---|---|
| 2024 (Latest) | $66,030 | $78,610 | $93,600 | $107,960 | $135,320 |
| 2023 | $63,720 | $75,990 | $86,070 | $104,670 | $132,680 |
| 2022 | $61,250 | $66,680 | $81,220 | $101,100 | $129,400 |
| 2021 | $59,450 | $61,790 | $77,600 | $97,580 | $120,250 |
💡 To estimate hourly wages, divide the annual nurse salary by 2,080 (standard full-time work hours per year).
What This Means:
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Top 10% of RNs earn over $135,000 annually, often due to specialization, advanced certifications, or leadership roles.
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Median nurse salary in 2025 in US is projected at over $93,600, well above the national median for all occupations.
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Even entry-level or less experienced RNs in the 10th percentile are earning $66,000, showing how lucrative the nursing field remains overall.
These trends reinforce that nurse salary 2025 in US continues to grow steadily, with significant income potential for those in critical care, advanced practice, government service, or contract/travel assignments.
Nurse Salary 2025 in US: Long-Term Growth Trends
Wondering if nurse salaries increase over time? The answer is a clear yes. Over the past 15+ years, average nurse salaries in the U.S. have seen steady growth—often outpacing inflation—driven by increased demand for healthcare services, workforce shortages, and evolving roles in nursing.
According to the latest BLS data, the average nurse salary 2025 in US has risen from approximately $66,500 in 2009 to $98,430 in 2024–2025, marking an overall increase of about 48% in 14 years.
Historical Nurse Salary Growth: 2007–2025
| Year | Per Hour | Average Salary | Annual Growth ($) | Growth Rate (%) |
|---|---|---|---|---|
| 2024 (latest) | $47 | $98,430 | $3,950 | 4.01% |
| 2023 | $45 | $94,480 | $5,470 | 5.79% |
| 2022 | $43 | $89,010 | $6,260 | 7.03% |
| 2021 | $40 | $82,750 | $2,740 | 3.31% |
| 2020 | $38 | $80,010 | $2,550 | 3.19% |
| 2019 | $37 | $77,460 | $1,956 | 2.53% |
| 2018 | $36 | $75,504 | $1,955 | 2.59% |
| 2017 | $35 | $73,549 | $1,373 | 1.87% |
| 2016 | $35 | $72,176 | $1,165 | 1.61% |
| 2015 | $34 | $71,011 | $1,227 | 1.73% |
| 2014 | $34 | $69,784 | -$1,352 | -1.94% |
| 2013 | $34 | $71,136 | $2,226 | 3.13% |
| 2012 | $33 | $68,910 | -$208 | -0.30% |
| 2011 | $33 | $69,118 | $1,393 | 2.02% |
| 2010 | $33 | $67,725 | $1,186 | 1.75% |
| 2009 | $32 | $66,539 | $1,414 | 2.13% |
| 2008 | $31 | $65,125 | $2,642 | 4.06% |
| 2007 | $30 | $62,483 | – | – |
💡 To calculate an RN’s hourly wage, divide the annual salary by 2,080 (standard full-time hours per year).
Key Insights on Nurse Salary 2025 in US Trends:
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2022–2023 marked a salary surge: The average RN salary jumped 7.0% in 2022—the largest single-year increase in over a decade—followed by another 5.8% in 2023. These spikes were driven by pandemic-related staffing shortages, wage competition, and burnout.
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Pandemic impact: Hospitals and healthcare employers raised wages rapidly during and after COVID-19 to retain staff, leading to some of the fastest pay growth in nursing history.
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Pre-2020 averages were modest: Between 2007 and 2019, annual nurse salary growth hovered between 1.5% and 3%, reflecting consistent but moderate gains.
Gender Pay Gap in Nursing: A Closer Look at Nurse Salary 2025 in US
While women make up nearly 87% of the registered nurse workforce in the U.S., the nurse salary 2025 in US data still reflects a lingering gender pay gap. According to recent reports, male registered nurses earn a median annual salary that is approximately $6,000 higher than their female counterparts. Although this is an improvement from the $14,200 gap reported in 2022, it remains a concern in a female-dominated profession.
Why the Nurse Salary Gender Gap Persists in 2025
Several factors contribute to the continued wage disparity:
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Shift Differentials and Overtime: Male nurses are more likely to take on night shifts and overtime hours, which come with higher hourly rates.
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Salary Negotiation: In 2024, 40% of male nurses reported negotiating their salary, compared to 36% of female nurses. Though the gap is narrowing, negotiation habits still affect nurse salary 2025 in Us outcomes.
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Specialty Distribution: Men tend to work in higher-paying nursing specialties such as critical care, emergency nursing, anesthesia, and administrative leadership. Conversely, women are more heavily represented in lower-paying specialties like pediatrics and school nursing.
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Hourly Wage Comparison: Male RNs currently earn around $39 per hour, while female RNs average $38 per hour. While the $1/hour difference may seem minor, it adds up to several thousand dollars annually.
Compared to many other professions, nursing is closer to pay equity. As of 2023, women across all industries earned about 83.6% of what men earned, while female RNs earned about 91% of what male RNs earned. Still, there’s room for improvement.
Encouragingly, more healthcare organizations are tackling pay disparities head-on by:
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Conducting internal pay equity audits
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Implementing transparent salary structures
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Providing negotiation training for nurses
In conclusion, while nurse salary 2025 in US data shows a shrinking gender gap, continued attention to transparency, representation in high-paying roles, and negotiation skills will be critical in achieving full pay equity.
Factors That Influence Nurse Salary 2025 in US
No two nurses with the same title earn the exact same salary. The nurse salary 2025 in US landscape is influenced by several key factors. Understanding them can help nurses make informed decisions to maximize their income.
1. Education and Certification
Education remains a powerful driver of income:
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BSN-prepared nurses earn $17,000 more annually on average than those with an ADN.
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Hospitals increasingly prefer BSNs, offering higher starting salaries and greater career mobility.
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Advanced degrees (MSN, DNP) and specialty certifications (like CCRN, CEN) lead to higher nurse salary 2025 in US.
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Advanced practice roles—Nurse Practitioner, CRNA, CNM—command top-tier earnings, typically above $120,000 annually.
If you’re aiming to boost your nurse salary 2025 in US, pursuing further education and specialization is one of the best investments you can make.
2. Nursing Specialization and Role
Your field of practice has a major impact on pay. Within RN roles:
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Specialties such as ICU, ER, OR, oncology, and cardiac nursing pay more than general med-surg positions.
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Advanced practice roles like Nurse Practitioners (NPs), Certified Nurse Midwives (CNMs), and Certified Registered Nurse Anesthetists (CRNAs) offer some of the highest nurse salary 2025 in US.
Even within APRN roles, pay varies. For instance, CRNAs consistently out-earn other APRNs, while Psychiatric NPs may earn more than Family NPs.
3. Experience and Seniority
Experience is a key driver of income over time:
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Entry-level nurses may start in the $66,000–$70,000 range.
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The top 10% of RNs, often with 20+ years of experience and working in high-paying regions or roles, earn over $135,000 annually.
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Many hospitals use step-based pay scales that reward years of service, while experienced RNs can move into leadership roles like charge nurse or nurse manager.
The longer you stay in the field—and the more responsibilities you take on—the more your nurse salary 2025 in US will reflect your value.
4. Geographic Location and Cost of Living
Your state and city significantly influence your salary:
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States like California, Oregon, and New York offer nurse salaries well above $110,000, partly due to union influence and cost of living.
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In contrast, states like South Dakota, Mississippi, and Arkansas offer average salaries below $80,000.
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Urban centers generally offer higher salaries to compete for talent, but higher salaries don’t always equal better purchasing power.
When evaluating job offers, compare both the raw salary and cost of living. Sometimes, a lower-paying job in a low-cost state offers better take-home value than a high-paying job in an expensive city.
5. Workplace Type and Shift Patterns
Your work setting also plays a role in your pay:
| Workplace Setting | Nurse Salary 2025 in us Estimate | Notes |
|---|---|---|
| Government Agencies | $114,860 | Highest-paying sector, includes VA hospitals and public health. |
| Hospitals (Inpatient) | $97,000 | Most common setting, offers shift differentials and overtime. |
| Outpatient Clinics | $83,780 | Daytime hours, lower stress but lower pay. |
| Nursing Homes/Facilities | $81,820 | Typically lower salaries due to budget constraints. |
| Education and Schools | ~$74,000 | Lower pay but regular schedules and academic breaks. |
| Travel Nursing/Contracts | $110,230 | High pay, flexible jobs, temporary assignments. |
| Pharmaceutical/Research | $108,640 | Niche, high-paying roles for qualified RNs. |
Working nights, weekends, or rotating shifts also boosts earnings through shift differentials. Many nurses also pick up PRN or per diem shifts to supplement their income.
Union Status and Its Impact on Nurse Salary 2025 in US
Union representation plays a pivotal role in shaping nurse salary 2025 in US across different states and healthcare facilities. States with strong nursing unions—such as California, New York, and Massachusetts—consistently offer higher nurse pay and more comprehensive benefit packages. These unions negotiate structured contracts that often guarantee annual salary increases, inflation-based raises, and overtime protections.
For instance, California’s position as the highest-paying state for registered nurses is partially attributed to its powerful nurses’ union and legally mandated nurse-to-patient ratios, which amplify demand for RNs. Conversely, in states with weaker or no union presence, average nurse salaries tend to fall below national benchmarks.
Unionized nurses may earn several thousand dollars more annually than their non-union peers, making union status an important consideration when evaluating job offers. It’s not just about higher wages—unions also advocate for safer staffing ratios, predictable scheduling, and stronger protections, creating nurse-friendly working conditions overall.
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Additional Compensation Beyond Base Nurse Salary 2025
While base wages are critical, the total nurse salary in 2025 in US often includes a variety of financial incentives and benefits that significantly impact take-home pay. These include:
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Sign-on bonuses: Ranging from $5,000 to $20,000, especially for high-demand nursing roles or locations.
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Tuition reimbursement: Offered by many hospitals to encourage further education and degree advancement.
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Clinical ladder programs: Pay bonuses for achieving certifications or clinical excellence.
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Overtime pay: Typically 1.5x the base rate for any hours over 40/week.
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Housing stipends and per diems: Common for travel nurses and agency nurses.
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Charge nurse pay and preceptor bonuses: Extra compensation for leadership or training roles.
Even health insurance, retirement contributions, and profit-sharing plans—though not counted in base salary—add considerable long-term value. When comparing job offers in 2025, always consider the full compensation package, not just the hourly wage.
Nurse Salary 2025 in US: Key Trends and Future Projections
The nursing workforce continues to grow rapidly in both numbers and compensation. As of 2024-2025, the U.S. employs over 3.28 million registered nurses, up from around 3 million a decade ago. According to the Bureau of Labor Statistics, RN employment is expected to grow 6% between 2023 and 2033, with an estimated 194,500 new nursing jobs opening annually. This job growth far outpaces many other industries and is driven by:
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The aging population
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Higher demand for healthcare services
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Retirement of experienced nurses
Recent Wage Growth
Recent years have seen sharp increases in nurse pay:
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2023 to 2024: Median RN salary jumped from $86,070 to $93,600—an 8.7% increase.
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Decade-long trend: Average nurse salaries climbed from $69,100 in 2011 to $98,430 in 2024, marking a 42% increase.
This wage growth outpaces overall economic wage trends and reflects the increasing value of the nursing profession.
State-Level Shifts in Nurse Salary 2025 in US
Highest-Paying States
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California continues to lead with RN salaries exceeding $148,000, setting a new national record.
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Hawaii, Oregon, and Washington also remain in the top-paying tier, with Washington climbing into the top five in 2024 due to aggressive recruitment and compensation increases.
Emerging Trends
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Massachusetts and Washington D.C. have secured average RN wages well above $100,000.
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New York surpassed $110,000 in average pay for the first time, thanks in part to union-driven negotiations at major hospital systems.
Data Disruption Note
In 2024, Colorado’s wage data was temporarily withheld due to reporting concerns. The BLS is expected to release revised numbers, and the 2023 average of $91,730 is being used as a placeholder in most datasets.
Southern States: Hiring Boom, Moderate Pay
States like Texas, Florida, and Georgia have experienced significant RN workforce growth, with Texas adding thousands of new jobs in 2024. However, despite the employment surge:
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Texas’s average RN salary remains at $91,700.
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Florida nurses earn approximately $88,000, reflecting high demand but budget constraints.
This discrepancy—high employment with moderate pay—often occurs in states with lower cost of living and non-unionized health systems, emphasizing how local economics and policy impact nurse salary 2025.
Rising Pay in Traditionally Lower-Wage States
Encouragingly, all states reported at least modest wage growth for nurses in 2024-2025. For example:
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Alabama’s average RN salary increased from $71,370 to nearly $80,000.
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South Dakota, once the lowest-paying state, now averages over $72,000—a noticeable improvement from previous years.
These gains reflect nationwide competition for nurses, including in rural and underserved regions. Facilities in these areas are increasingly offering higher wages, sign-on incentives, and relocation support to attract and retain qualified RNs.
Why Nursing Remains a Top Career in 2025 and Beyond
With strong job growth, rising pay, and wide-ranging career paths, it’s clear why nursing continues to be a top career choice. The nurse salary 2025 in US outlook remains bright due to several driving forces:
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Global and national nurse shortages
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Aging populations
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Strong employment growth projections
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Expanding roles for advanced practice nurses
According to the World Health Organization, the world may face a shortage of 9 million nurses by 2030. In the U.S. alone, the projected 6% job growth for RNs through 2033 promises continued opportunity.
Consider Rural Opportunities
While urban hospitals often receive more attention, rural healthcare facilities present some of the best opportunities for nurses:
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High demand and staffing shortages mean greater negotiation power.
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Some offer bonuses, housing, or loan forgiveness to attract nurses.
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Your impact on patient outcomes may be even more direct in close-knit communities.
Evolving Skill Sets and Career Advice
As the field evolves, soft skills like empathy, communication, and adaptability are becoming just as essential as clinical knowledge. Continuous education, specialty training, and knowing your worth are keys to long-term success.
Ready to make the most of your nursing career in 2025? Whether you’re just starting out or looking to specialize, understanding your options and staying informed about nurse salary 2025 in US trends will empower you to earn what you’re worth in a competitive and rewarding profession.
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