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Nursing Salaries by Specialty and State (2026 Data)

The national median salary for Registered Nurses sits at $93,600 while advanced practice roles range from $129,210 (NP) to $223,210 (CRNA). Pay varies by as much as $63,190 annually depending on state mandates, cost-of-living adjustments, and facility types.

Last Updated: July 2026
Sources: U.S. Bureau of Labor Statistics (BLS) / Editorial Team

Highest-Paying Nursing Specialties

Specialty compensation varies based on required education, clinical autonomy, and market demand. While Advanced Practice Registered Nurses (APRNs) command the highest national medians, entry-level and mid-tier roles provide foundational stepping stones across healthcare settings. Explore the current median wage data and degree benchmarks for each specialty below.

CRNAs administer anesthesia for surgical and medical procedures. This is the highest-paying advanced practice nursing specialty.

Median Salary
$223,210.00
Median Hourly
$111.39
Education
DNP or DNAP

PMHNPs assess, diagnose, and treat mental health conditions including anxiety, depression, and substance use disorders through therapy and medication.

Median Salary
$139,043.28
Median Hourly
$67.65
Education
MSN or DNP

NNPs provide specialized care for premature and critically ill newborns in neonatal intensive care units (NICUs).

Median Salary
$134,077.45
Median Hourly
$65.23
Education
MSN or DNP

Orthopedic NPs diagnose and treat musculoskeletal conditions including fractures, joint disorders, and post-surgical rehabilitation.

Median Salary
$130,353.08
Median Hourly
$63.42
Education
MSN or DNP

Nurse practitioners diagnose conditions, prescribe medications, and manage patient care independently. NPs are among the fastest-growing healthcare roles.

Median Salary
$129,210.00
Median Hourly
$63.46
Education
MSN or DNP

Certified nurse-midwives provide prenatal, labor, delivery, and postpartum care. CNMs also offer primary gynecological services.

Median Salary
$128,790.00
Median Hourly
$61.59
Education
MSN or DNP

AGNPs specialize in care for adults and older adults, managing chronic conditions and age-related health issues across primary and acute care settings.

Median Salary
$126,628.71
Median Hourly
$61.61
Education
MSN or DNP

ACNPs manage complex, acute, and critically ill patients in hospital settings including ICUs, emergency departments, and specialty units.

Median Salary
$125,387.25
Median Hourly
$61.00
Education
MSN or DNP

WHNPs provide reproductive and gynecological care including contraceptive counseling, prenatal care, and menopause management.

Median Salary
$120,421.42
Median Hourly
$58.59
Education
MSN or DNP

Healthcare managers oversee hospital departments, medical practices, and health systems. They coordinate operations, budgets, and regulatory compliance.

Median Salary
$117,960.00
Median Hourly
$66.22
Education
BSN or MHA

FNPs deliver primary care to patients of all ages, from newborns to elderly adults. They focus on preventative health and chronic disease management.

Median Salary
$117,938.50
Median Hourly
$57.38
Education
MSN or DNP

PNPs provide primary and specialty care for infants, children, and adolescents. They manage wellness visits, acute illnesses, and developmental screenings.

Median Salary
$116,697.04
Median Hourly
$56.78
Education
MSN or DNP

Registered nurses provide patient care in hospitals, clinics, and community settings. The RN role is the largest nursing specialty with strong nationwide demand.

Median Salary
$93,600.00
Median Hourly
$47.32
Education
ADN or BSN

Nurse educators teach in nursing schools and clinical settings, developing curriculum and training the next generation of nurses.

Median Salary
$79,940.00
Median Hourly
$38.43
Education
MSN or Doctorate

LPNs provide basic patient care under RN or physician supervision including wound care, vital signs monitoring, and medication administration.

Median Salary
$62,340.00
Median Hourly
$30.84
Education
Certificate or Diploma

Medical assistants perform clinical and administrative tasks in physician offices, outpatient clinics, and specialty practices.

Median Salary
$44,200.00
Median Hourly
$21.50
Education
Certificate or Diploma

EMTs provide emergency pre-hospital care including CPR, wound management, and patient transport to medical facilities.

Median Salary
$41,340.00
Median Hourly
$21.54
Education
Postsecondary Certificate

CNAs assist patients with daily activities and basic care under nurse supervision. This entry-level role is a stepping stone into nursing careers.

Median Salary
$39,530.00
Median Hourly
$19.84
Education
CNA Certificate

Home health aides provide in-home personal care and basic health services to elderly, disabled, and chronically ill patients.

Median Salary
$34,900.00
Median Hourly
$16.82
Education
Certificate

Compare Nursing Compensation by State

Select a state below to view localized median wages, hourly rates, cost-of-living purchasing power adjustments, and state-wide rank.

Low Salary High Salary

Frequently Asked Questions

What is the highest paying nursing specialty?

Certified Registered Nurse Anesthetists (CRNAs) are the highest-paying nursing specialty, with a national median salary of $223,210 per year according to 2025 BLS data.

How much does the mean Registered Nurse salary come to?

The national median salary for a Registered Nurse (RN) is $93,600 per year. The highest-paying state is California at $140,270, while Alabama is the lowest at $77,080.

Which state pays nurses the most?

California is the highest-paying state for Registered Nurses, with a median annual salary of $140,270. However, cost of living should be factored in when comparing salaries across states.

How much do Nurse Practitioners make?

Nurse Practitioners (NPs) earn a national median of $129,210 per year. NPs with specialized certifications such as psychiatric-mental health (PMHNP) or acute care tend to earn above this median.

Do nurses with a BSN earn more than ADN nurses?

While both ADN and BSN nurses can work as Registered Nurses earning the same base salary (national median $93,600), BSN holders generally have greater access to leadership, specialty, and advanced practice roles that command higher pay.

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