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Highest Paying Nursing Jobs in 2026: Top 40+ Careers, Salaries & Requirements for Highest Paying Nursing Jobs

Highest Paying Nursing Jobs in 2026: Top 40+ Careers, Salaries & Requirements for Highest Paying Nursing Jobs

40+ Highest Paying Nursing Jobs in 2026 - Nightingale College

Explore the highest-paying nursing jobs in 2026, including CRNAs, nurse practitioners, high-paying RN specialties, salaries, requirements, and career outlook.

Highest Paying Nursing Jobs in 2026: Top 40+ Careers, Salaries & Requirements for Highest Paying Nursing Jobs

If you're starting a healthcare career, it's essential to know which high-paying nursing jobs to aim for. While passion is important, earning potential is a crucial factor. Before choosing your nursing path, explore this guide to the highest-paying nursing jobs and what salaries you can expect in 2026 and beyond.

You will also find out the job outlook, educational requirements, the central scope of practice for the highest-paid nurse roles, and everything else you need to know about them.

Key Takeaways About High-Paying Nursing Jobs

  • The highest-paying nursing job is that of a Certified Registered Nurse Anesthetist (CRNA). According to BLS data, nurse anesthetists had a median annual wage of $223,210. Other high-paying nursing careers include Nurse Practitioners, Certified Nurse Midwives, Nurse Managers, travel nurses, NICU nurses, and nursing informatics specialists. 
  • The highest-paying NP jobs are held by PMHNPs and GNPs, who command some of the top salaries due to growing demand for mental health and elder care. Family Nurse Practitioners (FNPs) and Certified Nurse Midwives (CNMs) earn between $127,000 and $129,000, offering strong income potential and flexibility.
  • Staff-level and educator salaries, including ICU Nurses, Nurse Managers, and Nurse Educators, typically range from $87,000 to $118,000 in 2026, despite their vital roles in patient care and professional training.
  • Highest paying RN jobs: The highest paying jobs for Registered Nurses (RNs) are in informatics, neonatal care, and pain management. Other lucrative RN roles include intensive care, nurse management, and travel nursing.
  • Factors such as specialization, certification, and advanced education remain the primary drivers of higher salaries across all nursing roles.

Top 40+ Highest Paying Nursing Jobs in 2026

Here is a glance at the highest-paying nursing jobs in 2026. Once you discover a career choice you may be interested in, you can consult the in-depth job section below.

Roles

Nursing Job Salary

Source

Typical education

#1 Certified Registered Nurse Anesthetist

$223,210

BLS median (Nurse Anesthetists - 29-1151)

DNP/DNAP, CRNA certification

Psychiatric-Mental Health Nurse Practitioner

$151,588

BLS median (Nurse Practitioners - 29-1171, filtered by employment in mental health and psychiatric facilities)

MSN-PMHNP & certification

Pediatric Nurse Practitioner

$134,385

Glassdoor

MSN-PNP & certification

Orthopedic Nurse Practitioner

$134,369

ZipRecruiter

MSN-FNP or AGNP & certification

Nurse Practitioner

$129,210

BLS median (Nurse Practitioners - 29-1171)

MSN (various) & certification

Certified Nurse Midwife

$128,790

BLS median (Nurse Midwives - 29-1161)

MSN-CNM & certification

Cardiology / Cardiac Nurse Practitioner

$128,221

Glassdoor

MSN-AGNP with acute care focus & certification

Acute Care Nurse Practitioner

$127,592

Indeed

MSN-AGNP with acute care focus & certification

Family Nurse Practitioner

$126,736

Glassdoor

MSN-FNP & certification

Registered Nurse First Assistant

$122,753

Glassdoor

BSN (preferred) & RNFA/CRNFA credential

Clinical Nurse Specialist

$122,630

Glassdoor

MSN-CNS & certification

Neonatal Nurse Practitioner

$120,330

Salary.com

MSN-NNP & certification

Nurse Manager / Nursing Administrator

$117,960

BLS median proxy (Medical and Health Services Managers - 11-9111)

BSN; MSN-Nursing Administration/MHA preferred

Health Policy Nurse

$117,469

ZipRecruiter

BSN; MSN-Healthcare Policy & policy experience

Pain Management Nurse

$116,968

Glassdoor

ADN/ASN/BSN (preferred)

Women’s Health Nurse Practitioner

$116,772

Salary.com

MSN-WHNP or MSN-CNM

Operating Room Nurse

$115,810

Glassdoor

ADN/ASN/BSN (preferred)

Adult-Gerontology Nurse Practitioner

$113,523

Glassdoor

MSN-AGNP

Nurse Informatics Specialist

$111,819

Salary.com

BSN; MSN-Informatics (preferred)

NICU Nurse

$110,968

Indeed

ADN/ASN/BSN (preferred)

Oncology Nurse

$105,700

Glassdoor

ADN/ASN/BSN (preferred)

Surgical / Medical-Surgical Nurse

$103,574

Salary.com

ADN/ASN/BSN (preferred)

Pharmaceutical Nurse

$102,263

ZipRecruiter

ADN/ASN/BSN (preferred)

ICU Nurse

$100,399

Glassdoor

ADN/ASN/BSN (preferred)

Nurse Researcher

$99,779

Salary.com

BSN/MSN-Nursing Research/PhD, depending on role

Organ Transplant Coordinator

$99,592

ZipRecruiter

ADN/ASN/BSN (preferred)

Travel Nurse

$99,357

Glassdoor

ADN/ASN/BSN (preferred) & compact license

Nurse Navigator

$97,656

Indeed

ADN/ASN/BSN (preferred)

Cardiac Care Unit Nurse

$94,610

ZipRecruiter

ADN/ASN/BSN (preferred)

Dialysis Nurse

$93,900

Salary.com

ADN/ASN/BSN (preferred)

Nurse Case Manager

$93,750

Glassdoor

ADN/ASN/BSN (preferred)/MSN-Nursing Administration (helpful)

Registered Nurse / Staff RN

$93,600

BLS median (Registered Nurses - 29-1141)

ADN/ASN/BSN (preferred)

Per Diem RN

$92,417

Salary.com

RN license

Utilization Review Nurse

$90,345

Salary.com

ADN/ASN/BSN (preferred)

Legal Nurse Consultant

$89,369

Salary.com

ADN/ASN/BSN (preferred)

Hospice Nurse

$88,411

Indeed

ADN/ASN/BSN (preferred)

Emergency Room Nurse

$86,737

ZipRecruiter

ADN/ASN/BSN (preferred) & emergency room experience

Nurse Educator

$86,530

BLS median (Nursing Instructors and Teachers, Postsecondary - 25-1072)

MSN-Ed

Occupational Health Nurse

$86,380

ZipRecruiter

ADN/ASN/BSN (preferred) & occupational health experience

Pediatric Nurse

$85,600

Salary.com

ADN/ASN/BSN (preferred) & pediatric experience

Strike Nurse

$80,321

ZipRecruiter

ADN/ASN/BSN (preferred)

How Did We Rank the High-Paying Nursing Jobs

Where available, we used the latest official data from the Bureau of Labor Statistics (BLS). Where specific wages by occupation were not available from BLS or official portals, we consulted the most recent data from multiple job aggregators, including Glassdoor, ZipRecruiter, Indeed, and Salary.com, to calculate the nationwide salary average. The figures and sources cited represent the closest estimate to the computed average salary.

For more information, you can also consult our report on Nurse Salaries by US State.

In-Depth Look at the Top 15 Highest-Paying Nursing Jobs in 2026

Below, you can consult a presentation of the 15 highest-paying nursing jobs in the US:

1. Certified Registered Nurse Anesthetist (CRNA) – $223,210 per Year

CRNAs, or Certified Registered Nurse Anesthetists, are the highest-paid nurses, with a mean annual salary of $223,210, according to BLS data for Nurse Anesthetists.

Find out how much Nurse Anesthetists earn in every state.

CRNA Job Description

The duties of Nurse Anesthetists involve tremendous responsibility and revolve around administering anesthesia, monitoring a patient’s vital signs, and providing essential care before, during, and after medical procedures. CRNAs work closely with surgeons, physicians, dentists, and other healthcare professionals to ensure patients receive safe anesthesia care.

Career Outlook and Work Settings

According to the BLS, the overall employment of nurse anesthetists, nurse midwives, and nurse practitioners is projected to grow 35% from 2024 to 2034, much faster than the average for all occupations. About 32,700 openings are projected each year across these advanced practice roles. 

Over 49.8% of Nurse Anesthetists work in physician offices (24,830 in total). Next in line are general medical and surgical hospitals (almost 28.9%), hiring around 14,000 CRNAs. However, to a lesser extent, they can also find jobs in the offices of other health practitioners (5.4% or 2,690 CRNAs), outpatient care centers (almost 4.8% of 2,380 CRNAs), and colleges, universities, or professional schools (1.8% or 900 CRNAs). 

Educational Requirements

Becoming a Nurse Anesthetist requires obtaining a Doctor of Nursing Practice (DNP) degree as a minimum requirement to practice. Prior to 2025, Nurse Anesthetists could become certified and start practicing with only an MSN. However, earning a DNP also requires having an MSN. 

If you want to take the next step towards becoming a Nurse Anesthetist, join one of the two high-demand MSN-level academic programs at Nightingale College:

  • MSN PMHNP – The ideal choice for aspiring learners who want to specialize in mental health care and psychiatric practice.
  • MSN FNP – The option for nurses who want to work with a broad range of patient populations and provide quality primary care to individuals and communities alike.

Both MSN programs at Nightingale College are CCNE-accredited and combine online instruction, in-person seminars, and preceptorships to deliver high-quality education in the most flexible and accessible way. You can earn your degree in just 24 months.

Enroll in your academic program of choice and advance your career and pay!

2. Psychiatric Mental Health Nurse Practitioner (PMHNP) – $151,588 per Year

Psychiatric Mental Health Nurse Practitioners (PMHNPs) have one of the highest-paying nursing jobs, with an estimated annual salary of $151,588, according to BLS data

The states with the highest-paid nurse jobs for PMHNPs are Idaho ($205,080 per year), New Jersey ($182,022 per year), California ($176,451 per year), Rhode Island ($175,530 per year), and Washington ($173,331 per year). The lowest-paying states are Montana ($67,913 per year), Nevada ($69,715 per year), Nebraska ($72,618 per year), and Hawaii ($81,640 per year).

Read more about the salaries of Psychiatric Mental Health Nurse Practitioners.

PMHNP Job Description

Psychiatric Mental Health Nurse Practitioners treat patients with disorders like anxiety, depression, schizophrenia, and PTSD. Their duties include diagnosing, providing therapy, monitoring health, and, in some states, prescribing medication. Despite being well-paid, the role is highly demanding.

Read more about the differences between a Psychiatric Nurse Practitioner and a Psychiatrist.

Job Outlook and Work Settings

The job market for Psychiatric Mental Health Nurse Practitioners is expected to grow significantly between 2025 and 2035, with over 118,600 new openings, according to Zippia, and an overall job growth rate of 40% by 2028.

As a place of employment, Psychiatric Mental Health Nurse Practitioners can choose from a variety of options, including independent practices, psychiatric hospitals, public and private hospitals, correctional facilities, government agencies, and many more.

Read more about Psychiatric Mental Health Nurse Practitioners, including their scope of work, job outlook, and more.

Educational requirements

Becoming a Psychiatric Mental Health Nurse Practitioner requires extensive training and education. An MSN is the minimum requirement for fulfilling this highly specialized nursing role. Here, the specialization of your MSN program is essential, with completing the MSN PMHNP Program being the necessary prerequisite. You should also consider practicing as a Psychiatric Mental Health Nurse once you earn your BSN degree.

3. Pediatric Nurse Practitioner (PNP) – $134,385 per Year

Pediatric Nurse Practitioners are among the highest paid nursing professionals, with an estimated annual salary of $134,385, according to Glassdoor.

PNP Job Description

PNPs provide healthcare to infants, children, adolescents, and young adults. Their duties include diagnosing and treating common childhood illnesses, conducting physical exams, ordering tests, prescribing medication where allowed, administering immunizations, and educating families on nutrition, development, and disease prevention.

Career Outlook and Work Settings

Pediatric Nurse Practitioners are expected to experience strong job growth in the near future, with Zippia projecting a 40% growth rate by 2028. The increase would amount to 118,600 new jobs nationwide for Pediatric Nurse Practitioners.

Pediatric Nurse Practitioners can work in hospitals, pediatric offices, specialty clinics, school-based health centers, and community health settings. Because they focus on younger patient populations, they are especially valuable in pediatric primary care and specialty care environments.

Currently, there are about 49,000 job openings for Pediatric Nurse Practitioners yearly. Pediatric nurse practitioners can work in various settings, including hospitals, private practices, pediatric offices, specialty clinics, or specialty units in medical facilities.

Educational Requirements

Pediatric Nurse Practitioners typically need an MSN-PNP. Nurses who want a broader primary care route may also consider an MSN FNP pathway, especially if they want to care for patients across the lifespan, but the most direct route for pediatric specialization is the PNP track.

4. Orthopedic Nurse Practitioner (ONP) – $134,369 per Year

Orthopedic Nurse Practitioners earn an estimated annual salary of $134,369, according to ZipRecruiter, making this one of the highest-paying nurse practitioner specialties.

ONP Job Description

Orthopedic Nurse Practitioners specialize in musculoskeletal health. Their duties may include conducting physical exams, reviewing patient histories, ordering and interpreting diagnostic tests, helping manage fractures and joint injuries, prescribing treatments, supporting surgical recovery, and educating patients about mobility, rehabilitation, and pain management.

Job Outlook and Work Settings

ONPs can work in orthopedic clinics, hospitals, surgical centers, rehabilitation facilities, sports medicine practices, and specialty physician offices. Because orthopedic care serves patients recovering from injuries, surgeries, and chronic musculoskeletal conditions, this specialty offers strong opportunities for nurses interested in advanced practice and procedural care.

Advanced Practice Registered Nurses, in general, enjoy excellent job prospects, and Nurse Practitioners all the more so. The demand for APRNs is expected to grow by 42% over the decade. While there is no official data on the number of ONPs needed in the healthcare industry, we are confident that demand for this role will continue to grow. According to the American Association of Nurse Practitioners, musculoskeletal diseases or injuries are the most common causes of primary care visits.

Educational Requirements

Orthopedic Nurse Practitioners typically need an MSN-FNP or MSN – AGNP with orthopedic experience or a musculoskeletal care focus. Prior RN experience in orthopedic nursing, surgery, rehabilitation, or sports medicine is especially helpful.

5. Nurse Practitioner (NP) – $129,210 per Year

Nurse Practitioners earn a median annual salary of $129,210, according to BLS data for Nurse Practitioners. This makes the NP role one of the highest paid nursing career paths overall.

Find out how much Nurse Practitioners earn in every state.

NP Job Description

Nurse Practitioners assess patients, perform physical exams, order and interpret diagnostic tests, diagnose conditions, develop care plans, and prescribe medication where permitted by state law. Depending on specialization, NPs may provide primary care, mental health care, pediatric care, adult-gerontology care, acute care, women’s health services, or specialty care.

Job Outlook and Work Settings

The BLS projects strong demand for NPs, nurse anesthetists, and nurse-midwives, with overall employment in these APRN roles projected to grow 35% from 2024 to 2034. Nurse Practitioners can work in physician offices, hospitals, outpatient centers, urgent care clinics, community health centers, telehealth settings, and specialty practices.

There are around 320,400 Nurse Practitioners working in various work settings. Out of all APRN roles, around 46% are currently employed in the offices of physicians, 25% work in state, local, and private hospitals, 9% in outpatient care centers, 5% in the offices of other health practitioners, and 3% provide educational services.

Educational Requirements

To become a Nurse Practitioner, you need an MSN-level NP pathway. Common options include MSN-FNP, MSN-PMHNP, MSN-AGNP, MSN-PNP, and other population-specific NP tracks. At Nightingale College, you can pursue two popular educational options for Nurse Practitioners:

  • The MSN-FNP Program, with a family nursing focus, is recommended if you want to work in bedside roles with a varied patient pool.
  • The MSN-PMHNP Program, with a psychiatric and mental health focus, is recommended for future NPs who aim to work in mental health facilities.

Both educational options blend online instruction with in-person supervised field experiences and seminars, allowing learners to graduate and pursue certification within 24 months.

Discover the academic programs at Nightingale College.

6. Certified Nurse Midwife (CNM) – $128,790 per Year

Certified Nurse Midwives earn a median annual salary of $128,790, according to BLS data for Nurse Midwives.

Read more about the salaries of Certified Nurse Midwives.

CNM Job Description

Certified Nurse Midwives provide reproductive, gynecological, prenatal, birth, postpartum, and family planning care. While many people associate midwives mainly with labor and delivery, CNMs also conduct exams, support preventive care, educate patients, and provide care before and after childbirth.

Job Outlook and Work Settings

CNMs are advanced practice registered nurses, so their employment outlook follows the strong growth projected for APRN roles. They may work in hospitals, birthing centers, physician offices, outpatient clinics, and community health settings.

Educational Requirements

A career as a Certified Nurse Midwife typically requires an MSN-CNM. Nurses interested in women’s health may also consider related graduate pathways, but nurse-midwifery requires specialized midwifery preparation and certification.

7. Cardiology Nurse Practitioner (CNP) – $128,221 per Year

Cardiology Nurse Practitioners earn an estimated annual salary of $128,221, according to Glassdoor. 

Cardiology NP Job Description

Cardiology Nurse Practitioners specialize in caring for patients with heart and vascular conditions. Their duties may include assessing cardiovascular symptoms, ordering diagnostic tests, helping manage chronic heart disease, prescribing treatments, educating patients on heart health, and supporting patients before and after cardiac procedures.

Job Outlook and Work Settings

The U.S. Centers for Disease Control and Prevention lists heart disease as the leading cause of death for adult populations from all backgrounds. Considering this, it’s clear that nurses specializing in treating heart conditions are likely to fare particularly well in the job market.

Cardiac NPs can work in hospitals, cardiology practices, outpatient clinics, cardiac rehabilitation centers, and specialty care offices. Because cardiovascular disease remains a major health concern in the U.S., nurses with cardiology expertise can play a key role in prevention, diagnosis, and long-term disease management.

Educational Requirements

The most relevant preparation is typically an MSN-AGNP or MSN-FNP with cardiology experience or a cardiac care focus. Clocking in a few years of clinical experience, especially in the cardiac unit as a Cardiac Nurse with a BSN, is required before starting work as a CNP.

8. Acute Care Nurse Practitioner (ACNP) – $127,592 per Year

Acute Care Nurse Practitioners earn an estimated annual salary of $127,592, according to Indeed.

ACNP Job Description

Acute Care Nurse Practitioners care for patients with serious, complex, or rapidly changing health conditions. Their responsibilities may include performing assessments, ordering and interpreting tests, managing treatment plans, prescribing medication where allowed, responding to changes in patient status, and coordinating care with physicians and specialists.

Job Outlook and Work Settings

ACNPs often work in hospitals, intensive care units, emergency departments, specialty units, and inpatient care settings. Their skills are especially valuable in environments where patients need advanced assessment, quick decision-making, and complex treatment planning.

Educational Requirements

The most relevant path is usually an MSN-AGNP with an acute care focus. Nurses interested in this role often benefit from prior RN experience in ICU, ER, telemetry, step-down, or other high-acuity settings.

9. Family Nurse Practitioner (FNP) – $126,736 per Year

The national average salary of Family Nurse Practitioners (FNPs) is approximately $127,976, with salaries ranging from $40,000 to $191,000 per year, according to ZipRecruiter.

State-specific salaries vary, with the highest paying states being Washington ($144,945), the District of Columbia ($144,616), New York ($140,010), Massachusetts ($139,765), and Alaska ($137,823), while lowest-paying states being West Virginia ($99,075), Florida ($95,635), Arkansas ($105,824), and Louisiana ($109,435).

Job Outlook and Work Settings

With Family Nurse Practitioners making up the majority (70%) of Nurse Practitioners, their projected employment increase is expected to follow that of NPs – 46% throughout the decade, according to the BLS. Older data places the sector growth much higher. According to a 2019 survey by the American Association of Nurse Practitioners (AANP), the most sought-after specialization for Nurse Practitioners was the Family Nurse Practitioner, with over 65% of NPs seeking to specialize in this field. 

Hospitals, public or private, ambulatory clinics, hospice centers, and community health centers – all these institutions offer employment opportunities to Family Nurse Practitioners.

FNP Job Description

The scope of practice for a Family Nurse Practitioner is rather broad, as they must care for and treat a full range of patients, from infants to the elderly. FNPs are often the primary care providers for families, especially in underserved communities. Thus, their duties include performing examinations, ordering tests, diagnosing and treating patients, prescribing medications, and educating patients on preserving their health and preventing disease. For the most part, FNPs care for families for extended periods, nurturing long-term relationships with their patients, which is particularly rewarding.  

Educational Requirements

Family Nurse Practitioners require MSN-level education to practice, preferably with an added specialization in family medicine. You can achieve the necessary education by enrolling in the MSN FNP Program at Nightingale College and be ready to practice as an FNP in just 24 months.

12. Neonatal Nurse Practitioner (NNP) – $120,330 per Year

Neonatal Nurse Practitioners earn an estimated annual salary of $120,330, according to Salary.com.

Read more about Neonatal Nurse salaries in the US.

NNP Job Description

Neonatal Nurse Practitioners provide advanced care to newborns, especially premature infants and babies with serious illnesses, birth complications, or complex medical needs. Their duties may include performing assessments, ordering tests, managing treatment plans, supporting respiratory care, prescribing medication where allowed, and working closely with neonatologists and NICU teams.

Job Outlook and Work Settings

NNPs usually work in neonatal intensive care units, hospitals, specialty children’s hospitals, delivery units, and newborn care settings. This role is distinct from a NICU RN because it requires advanced practice preparation and a broader diagnostic and treatment role.

Educational Requirements

The most relevant route is typically an MSN-PNP with neonatal care focus or a dedicated neonatal nurse practitioner track. Prior NICU nursing experience is usually essential.

13. Nurse Manager / Nursing Administrator – $117,960 per Year

Nurse Managers and Nursing Administrators earn an estimated salary of $117,960 per year, using BLS data for Medical and Health Services Managers as the closest official proxy.

Learn more about nurse manager salaries.

Nurse Manager Job Description

Nurse Managers supervise nursing teams and oversee the daily operations of nursing units or departments. Their duties may include managing schedules, coordinating staffing, monitoring budgets, supporting quality improvement, resolving workplace issues, and ensuring patient care standards are met.

Learn more about leadership and management in nursing.

Job Outlook and Work Settings

Nurse Managers can work in hospitals, outpatient centers, physician offices, long-term care facilities, and home healthcare organizations.

Educational Requirements

A BSN can help prepare nurses for leadership roles, but many employers prefer graduate preparation. The most relevant pathway is an MSN in Nursing Administration or a related leadership-focused MSN.

If you want to receive nursing education and qualify for some of the highest-paying nursing jobs, you can enroll in the BSN Program at Nightingale College, a certified blended distance learning program that combines online instruction with on-ground supervised field experiences, which allows you to complete your education and seek certification in just 3 years.

If you are enrolling in Utah, you may also be eligible for a 30% tuition reduction for the entire duration of the program. 

Enroll in the BSN Program at Nightingale College today!

14. Health Policy Nurse – $117,469 per Year

Health Policy Nurses earn an estimated annual salary of $117,469, according to ZipRecruiter.

Health Policy Nurse Job Description

Health Policy Nurses use their clinical knowledge to influence healthcare systems, regulations, patient safety standards, public health programs, and organizational policy. Their duties may include researching healthcare issues, analyzing policy proposals, advising organizations, advocating for patients, and helping shape programs that improve care access and outcomes.

Job Outlook and Work Settings

Health Policy Nurses may work for government agencies, nonprofits, public health organizations, advocacy groups, universities, professional associations, and healthcare systems. This is a strong non-bedside option for nurses interested in leadership, public health, and systems-level change.

Educational Requirements

The most relevant graduate preparation is an MSN in Healthcare Policy or a related public health, leadership, or policy-focused nursing degree.

15. Pain Management Nurse – $116,968 per Year

Pain Management Nurses earn an estimated annual salary of $116,968, according to Glassdoor.

Pain Management Nurse Job Description

Pain Management Nurses care for patients dealing with acute, chronic, or procedure-related pain. Their responsibilities may include assessing pain levels, administering medications, monitoring treatment responses, educating patients on pain management plans, and supporting non-pharmacological interventions when appropriate.

Career Outlook and Work Settings

Pain Management Nurses can work in hospitals, outpatient clinics, rehabilitation centers, surgical units, physician offices, and specialty pain management practices. As an RN-level specialty, this role follows the broader registered nursing employment outlook.

Educational Requirements

Pain Management Nurses must first become licensed RNs. A BSN is often preferred, and specialty experience or certification in pain management can help nurses qualify for higher-paying roles.

If you want to receive nursing education and qualify for some of the highest-paying nursing jobs, you can enroll in the BSN Program at Nightingale College, a certified blended distance learning program that combines online instruction with on-ground supervised field experiences, which allows you to complete your education and seek certification in just 3 years.

If you are enrolling in Utah, you may also be eligible for a 30% tuition reduction for the entire duration of the program. 

Enroll in the BSN Program at Nightingale College today!

Highest Paying States for Nurses

Although your role is the primary factor in your earning potential, the region where you practice greatly influences your prospective salary.

For instance, Registered Nurses (by far the largest workforce pool in the nursing profession) earn the highest salaries in California ($150,280 per year), surpassing the national average by $56,680 per year. Additionally, below, you will find the 15 highest-paying states for Registered Nurses:

  1. California – $150,280 per year
  2. Hawaii – $124,340
  3. Oregon – $123,140
  4. Washington – $121,540
  5. Massachusetts – $117,960
  6. Alaska – $114,870
  7. New York – $113,440
  8. New Jersey – $110,100
  9. District of Columbia – $106,980
  10. Nevada – $105,710
  11. Connecticut – $105,250
  12. Minnesota – $103,420
  13. Rhode Island – $101,260
  14. Arizona – $99,730
  15. Delaware – $99,460

The nurse salaries by state were compiled using the most recent data from the Bureau of Labor Statistics.

Highest Paying Cities for Nurses

Where you work can significantly impact your earning potential as a nurse. While the national median salary for Registered Nurses is $97,550 per year, according to BLS data, nurses in the highest-paying metropolitan areas can earn much more. Many of the top-paying cities for nurses are located in California and Hawaii, where demand, cost of living, and healthcare market conditions contribute to higher wages.

Below, you will find a presentation of the 10 highest-paying cities and areas in the US, according to Wagedex:

Rank

City / Metropolitan Area

Median RN Salary

Employment

1

San Jose-Sunnyvale-Santa Clara, CA

$216,740

22,930

2

Vallejo, CA

$203,290

4,120

3

San Francisco-Oakland-Fremont, CA

$186,610

41,750

4

Santa Rosa-Petaluma, CA

$174,550

3,720

5

Sacramento-Roseville-Folsom, CA

$171,460

23,590

6

Santa Cruz-Watsonville, CA

$170,960

1,750

7

Yuba City, CA

$149,320

1,080

8

Kahului-Wailuku, HI

$144,350

1,270

9

San Diego-Chula Vista-Carlsbad, CA

$139,520

28,680

10

Urban Honolulu, HI

$139,260

9,680

Remember that your net nurse salary should not be evaluated in isolation; the cost of living, housing prices, taxes, commute time, employer benefits, overtime opportunities, and shift differentials all affect how far a nursing salary goes in each location. 

Highest Paying Industries for Nurses

Another way in which the pay for nursing jobs can vary is based on the industry you work in. Although hospitals employ the largest number of RNs, some of the highest-paying nursing jobs are found outside the traditional hospital settings.  According to BLS industry wage data, Registered Nurses earn the most in government roles, staffing and employment services, pharmaceutical manufacturing, and medical equipment-related industries.

Rank

Industry

Employed Registered Nurses

Percent of Industry Employment

Hourly Mean Wage

Annual Mean Wage

1

Federal, State, and Local Government, excluding state and local schools and hospitals, and the U.S. Postal Service

97,940

4.58%

$55.22

$114,860

2

Employment Services

130,890

3.49%

$53.00

$110,230

3

Pharmaceutical and Medicine Manufacturing

80

0.02%

$52.23

$108,640

4

Navigational, Measuring, Electromedical, and Control Instruments Manufacturing

200

0.05%

$51.19

$106,470

5

Merchant Wholesalers, Nondurable Goods

1,280

0.32%

$49.97

$103,940

Remember that the industry in which you will work as a nurse is highly dependent on your level and type of certification. While a BSN is generally preferred in most bedside occupations and industries, it can also qualify you for non-bedside jobs, as well as for managerial positions in hospitals and other such facilities. The types of MSN degrees you earn will, however, correlate with the type of industry and facility you work in.

How to Increase Your Salary as a Nurse

If you want to increase your earning potential as a nurse, there are some actionable recommendations that you can follow:

  1. Advance your nursing education: This is the primary and surest way to increase your salary as a nurse. Moving from an ADN to a BSN, or from a BSN to an MSN, can help nurses qualify for higher-paying roles in advanced practice, leadership, education, informatics, and policy.
  2. Choose a high-paying specialty: Specialties such as critical care, operating room nursing, NICU nursing, emergency nursing, nurse informatics, travel nursing, and advanced practice nursing often offer higher earning potential.
  3. Earn specialty certifications: Certifications in areas such as critical care, perioperative nursing, oncology, case management, psychiatric-mental health, or informatics can help nurses stand out and qualify for more specialized roles.
  4. Gain experience in acute or specialized care: Experience in settings such as the ICU, ER, OR, NICU, telemetry, or labor and delivery can open the door to higher-paying staff, travel, or leadership opportunities.
  5. Consider travel, contract, or per diem roles: These positions may offer higher pay, shift differentials, housing stipends, bonuses, or overtime opportunities, depending on demand and location.
  6. Move into leadership or administration: Nurse Manager, Nurse Administrator, and Director of Nursing roles can offer higher salaries for nurses with strong clinical, communication, staffing, and management skills.
  7. Explore non-bedside nursing careers: Roles in informatics, legal consulting, research, healthcare policy, case management, utilization review, education, or pharmaceutical nursing can offer strong salaries outside traditional bedside care.
  8. Work in higher-paying locations or industries: Salaries can vary widely by state, city, employer, and industry. Nurses should compare salary with the cost of living, benefits, and long-term career opportunities.
  9. Use shift differentials and overtime strategically: Nights, weekends, holidays, on-call shifts, and float pool work can increase annual earnings without requiring a full career change.
  10. Create a long-term career plan: Identify whether you want to grow in bedside care, advanced practice, leadership, education, or non-bedside nursing, then choose the degree, certification, and experience that support that path.

What you need to remember is that going up the nursing career ladder and gaining experience will come with an increase in pay, too. As long as you perform and increase your value as a nurse, opportunities for advancement will surely come your way.

Advance Your Education and Become the Highest Paid Nurse You Can Be

As you have seen by now, the nursing field can be both enriching and rewarding in terms of experience and income potential. If you have ever wondered whether investing your time, money, and energy in advancing your education is worth it, the short answer is yes. Competitive wages, benefits, and the resulting sense of personal and professional accomplishment will yield a relatively high return on investment. 

The first step to accessing high-paying nursing jobs is to further your education and obtain the accreditation required to practice. At Nightingale College, we provide aspiring learners with accessible and flexible educational options. 

  • If you want to earn your BSN, you can enroll in our BSN Program, which combines online instruction and supervised on-ground field experience, and can be completed in less than 3 years.
  • For MSN-level careers, we provide two specialized CCNE-certified programs that can upstart your lucrative career: the MSN PMHNP Program for psychiatric and mental health roles, and the MSN FNP Program for Family Nurse Practitioners and other primary care NPs. Both combine online instruction with in-person seminars, preceptorship, and practical experiences, and can be completed in just 24 months.

Are you ready to reap the rewards of the highest-paying nursing jobs? Find the best academic program for your career expectations!

Highest-Paying Nursing Jobs FAQs

Advance your education and unlock your earning potential today.

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