Healthcare · State Rankings

Best US States for Registered Nurses

All 50 states + DC ranked by Registered Nurse salary. State tax structure noted for take-home math.

Top 10 states by salary
#StateEstimated salaryCost mult.State tax
1California$107,4001.18×~5% effective
2Hawaii$105,5001.15×~5% effective
3Massachusetts$103,5001.12×~5% effective
4Maryland$100,8001.08×~5% effective
5New York$100,7001.15×~5% effective
6Alaska$99,4001.13×No state tax
7New Jersey$99,4001.13×~5% effective
8District of Columbia$98,0001.20×~5% effective
9Washington$97,5001.10×No state tax
10Nevada$96,8001.02×No state tax
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1California$107,400$78,778
2Hawaii$105,500$77,384
3Massachusetts$103,500$75,917
4Maryland$100,800$73,937
5New York$100,700$73,863
6Alaska$99,400$77,880
7New Jersey$99,400$72,910
8District of Columbia$98,000$71,883
9Washington$97,500$76,391
10Nevada$96,800$75,843
11Colorado$94,300$69,169
12Oregon$94,300$69,169
13Pennsylvania$93,500$68,582
14Connecticut$92,000$67,482
15Arizona$91,200$66,895
16Delaware$91,200$66,895
17Florida$91,200$71,455
18Minnesota$91,200$66,895
19Texas$89,300$69,967
20Utah$89,300$65,502
21New Hampshire$89,000$69,732
22Louisiana$88,800$65,135
23Rhode Island$87,800$64,401
24Virginia$87,800$64,401
25Alabama$87,500$64,181
26North Carolina$87,300$64,035
27Idaho$86,700$63,594
28Michigan$86,700$63,594
29Wisconsin$86,700$63,594
30New Mexico$86,100$63,154
31Tennessee$86,100$67,459
32Illinois$86,000$63,081
33Indiana$85,400$62,641
34Kansas$85,400$62,641
35Ohio$85,400$62,641
36Vermont$85,400$62,641
37Maine$84,200$61,761
38Kentucky$83,500$61,247
39Georgia$82,400$60,440
40Montana$81,800$60,000
41Wyoming$81,800$64,090
42North Dakota$81,200$59,560
43South Carolina$81,200$59,560
44Nebraska$80,600$59,120
45South Dakota$80,600$63,150
46Iowa$80,000$58,680
47Missouri$80,000$58,680
48Oklahoma$78,800$57,800
49Arkansas$77,600$56,920
50West Virginia$77,600$56,920
51Mississippi$76,400$56,039
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

What moves with you and what does not

The ranking below understates how sticky this career is geographically. Registered Nurse requires State RN license via NCLEX-RN exam, and moving states can mean re-qualifying rather than simply relocating. That friction is why licensed occupations show more persistent pay differences between states than unlicensed ones — the labor supply cannot equalize quickly.

Tax and what the numbers are worth

Income tax reshuffles this ranking. Alaska, Washington, Nevada appear in the top ten and levy no state income tax, so the gross figures understate take-home there by roughly 3–6% relative to a taxing state at the same salary. Against a high-tax state, that is worth several thousand dollars a year at this occupation's median of $86,000.

Treat a no-income-tax state as a shift in where the tax lands rather than a removal of it — property tax rates in those states tend to run above the national average, which matters once you own rather than rent.

The spread from Mississippi ($76,400) to California ($107,400) is 41%. Cost of living explains most of it — a state paying 25% above the national median for this role usually costs proportionally more to live in, which is why cost-adjusted rankings look different from nominal ones.

Where the field is heading

Nationally, Registered Nurse employment is projected to grow — 5% through 2034, with roughly 189,100 openings a year counting replacements. Growth is rarely evenly distributed: states with the industry concentration driving that growth will feel it first, and the ranking above is a reasonable proxy for where.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which state pays the most for Registered Nurses?
Based on cost-of-living-adjusted estimates, California pays the most with an estimated median of $107,400/year for Registered Nurses. High-cost states (CA, NY, MA, HI) tend to top the list because employers compensate for local cost of living.
Do no-state-tax states pay better effective?
Often yes after taxes. Alaska, Washington, Nevada, Florida, Texas have no state income tax. A 5% state tax savings on $100K = $5,000 more take-home. But verify cost of living too — Texas pays well and has no tax, but Houston/Austin housing has risen dramatically.
Why do some states pay so much more?
Three factors: (1) cost of living — coastal states cost 15-25% more, employers adjust pay; (2) employer concentration — CA dominates tech, NY finance, MA biotech; (3) regulatory environment — some states have higher unionization or licensing requirements that increase wages.
Are these salaries net or gross?
Gross — before federal income tax (~14% effective at this income), FICA (7.65%), state income tax (varies), and local taxes if applicable. Use our state-specific Paycheck Calculator for exact take-home in any state.
How does experience affect these numbers?
These are medians — entry-level often runs 25-35% below median, senior roles 40-60%+ above. A senior Registered Nurse in California can easily exceed $161,100, while an entry-level role in a low-cost state might be $53,480.