Becker's Clinical Quality & Infection Control

CLIC_May_June 2026

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20 PATIENT & CAREGIVER EXPERIENCE RN pay by state, adjusted for cost of living By Kelly Gooch C alifornia has the highest hourly mean wage for registered nurses in the U.S., while Oregon has the highest hourly mean wage for RNs when adjusted for cost of living, according to data released May 15 by the Bureau of Labor Statistics. Below are the mean annual and hourly wages for registered nurses in all 50 states and Washington, D.C., based on May 2025 salary data published by the bureau. Becker's also calculated mean hourly wages adjusted for each state's cost of living using 2025 cost-of-living index data from World Population Review. Nationally, registered nurses — the largest healthcare practitioners and technical occupation in the U.S. workforce — earned an annual mean wage of $101,420, according to the BLS. Annual mean wages ranged from $77,020 in Alabama to $150,280 in California. Most registered nurses were employed in general medical and surgical hospitals, which accounted for 56% of RN employment nationwide, or about 1.9 million jobs. Aer hospitals, the industries employing the most registered nurses were physicians' offices and home healthcare services. n State Annual wage Hourly wage Cost of living index (2025) RN hourly mean wage, adjusted by cost of living Alabama $77,020 $37.03 88.6 $41.79 Alaska $114,870 $55.23 124.9 $44.22 Arizona $99,730 $47.95 110.7 $43.32 Arkansas $81,520 $39.19 89.6 $43.74 California $150,280 $72.25 142.3 $50.77 Colorado $99,370 $47.78 102.7 $46.52 Connecticut $105,250 $50.60 112.7 $44.90 Delaware $99,460 $47.82 101.9 $46.93 District of Columbia $106,980 $51.43 138.8 $37.05 Florida $90,650 $43.58 102.2 $42.64 Georgia $95,080 $45.71 92.5 $49.42 Hawaii $124,340 $59.78 185 $32.31 Idaho $92,710 $44.57 99.9 $44.61 Illinois $94,360 $45.36 94.7 $47.90 Indiana $89,150 $42.86 91 $47.10 Iowa $80,540 $38.72 89.7 $43.17 Kansas $82,360 $39.60 88.8 $44.59 Kentucky $86,140 $41.41 92.5 $44.77 Louisiana $84,190 $40.48 92.3 $43.86 Maine $91,700 $44.09 113 $39.02 Maryland $99,010 $47.60 115.4 $41.25 Massachusetts $117,960 $56.71 141.2 $40.16 Michigan $94,300 $45.34 90.1 $50.32 Minnesota $103,420 $49.72 94.6 $52.56 Mississippi $78,950 $37.96 87.3 $43.48 Missouri $85,900 $41.30 89 $46.40 Montana $91,510 $43.99 95.5 $46.06 Nebraska $88,330 $42.47 92.6 $45.86 Nevada $105,710 $50.82 100.2 $50.72 New Hampshire $97,900 $47.07 111.4 $42.25 New Jersey $110,100 $52.93 115.1 $45.99 New Mexico $95,290 $45.81 93.7 $48.89

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