Thinking about a career in nursing in the USA? The pay might make your heart skip a beat, and not in a bad way! With nearly 4.7 million registered nurses (RNs), nursing is a respected, high-demand profession, offering competitive salaries and plenty of room for growth.
The average nurse salary in the USA is around INR 95.6L ($114K), depending on experience and location. The demand for skilled healthcare professionals continues to rise, providing stable job opportunities and strong earning potential nationwide.
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This article will explore the nurse salary in the USA by state for 2024, highlighting the factors that affect earnings and what to expect in different regions. Dive into what a nursing career in the USA can offer.
Key Highlights
Here is an overview table of everything you will learn about nurse salary in the USA in this article.
| Particulars | Description |
| Average Nurse Salary in the USA | INR 95.6L ($114K) |
| Highest Nurse Salary State | California: INR 1.12 Cr ($134K) |
| Lowest Nurse Salary State | South Dakota: INR 56.19L ($67K) |
| Monthly Cost of Living in the USA | INR 98K ($1,171) |
| English Language Test Scores | IETLS: 6.5 | TOEFL: 84 |
| Top Nursing Specialisations | Nurse Anesthetist, Nurse Practitioner, Clinical Nurse Specialist |
Average Registered Nurse Salary in the USA by State
The nurse salary in the USA varies by state. Cost of living and demand play a significant role in pay differences. The federal government expects over 203,000 new registered nurse jobs to be created annually from 2021 to 2031. This growing demand will continue to impact salary levels across states.
This table highlights the registered nurse salary in the US by state, helping you understand what to expect based on location.
| State | Average Annual Salary | Average Annual Cost of Living |
| Alabama | INR 55.35L ($66K) | INR 28.18L ($33.6K) |
| Alaska | INR 88.90L ($106K) | INR 40.76L ($48.6K) |
| Arizona | INR 73.81L ($88K) | INR 33.55L ($40K) |
| Arkansas | INR 61.23L ($73K) | INR 27.68L ($33K) |
| California | INR 1.12Cr ($134K) | INR 44.45L ($53K) |
| Colorado | INR 72.97L ($87K) | INR 38.58L ($46K) |
| Connecticut | INR 83.87L ($100K) | INR 39.42L ($47K) |
| Delaware | INR 78.00L ($93K) | INR 37.15L ($44.3K) |
| Florida | INR 67.93L ($81K) | INR 33.97L ($40.5K) |
| Georgia | INR 69.61L ($83K) | INR 32.46L ($38.7K) |
| Hawaii | INR 1.09Cr ($130K) | INR 46.46L ($55.4K) |
| Idaho | INR 67.10L ($80K) | INR 31.54L ($37.6K) |
| Illinois | INR 68.77L ($82K) | INR 34.64L ($41.3K) |
| Indiana | INR 65.42L ($78K) | INR 30.36L ($36.2K) |
| Iowa | INR 59.55L ($71K) | INR 30.03L ($35.8K) |
| Kansas | INR 62.90L ($75K) | INR 29.44L ($35.1K) |
| Kentucky | INR 65.42L ($78K) | INR 29.77L ($35.5K) |
| Louisiana | INR 63.74L ($76K) | INR 29.77L ($35.5K) |
| Maine | INR 67.93L ($81K) | INR 33.55L ($40K) |
| Maryland | INR 74.64L ($89K) | INR 40.43L ($48.2K) |
| Massachusetts | INR 83.03L ($99K) | INR 45.12L ($53.8K) |
| Michigan | INR 68.77L ($82K) | INR 31.12L ($37.1K) |
| Minnesota | INR 81.35L ($97K) | INR 34.72L ($41.4K) |
| Mississippi | INR 57.87L ($69K) | INR 27.09L ($32.3K) |
| Missouri | INR 64.58L ($77K) | INR 29.61L ($35.3K) |
| Montana | INR 66.26L ($79K) | INR 31.28L ($37.3K) |
| Nebraska | INR 65.42L ($78K) | INR 31.45L ($37.5K) |
| Nevada | INR 80.52L ($96K) | INR 34.89L ($41.6K) |
| New Hampshire | INR 72.13L ($86K) | INR 38.16L ($45.5K) |
| New Jersey | INR 83.87L ($100K) | INR 41.52L ($49.5K) |
| New Mexico | INR 70.45L ($84K) | INR 28.94L ($34.5K) |
| New York | INR 87.22L ($104K) | INR 41.60L ($49.6K) |
| North Carolina | INR 66.26L ($79K) | INR 30.78L ($36.7K) |
| North Dakota | INR 62.90L ($75K) | INR 29.94L ($35.7K) |
| Ohio | INR 67.10L ($80K) | INR 30.19L ($36K) |
| Oklahoma | INR 66.26L ($79K) | INR 28.52L ($34K) |
| Oregon | INR 93.10L ($111K) | INR 38.66L ($46.1K) |
| Pennsylvania | INR 69.61L ($83K) | INR 33.55L ($40K) |
| Rhode Island | INR 79.68L ($95K) | INR 37.24L ($44.4K) |
| South Carolina | INR 65.42L ($78K) | INR 29.19L ($34.8K) |
| South Dakota | INR 56.19L ($67K) | INR 30.86L ($36.8K) |
| Tennessee | INR 63.74L ($76K) | INR 29.10L ($34.7K) |
| Texas | INR 71.29L ($85K) | INR 31.45L ($37.5K) |
| Utah | INR 67.10L ($80K) | INR 33.55L ($40K) |
| Vermont | INR 68.77L ($82K) | INR 36.90L ($44K) |
| Virginia | INR 70.45L ($84K) | INR 36.06L ($43K) |
| Washington | INR 89.74L ($107K) | INR 39.59L ($47.2K) |
| West Virginia | INR 66.26L ($79K) | INR 29.19L ($34.8K) |
| Wisconsin | INR 69.61L ($83K) | INR 31.28L ($37.3K) |
| Wyoming | INR 67.10L ($80K) | INR 31.45L ($37.5K) |
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Factors Influencing Nurse Salary in the USA
Nurse salaries in the USA vary based on several key factors. Understanding these influences can help you gauge where your earnings may fall. Factors like specialisation, education level, gender, experience, and your work sector significantly determine salary levels.
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Average Nurse Salary in the USA Based on Specialisation
Your area of specialisation as a nurse can significantly impact your earnings. Specialised nurses tend to earn more due to their expertise in specific areas of healthcare. For example, a nurse anaesthetist’s salary in the USA exceeds that of general registered nurses (RNs).
Below is a comparison table of the average nurse salary in the USA based on specialisation.
| Specialisation | Nurse Salary in the USA Per Month |
| General RN | INR 5.6L ($6.67K) |
| Nurse Anaesthetist | INR 14.8L ($17.67K) |
| Nurse Practitioner | INR 8.1L ($9.7K) |
| Clinical Nurse Specialist | INR 8.9L ($10.67K) |
| Pediatric Nurse | INR 6L ($7.2K) |
Average Nurse Salary in the USA Based on Education Level
The level of education you have significantly affects your salary. Nurses with advanced degrees generally earn more.
Here is an overview table of nurse salary in the USA at different education levels.
| Education Level | Nurse Salary in the USA Per Month |
| Bachelor’s | INR 6.1L ($7.3K) |
| Master’s | INR 8.8L ($10.5K) |
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Difference in Nurse Salary in the USA Based on Gender
While efforts to close the gender pay gap continue, some salary differences remain in nursing. Male nurses in the USA earn slightly more on average than female nurses.
Here is an overview table of nurse salary in the USA based on gender.
| Gender | Average Annual US Nurse Salary in Indian Rupees |
| Male Nurse | INR 77.1L ($92K) |
| Female Nurse | INR 73L ($87K) |
Average Nurse Salary in the USA Based on Experience
Experience plays a crucial role in determining your salary as a nurse. More experienced nurses tend to earn higher wages.
Here is an overview table of nurse salary in the USA based on experience.
| Years of Experience | Average Annual US Nurse Salary in Indian Rupees |
| Less than 2 years | INR 38.5L ($46K) |
| Around 5 years | INR 78.7L ($94.5K) |
| 10+ years | INR 1.02Cr ($122K) |
Average Nurse Salary in the USA in Different Sectors
The sector you work in, whether public or private, also impacts your salary. Public-sector nurses generally earn slightly more than private-sector nurses.
Here is an overview table of nurse salary in the USA in different sectors.
| Sector | Annual Average Salary for a Nurse in the USA |
| Public Sector | INR 61.2L ($73K) |
| Private Sector | INR 50L ($60K) |
Requirements to Work as a Nurse in the USA
With the demand for healthcare rising, employment of registered nurses is projected to grow by 5% from 2021 to 2031, making it a promising career choice. To work as a nurse in the USA, several detailed steps must be followed to meet the specific requirements.
Here is a step-by-step breakdown to ensure eligibility for practising nursing in the USA.
Step 1: Education and Licensure
You must meet basic educational standards set by the USA. This includes the following.
- Graduating from an accredited nursing program, such as an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN).
- Holding a valid Registered Nurse (RN) license from your home country.
- Having at least two years of experience practising as an RN.
Step 2: Complete a Foreign-Educated Nurses (FEN) Course
Many states require foreign-educated nurses to complete a FEN refresher course. This course involves the following.
- 120 hours of classroom learning.
- 120 hours of clinical practice, supervised by a licensed US Registered Nurse.
Step 3: English Proficiency Tests
You must pass an English proficiency test if your nursing education needs to be conducted in English. Accepted tests include the following.
| Test | Score |
| IETLS | 6.5 |
| TOEFL | 84 |
| TOEIC | 725 for Reading and Listening, 150 for Writing, 160 for Speaking |
Nurses from the UK, Canada (except Quebec), Australia, and Ireland may be exempt from this requirement. However, you must take the test if your nursing program needs to be taught in English.
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Step 4: Credential Evaluation by CGFNS
Your credentials must be evaluated by an organisation like the Commission on Graduates of Foreign Nursing Schools (CGFNS). This step ensures that your education meets US nursing standards. Here’s what this process involves.
- Submitting your nursing education transcripts and licensure documents from your home country.
- CGFNS will assess whether your nursing education matches US requirements.
- You may be required to take the CGFNS Qualifying Exam, which costs INR 37.3K ($445), and complete an additional evaluation program.
Step 5: Pass the NCLEX-RN Exam
To work as an RN in the USA, passing the NCLEX-RN is mandatory. This exam assesses your nursing knowledge and is crucial for obtaining a license in the state where you plan to work. Registration costs INR 16.7K ($200) plus additional foreign fees. The exam is available in several countries, including India, Canada, Australia, England, South Africa, and the Philippines.
Step 6: Obtain a Visa or Green Card
Once you’ve passed the NCLEX-RN and completed the credential evaluation, you must apply for a visa. The standard visa options for foreign nurses include the following.
- H-1B Visa: For specialised nursing roles (critical care or ER nurses) with a four-year degree.
- EB-3 Visa (Green Card): This visa requires two years of education and a license from your home country. It allows you to work long-term in the US and bring your spouse and children under 21.
Step 7: Find a Job in the USA
Once you have the necessary licenses and visa, the final step is to find a job. Many foreign nurses find working with a US-based nursing recruiter or agency easier. These agencies help with job placement and paperwork and can also serve as your visa sponsor. You can search for nursing jobs on hospital websites or job boards like nurse.org.
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Role of Registered Nurses in the USA
Registered Nurses (RNs) are essential to the healthcare system in the USA. They are often the main point of contact for patients, and with four times as many RNs as physicians, their role in patient care is crucial.
Below are some of the essential responsibilities of RNs and how they contribute to quality healthcare across the country.
- Patient Care: You’ll administer medications, check vital signs, manage patient records, and provide emotional support to patients and their families.
- Medical Assistance: A crucial part of your role is assisting doctors during exams, surgeries, and other procedures. You’ll also prepare patients and ensure all equipment is ready for these procedures.
- Health Education: Educating patients and their families about health conditions, treatment plans, and post-care instructions is crucial in helping them manage their health outside the hospital.
- Coordination of Care: Collaborating with other healthcare professionals, including specialists, therapists, and social workers, ensures a comprehensive care plan for each patient.
As an RN in the USA, you will work in various healthcare settings, including but not limited to the following.
- Hospitals: You may work in departments such as emergency rooms, intensive care units, surgery, or maternity wards, providing critical and routine care.
- Outpatient Clinics: Here, you’ll care for patients who don’t need overnight stays, handling tasks like minor surgeries, routine check-ups, and follow-up visits.
- Nursing Homes: You’ll be providing long-term care for elderly patients dealing with chronic conditions or disabilities.
- Home Healthcare: Some RNs offer in-home care, which includes administering medications, wound care, and monitoring chronic health issues.
- Specialised Care Centers: These centres focus on mental health, rehabilitation, and pediatric care, allowing you to provide focused care for patients with specific needs.
Comparative Analysis of Nurse Salaries: USA vs Other Countries
The nurse salary in the USA tends to be higher compared to other countries, reflecting both demand and living costs. This section offers a quick comparison of nurse salaries globally, helping to show where the USA stands in compensating its nursing professionals.
Here is a quick overview of nurse salary in the USA vs other countries.
| Country | Average Annual Salary |
| USA | INR 95.6L ($114K) |
| UK | INR 38.7L (£35K) |
| Canada | INR 53.7L (C$87K) |
| Australia | INR 49.1L (AUD 87K) |
Nursing Jobs in the USA Salary Compared To Other Similar Professions
When comparing nurse salary in the USA to similar healthcare professions, nurses often earn competitive wages. This section highlights how nursing salaries compare to other roles in the industry.
Here is a quick overview of nurse salary compared to other similar professions in the USA.
| Job Role | Average Annual Salary |
| Cardiac Technician | INR 55.5L ($66.3K) |
| Audiologist | INR 73.4L ($87.7K) |
| Paramedic | INR 58.6L ($70K) |
| Advanced Nutrition Aide | INR 40L ($48K) |
| Allergist | INR 52.7L ($63K) |
Conclusion
The growing demand for healthcare professionals promises stable job opportunities. Understanding the nuances of nurse salaries in the USA can help you plan your career path more effectively in this ever-growing field.
Registered nurses in the US enjoy competitive salaries and varying pay based on specialisation, education, and location. States like California offer the highest salaries, while South Dakota ranks lower. Dreaming of studying abroad and advancing your nursing career? With Leap Scholar, get personalised counselling and make your journey to learning in the USA smoother and stress-free. Book a free counselling today and turn your study abroad dreams into reality!
Frequently Asked Questions
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Q. What is the registered nurse salary in the US?
A. The registered nurse salary in the US averages around $114K (INR 95.6L) annually. However, this can vary by state, experience, and specialisation. For instance, nurses in states like California and New York tend to earn higher salaries due to the demand for healthcare and the higher cost of living in these areas.
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Q. Which state has the highest nurse salary in the USA?
A. California offers the highest salaries for registered nurses in the USA, with an average annual income of INR 1.12Cr ($134K). This is due to the state’s high demand for healthcare professionals and the elevated cost of living. California’s nurses benefit from high pay and numerous opportunities, especially in cities like San Francisco and Los Angeles.
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Q. How does experience affect nurse salary in the USA?
A. Experience significantly impacts nurse salaries in the USA. Nurses with less than 2 years of experience typically earn around INR 38.5L ($46K) per year, while those with 5 to 10 years can make approximately INR 65.4L ($78K). Experienced nurses with over 10 years in the field may earn salaries upward of INR 1.02Cr ($122K), reflecting the value of their skills and knowledge.
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Q. What is the US nurse salary in Indian rupees?
A. The US nurse salary in Indian rupees can range from INR 56.19L to INR 1.12Cr per year, depending on factors like state, experience, and specialisation. Nurses working in higher-paying states like California earn salaries closer to INR 1.12Cr annually, while those in states with lower living costs may earn closer to INR 56L.
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Q. What is the nurse anaesthetist salary in the USA?
A. The nurse anaesthetist salary in the USA is among the highest in the nursing field, with an average annual income of around INR 1.77Cr ($212K). Nurse anaesthetists are highly specialised and play a critical role in patient care, accounting for significantly higher pay than general registered nurses.
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Q. What is the monthly cost of living for nurses in the USA?
A. The cost of living for nurses in the USA varies greatly depending on the state. It’s around INR 98K ($1,171) per month. States like California, New York, and Hawaii have higher monthly costs, sometimes exceeding INR 1.67L ($2K). States like South Dakota and Mississippi offer much lower costs, allowing nurses to stretch their salaries further.
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Q. How many registered nurses are there in the USA?
A. Approximately 4.7 million registered nurses (RNs) work in the USA. This is about four times the number of practising physicians, highlighting nurses’ vital role in healthcare delivery. The growing demand for healthcare services in the USA means that the number of RNs is expected to continue rising, offering more opportunities in the field.
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Q. What qualifications do you need to work as a nurse in the USA?
A. To work as a nurse in the USA, you must complete an accredited nursing program (Associate Degree in Nursing or Bachelor of Science in Nursing) and pass the NCLEX-RN exam. Foreign-educated nurses must also complete the Foreign-Educated Nurses (FEN) course and meet visa requirements. Meeting these qualifications ensures you’re ready to practice nursing in the US healthcare system.
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Q. What is the average salary for a pediatric nurse in the USA?
A. Pediatric nurses in the USA earn an average of INR 6L ($7.2K) monthly. They specialise in caring for infants, children, and adolescents and often work in hospitals, clinics, and specialised pediatric healthcare settings. The salary can vary depending on location, experience, and the specific healthcare facility.
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Q. What is the nurse salary in the USA per month?
A. The nurse salary in the USA per month averages around INR 8L ($9.5K). This can range from INR 5L ($6K) to INR 9.2L ($11K), depending on location, experience, and qualifications. Nurses in specialised fields or states with a higher cost of living tend to earn more every month.
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Q. What is the average salary for a nurse in the USA?
A. The average salary for a nurse in the USA is approximately INR 95.6L ($114K) per year. Salaries can fluctuate depending on the state you work in, your years of experience, and any specialisations you may have. California, for example, offers some of the highest nurse salaries in the country.
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