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
1District of Columbia$103,2001.20×~5% effective
2California$101,5001.18×~5% effective
3Hawaii$98,9001.15×~5% effective
4New York$98,9001.15×~5% effective
5Alaska$97,2001.13×No state tax
6New Jersey$97,2001.13×~5% effective
7Massachusetts$96,3001.12×~5% effective
8Connecticut$94,6001.10×~5% effective
9Washington$94,6001.10×No state tax
10Maryland$92,9001.08×~5% effective
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1District of Columbia$103,200$75,697
2California$101,500$74,450
3Hawaii$98,900$72,543
4New York$98,900$72,543
5Alaska$97,200$76,156
6New Jersey$97,200$71,296
7Massachusetts$96,300$70,636
8Connecticut$94,600$69,389
9Washington$94,600$74,119
10Maryland$92,900$68,142
11Colorado$90,300$66,235
12New Hampshire$90,300$70,750
13Oregon$90,300$66,235
14Rhode Island$88,600$64,988
15Virginia$88,600$64,988
16Nevada$87,700$68,713
17Arizona$86,000$63,081
18Delaware$86,000$63,081
19Florida$86,000$67,381
20Illinois$86,000$63,081
21Minnesota$86,000$63,081
22Vermont$85,100$62,421
23Maine$83,400$61,174
24Pennsylvania$83,400$61,174
25Texas$83,400$65,344
26Utah$83,400$61,174
27Georgia$80,800$59,267
28North Carolina$80,800$59,267
29Idaho$80,000$58,680
30Michigan$80,000$58,680
31Montana$80,000$58,680
32Wisconsin$80,000$58,680
33Wyoming$80,000$62,680
34New Mexico$79,100$58,020
35North Dakota$79,100$58,020
36South Carolina$79,100$58,020
37Tennessee$79,100$61,975
38Indiana$78,300$57,433
39Kansas$78,300$57,433
40Nebraska$78,300$57,433
41Ohio$78,300$57,433
42South Dakota$78,300$61,348
43Iowa$77,400$56,773
44Louisiana$77,400$56,773
45Missouri$77,400$56,773
46Alabama$75,700$55,526
47Kentucky$75,700$55,526
48Oklahoma$75,700$55,526
49Arkansas$74,000$54,279
50West Virginia$74,000$54,279
51Mississippi$72,200$52,959
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

Salary range across states

For Registered Nurses, the estimated median salary ranges from $72,200 in Mississippi to $103,200 in District of Columbia — a 43% range. State-by-state variation reflects local cost of living, employer density, and labor market dynamics.

No-state-tax states

Nine US states have no state income tax: Alaska, Washington, New Hampshire, Nevada, Florida, Texas, Wyoming, Tennessee, South Dakota. For high earners, this can mean $5,000-15,000+ extra per year in take-home pay vs neighboring states with similar gross salaries. New Hampshire taxes interest/dividends only (phasing out).

But: many no-state-tax states make up revenue with higher property tax (Texas) or sales tax (Tennessee). And cost of living varies — Texas urban metros (Austin, Houston) have grown expensive while Florida coastal areas command premium real estate prices.

Cost of living matters more than nominal salary

California pays the most for Registered Nurses on a nominal basis — but housing in coastal California (SF, LA, San Diego) eats 35-50% of net income for median earners. A Registered Nurse earning $101,500 in California often has less spendable income than one earning $83,400 in Texas.

Use our cost-of-living comparison tool to see specific city pairs. For state-level take-home, use our state-specific Paycheck Calculator.

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Frequently Asked Questions

Which state pays the most for Registered Nurses?
Based on cost-of-living-adjusted estimates, District of Columbia pays the most with an estimated median of $103,200/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, New Hampshire, Nevada, Florida 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 District of Columbia can easily exceed $154,800, while an entry-level role in a low-cost state might be $50,540.