How Much Do Nurses Make an Hour? RN Pay Calculator (2026)

BLS median, percentile and state-by-state RN pay, with overtime, shift differentials and take-home after 2026 tax

Registered nurses earned a median of $46.90 an hour in May 2025 — $97,550 a year — according to the Bureau of Labor Statistics' Occupational Employment and Wage Statistics survey, which counted 3,379,720 RNs. The lowest-paid tenth made under $33.14 and the best-paid tenth over $66.09, and none of those figures include the night differentials and overtime that hospital nurses often earn. The calculator starts at the national median; choose your state to start from its figure instead.

Nurses: pay at every level

This is the BLS line for registered nurses on employers' payrolls (SOC 29-1141). It does not include nurse practitioners, nurse anesthetists or midwives, which BLS counts separately, or licensed practical nurses. Take-home assumes a single filer with 2026 federal tax and FICA and no state tax.

Registered Nurses, United States, BLS OEWS May 2025
Pay levelHourlyAnnualMonthlyTake-home a year
10th percentile$33.14$68,940$5,745$57,329
25th percentile$38.62$80,330$6,694$65,342
Median$46.90$97,550$8,129$77,456
75th percentile$54.02$112,350$9,363$87,868
90th percentile$66.09$137,470$11,456$105,227

Registered nurse pay by state

California is in a league of its own: $67.44 an hour at the median for 338,940 nurses, the largest RN workforce in the country, against $37.06 in Alabama at the bottom. Hawaii ($65.54) and Oregon ($62.02) follow. Texas and Florida employ the next-largest numbers of nurses at $46.14 and $40.48.

Median pay by state, highest first (BLS OEWS May 2025)
StateMedian hourlyMedian annualEmployed
California$67.44$140,270338,940
Hawaii$65.54$136,32012,940
Oregon$62.02$129,01039,730
Washington$59.71$124,20069,260
Alaska$52.64$109,4807,510
New York$52.62$109,440205,810
New Jersey$51.20$106,50092,680
Massachusetts$50.27$104,55088,200
Nevada$49.84$103,67027,070
Connecticut$49.39$102,74040,110
District of Columbia$49.30$102,54011,440
Minnesota$48.80$101,51070,110
Rhode Island$48.39$100,64010,090
Colorado$48.20$100,26054,490
Maryland$47.98$99,79052,910
New Hampshire$47.93$99,70015,390
Delaware$47.85$99,52014,290
Arizona$47.84$99,50073,150
Vermont$46.86$97,4607,410
Pennsylvania$46.36$96,430146,520
Illinois$46.15$95,990138,910
Texas$46.14$95,970271,380
Wisconsin$45.93$95,53068,060
New Mexico$45.36$94,34017,980
Michigan$45.34$94,300104,950
Virginia$45.00$93,60077,490
Georgia$44.98$93,550100,950
Idaho$44.45$92,46016,880
Maine$41.82$86,99016,540
Montana$41.00$85,28010,950
Nebraska$40.74$84,73024,720
Utah$40.67$84,60027,420
North Carolina$40.56$84,350111,120
Florida$40.48$84,190229,940
Wyoming$40.27$83,7605,330
Indiana$40.14$83,50068,980
Oklahoma$39.87$82,92038,270
Ohio$39.67$82,510143,730
South Carolina$39.60$82,36049,750
Missouri$39.32$81,78076,310
Tennessee$39.18$81,50072,200
Kentucky$38.96$81,04050,300
North Dakota$38.81$80,73011,340
Louisiana$38.57$80,23048,970
West Virginia$38.52$80,13023,430
Kansas$38.14$79,32033,800
Arkansas$37.95$78,94029,400
Iowa$37.80$78,63034,420
South Dakota$37.53$78,06014,710
Alabama$37.06$77,08054,340
Mississippi$37.06$77,09029,060

Which employers pay nurses most

Government employers outside state and local hospitals and schools pay RNs the most, $110,780, and hospitals $100,220. School nursing pays least of the big employers at $78,620, but usually comes with school-day hours.

Median annual wage by industry (BLS Occupational Outlook Handbook, May 2025)
IndustryMedian annual wage
Government, excluding state and local education and hospitals$110,780
Hospitals; state, local, and private$100,220
Ambulatory healthcare services$91,230
Nursing and residential care facilities$84,300
Educational services; state, local, and private$78,620

A registered nurse's schedule

Nurses in hospitals and nursing care facilities usually work shifts that cover the clock, including nights, weekends and holidays, and may be on call — on duty and available at short notice. Nurses in offices, schools and other places that don't provide 24-hour care are more likely to work regular business hours (BLS Occupational Outlook Handbook). That split matters for pay: BLS's wage figures leave out shift differentials and on-call pay, so a hospital nurse on nights earns more than the hourly rate in the tables below.

Overtime for nurses

Registered nurses paid by the hour should receive overtime. A nurse registered by the state board and paid a salary of at least $684 a week can instead be classed as an exempt professional (DOL Fact Sheet #17N). Hospitals and residential care facilities may also use the 8-and-80 system: by prior agreement, time and a half for hours over 8 in a day and over 80 in a 14-day period, instead of over 40 in a week (DOL Fact Sheet #54). Enter the overtime and night or weekend hours you actually work in the calculator.

What a shift differential adds at the median

BLS's wage figures leave out shift differentials. The table adds a night or weekend differential to the median $46.90 an hour for 12 hours a week (one 12-hour shift) over 52 weeks. Differentials vary by employer and contract; these amounts are examples to show the arithmetic, not typical rates.

Extra pay a year on 12 differential hours a week
DifferentialExtra a yearAverage hourly over 40 hours a week
$1.00/hour$624$47.20
$2.00/hour$1,248$47.50
$3.00/hour$1,872$47.80
$5.00/hour$3,120$48.40

Training, licenses and pay

Every RN needs a license from the state they work in: graduate from an approved program (a bachelor's in nursing, an associate's or a hospital diploma) and pass the licensing exam. Specialty certification — ambulatory care, gerontology, pediatrics and others — is usually voluntary but some employers require it, and roles may require BLS or ACLS certification (BLS Occupational Outlook Handbook). BLS doesn't publish a separate wage for certified nurses; the gap between the 25th and 75th percentile below is the best official measure of how much experience, specialty and employer move pay.

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Frequently asked questions

How much do nurses make an hour?

$46.90 an hour ($97,550 a year) at the BLS median for May 2025. The middle half earned $38.62 to $54.02 an hour.

Which state pays nurses the most?

California ($67.44 an hour, $140,270 a year), then Hawaii and Oregon; Mississippi pays least among the 51 states where BLS released a figure (BLS, May 2025).

Do nurses get paid overtime?

Hourly RNs should. A registered nurse paid a salary of at least $684 a week can be classed as exempt (DOL Fact Sheet #17N). Hospitals may use the 8-and-80 system, which pays time and a half after 8 hours in a day and 80 in two weeks (DOL Fact Sheet #54).

Is a night-shift differential included in the BLS figures?

No. BLS's wage estimates exclude shift differentials, on-call pay and overtime, so a nurse working nights or extra shifts can earn noticeably more than the published median. Add your differential in the calculator.

Official sources

Tax rules, limits and pay data change. Check the current figures with the primary source before acting on them.

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