Highest-Paying U.S. Metro Areas for Registered Nurses 2026: Top 100 by Median Annual Wage
Highest-Paying U.S. Metro Areas for Registered Nurses: 2026 Snapshot
San Jose-Sunnyvale-Santa Clara, California, ranks first for registered-nurse pay in this ranking, with a BLS OEWS median annual wage of $216,740. Vallejo ranks second at $203,290, and San Francisco-Oakland-Fremont ranks third at $186,610.
The metric is the annual median wage for Registered Nurses (SOC 29-1141). This is a 2026 research snapshot based on the latest available May 2025 Occupational Employment and Wage Statistics, released by the U.S. Bureau of Labor Statistics on May 15, 2026. It is not a 2026 wage forecast.
Coverage: 100 confirmed U.S. metropolitan areas. Unit: nominal U.S. dollars per year. Direction: higher median annual wage ranks higher. Status counts: 100 official_value; 0 calculated_value; 0 official_forecast; 0 modeled_projection.
San Jose-Sunnyvale-Santa Clara, CA.
Flint, MI, at rank 100.
Exactly 100 confirmed U.S. metropolitan areas are ranked.
BLS OEWS annual median wage; nominal U.S. dollars per year.
100 official_value; no calculated values, forecasts or modeled projections.
BLS national median annual wage, May 2025.
Overview: where registered nurses earn the highest median pay
This ranking compares metro-area pay for Registered Nurses under SOC 29-1141 using one consistent BLS measure: annual median wage. The median is the wage at which half of workers in the occupation earn more and half earn less. Using the median keeps the ranking focused on the middle of each local RN wage distribution rather than on a small number of unusually high earners.
The geographic pattern is striking. California occupies 23 of the first 30 positions, while Oregon, Washington and Hawaii also appear repeatedly near the top. The first non-Western metro is New York-Newark-Jersey City at rank 32 with a median of $119,720.
These are nominal wages, not cost-of-living-adjusted salaries. A higher rank does not necessarily mean greater purchasing power, better working conditions, more RN jobs, faster hiring, lower taxes or a higher quality of life.
National benchmark: BLS reports a U.S. median annual wage of $97,550 for registered nurses in May 2025. Every metro in this Top 100 ranks at or above $97,780.
Top 10 highest-paying metro areas for registered nurses
The top of the ranking is dominated by California. Eight of the first ten metros are in California, while Hawaii holds two positions. The wage gap remains large even within the Top 10: the leader is $77,480 above the tenth-ranked metro.
Top 10 by annual median wage, BLS OEWS May 2025
| Rank | Metro area | Median annual wage | Region / note |
|---|---|---|---|
| 1 | San Jose-Sunnyvale-Santa Clara, CA | $216,740 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 2 | Vallejo, CA | $203,290 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 3 | San Francisco-Oakland-Fremont, CA | $186,610 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 4 | Santa Rosa-Petaluma, CA | $174,550 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 5 | Sacramento-Roseville-Folsom, CA | $171,460 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 6 | Santa Cruz-Watsonville, CA | $170,960 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 7 | Yuba City, CA | $149,320 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 8 | Kahului-Wailuku, HI | $144,350 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 9 | San Diego-Chula Vista-Carlsbad, CA | $139,520 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 10 | Urban Honolulu, HI | $139,260 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
Ranks use the raw published annual median wage in descending order. Dollar values are shown to the nearest dollar as published in the source data.
Chart: Top 20 metro areas by RN median annual wage
The Top 20 chart uses the same raw median wage values as the ranking table. The bars are scaled to San Jose-Sunnyvale-Santa Clara, the $216,740 leader.
Methodology
The ranking uses the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics dataset for Registered Nurses, SOC 29-1141. The reference period is May 2025. The ranking metric is the BLS-published annual median wage. Higher raw wage values rank higher. The page is a 2026 publication snapshot of May 2025 official estimates, not a 2026 wage forecast.
Metric, unit and direction
Metric: annual median wage for Registered Nurses. Unit: nominal U.S. dollars per year. Direction: descending, so a higher published median annual wage receives a higher rank.
Data status
All 100 rows are official_value. Each ranked wage is directly published by BLS OEWS. There are 0 calculated_value rows, 0 official_forecast rows and 0 modeled_projection rows.
Coverage and exclusions
The table contains exactly the 100 highest confirmed metropolitan-area annual median wages in the ranked dataset. State, national and nonmetropolitan estimates are excluded. Missing, suppressed or unpublished metro medians are not imputed and are not assigned synthetic values.
Rank and tie handling
Ranks are assigned from the raw published annual median wage, not from a rounded or reformatted value. Where two metros have the same published median, alphabetical metro name is used only as a deterministic display tie-break.
Source hierarchy and conflicts
This is a single-source official dataset. BLS OEWS is the authoritative source for ranked values, occupation code and reference period. Secondary sources are not used to fill, average, revise or override BLS values. If a secondary source conflicts with BLS, the BLS value controls.
Calculated and projected values
No calculated values or projections are used. Calculation inputs, calculation formulas, base-year projection formulas, growth assumptions and modeled projection methods are therefore not applicable to this ranking.
Rounding and display
Annual median wages are displayed to the nearest dollar as published by BLS. No additional rounding is applied before ranking. Chart bar widths are presentation-only ratios derived from the same raw table values and do not create new wage estimates.
Region filter
The West, Northeast, Midwest and South labels are display filters, not BLS wage fields. Multi-state metros are assigned to the broad region of the first state or district shown in the BLS metro name. Region labels do not affect rank.
What BLS wages include
OEWS wages are straight-time gross pay. BLS includes items such as base pay, cost-of-living allowances, guaranteed pay, hazard pay, incentive pay and tips, while excluding overtime, severance pay, shift differentials, nonproduction bonuses and employer supplementary benefits.
Survey and area definitions
The May 2025 OEWS estimates combine six semiannual survey panels over a three-year period and use BLS model-based estimation. They are survey estimates rather than payroll records for every nurse. May 2025 area estimates use OMB Bulletin 23-01 metropolitan definitions.
What this metric does not measure: cost of living, purchasing power, after-tax income, overtime earnings, shift premiums, total compensation, benefits, RN specialty, experience, education, employer type, union status, staffing ratios, vacancies, employment growth or job quality. A higher nominal wage rank should not be interpreted as a complete measure of financial well-being or employment conditions.
Main ranking: Top 100 U.S. metro areas for registered nurse pay
Search a metro, filter by broad U.S. region or data status, sort the published wage values, or switch between the Top 10, Top 20 and all 100 confirmed entries.
Top 100 metro areas by annual median wage for Registered Nurses, May 2025
| Rank | Metro area | Median annual wage | Region / note |
|---|---|---|---|
| 1 | San Jose-Sunnyvale-Santa Clara, CA | $216,740 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 2 | Vallejo, CA | $203,290 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 3 | San Francisco-Oakland-Fremont, CA | $186,610 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 4 | Santa Rosa-Petaluma, CA | $174,550 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 5 | Sacramento-Roseville-Folsom, CA | $171,460 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 6 | Santa Cruz-Watsonville, CA | $170,960 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 7 | Yuba City, CA | $149,320 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 8 | Kahului-Wailuku, HI | $144,350 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 9 | San Diego-Chula Vista-Carlsbad, CA | $139,520 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 10 | Urban Honolulu, HI | $139,260 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 11 | San Luis Obispo-Paso Robles, CA | $138,820 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 12 | Santa Maria-Santa Barbara, CA | $137,360 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 13 | Los Angeles-Long Beach-Anaheim, CA | $135,560 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 14 | Bend, OR | $135,010 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 15 | Salinas, CA | $134,910 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 16 | Stockton-Lodi, CA | $134,580 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 17 | Redding, CA | $134,350 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 18 | Riverside-San Bernardino-Ontario, CA | $133,940 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 19 | Modesto, CA | $132,590 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 20 | Salem, OR | $131,750 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 21 | Merced, CA | $131,620 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 22 | Oxnard-Thousand Oaks-Ventura, CA | $131,160 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 23 | Portland-Vancouver-Hillsboro, OR-WA | $130,310 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 24 | Bakersfield-Delano, CA | $128,810 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 25 | Seattle-Tacoma-Bellevue, WA | $128,260 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 26 | Hanford-Corcoran, CA | $128,160 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 27 | Chico, CA | $127,360 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 28 | Medford, OR | $127,030 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 29 | Fresno, CA | $125,420 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 30 | Visalia, CA | $125,180 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 31 | Olympia-Lacey-Tumwater, WA | $125,020 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 32 | New York-Newark-Jersey City, NY-NJ | $119,720 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 33 | Walla Walla, WA | $116,970 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 34 | Anchorage, AK | $115,290 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 35 | Eugene-Springfield, OR | $113,720 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 36 | Wenatchee-East Wenatchee, WA | $112,280 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 37 | Albany, OR | $111,920 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 38 | Spokane-Spokane Valley, WA | $111,750 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 39 | Reno, NV | $107,520 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 40 | Bremerton-Silverdale-Port Orchard, WA | $107,220 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 41 | Mount Vernon-Anacortes, WA | $106,730 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 42 | Grants Pass, OR | $106,710 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 43 | Kennewick-Richland, WA | $106,410 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 44 | Boston-Cambridge-Newton, MA-NH | $106,180 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 45 | Bridgeport-Stamford-Danbury, CT | $105,660 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 46 | St. Cloud, MN | $105,290 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 47 | Prescott Valley-Prescott, AZ | $104,980 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 48 | Pittsfield, MA | $104,950 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 49 | New Haven, CT | $104,490 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 50 | Glens Falls, NY | $104,000 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 51 | Las Vegas-Henderson-North Las Vegas, NV | $103,940 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 52 | Ann Arbor, MI | $103,450 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 53 | El Centro, CA | $103,450 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 54 | Mankato, MN | $103,400 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 55 | Barnstable Town, MA | $103,380 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 56 | Vineland, NJ | $103,380 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 57 | Boulder, CO | $103,290 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 58 | Minneapolis-St. Paul-Bloomington, MN-WI | $103,040 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 59 | Yakima, WA | $102,950 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 60 | Kiryas Joel-Poughkeepsie-Newburgh, NY | $102,890 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 61 | Washington-Arlington-Alexandria, DC-VA-MD-WV | $102,710 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 62 | Binghamton, NY | $101,720 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 63 | Waterbury-Shelton, CT | $101,690 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 64 | Rochester, MN | $101,660 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 65 | Hartford-West Hartford-East Hartford, CT | $101,470 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 66 | Allentown-Bethlehem-Easton, PA-NJ | $101,440 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 67 | Dallas-Fort Worth-Arlington, TX | $101,420 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 68 | Carson City, NV | $101,370 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 69 | Norwich-New London-Willimantic, CT | $101,330 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 70 | Amherst Town-Northampton, MA | $101,270 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 71 | Madison, WI | $101,190 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 72 | Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | $101,180 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 73 | Denver-Aurora-Centennial, CO | $101,130 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 74 | Kingston, NY | $101,030 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 75 | Phoenix-Mesa-Chandler, AZ | $100,830 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 76 | Santa Fe, NM | $100,790 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 77 | Flagstaff, AZ | $100,780 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 78 | Atlanta-Sandy Springs-Roswell, GA | $100,490 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 79 | Chicago-Naperville-Elgin, IL-IN | $100,490 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 80 | Ithaca, NY | $100,320 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 81 | Worcester, MA | $100,240 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 82 | Trenton-Princeton, NJ | $99,990 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 83 | Albany-Schenectady-Troy, NY | $99,970 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 84 | Providence-Warwick, RI-MA | $99,880 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 85 | Houston-Pasadena-The Woodlands, TX | $99,830 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 86 | Baltimore-Columbia-Towson, MD | $99,550 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 87 | Atlantic City-Hammonton, NJ | $99,320 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 88 | Charlottesville, VA | $99,320 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 89 | Bozeman, MT | $99,310 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 90 | Buffalo-Cheektowaga, NY | $99,060 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 91 | Coeur d'Alene, ID | $98,910 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 92 | Helena, MT | $98,690 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 93 | Manchester-Nashua, NH | $98,600 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 94 | Reading, PA | $98,470 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 95 | Springfield, MA | $98,410 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 96 | La Crosse-Onalaska, WI-MN | $98,370 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 97 | Burlington-South Burlington, VT | $98,330 | Northeast; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 98 | Austin-Round Rock-San Marcos, TX | $97,890 | South; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 99 | Boise City, ID | $97,880 | West; BLS OEWS May 2025; official_value; SOC 29-1141. |
| 100 | Flint, MI | $97,780 | Midwest; BLS OEWS May 2025; official_value; SOC 29-1141. |
Source for every row: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. Occupation: Registered Nurses, SOC 29-1141. All 100 rows are official_value.
Insights from the Top 100
Key Insight
San Jose-Sunnyvale-Santa Clara leads at $216,740, followed by Vallejo at $203,290 and San Francisco-Oakland-Fremont at $186,610.
Notable Pattern
California holds 23 of the first 30 positions. The state's representation is concentrated most heavily at the very top of the ranking.
Regional Concentration
Using the page's broad-region display rule, the West accounts for 56 of the Top 100 metros, the Northeast 28, the Midwest 9 and the South 7.
Top-100 Boundary
Ranks 98 through 100 are Austin at $97,890, Boise City at $97,880 and Flint at $97,780, all close to the national RN median of $97,550.
What this ranking means
Use the ranking as a location-level benchmark for the middle of the RN wage distribution. It can show where nominal registered-nurse pay is highest, but it cannot tell an individual nurse exactly what an offer should be. Specialty, experience, employer, shift, credentials and local labor conditions can move actual pay substantially.
The most important interpretation risk is treating nominal wage as purchasing power. Several of the highest-paying metros are also expensive housing and consumer markets. A lower-ranked metro can therefore leave a nurse with similar or greater disposable income after housing, taxes and other local costs.
Status also matters: every ranked wage is an official BLS OEWS estimate for May 2025. The 2026 label describes the publication snapshot, not a projected 2026 salary.
Download the Highest-Paying U.S. Metro Areas for Registered Nurses 2026: Top 100 by Median Annual Wage dataset
Highest-Paying U.S. Metro Areas for Registered Nurses 2026: Top 100 by Median Annual Wage
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Download Excel + CSV Data PackFAQ
What is the highest-paying U.S. metro area for registered nurses?
San Jose-Sunnyvale-Santa Clara, California, ranks first in this May 2025 BLS OEWS ranking with an annual median wage of $216,740 for Registered Nurses.
Are these 2026 RN salaries?
No. This is a 2026 snapshot using the latest available May 2025 BLS OEWS estimates, released May 15, 2026. No 2026 wage projection is used.
Does the ranking use average or median pay?
It uses annual median wage. The median is the point at which half of workers in the occupation earn more and half earn less.
Are these official published values?
Yes. All 100 ranked wages are official_value because they are BLS OEWS published metro-area annual median wage estimates for Registered Nurses, SOC 29-1141. The page only sorts and presents those published estimates.
Are any salaries calculated or projected?
No. There are no calculated_value, official_forecast or modeled_projection rows. No growth rate, forecast formula, extrapolation or synthetic 2026 salary is used.
Are the wages adjusted for cost of living?
No. The values are nominal annual wages and are not adjusted for regional price differences, housing costs, taxes or purchasing power.
Does BLS wage data include overtime and shift differentials?
OEWS wages are straight-time gross pay and exclude overtime pay and shift differentials. Employer supplementary benefits are also excluded.
Why might a metro be absent from the Top 100?
The ranking includes only the 100 highest confirmed metro medians in the source dataset. Lower-ranked areas are outside the cutoff, while missing, suppressed or unpublished estimates are not imputed.
What is the national median salary for registered nurses?
The BLS Occupational Outlook Handbook reports a national median annual wage of $97,550 for registered nurses in May 2025.
Sources
BLS OEWS Tables — May 2025
Primary official download and table hub for May 2025 Occupational Employment and Wage Statistics.
BLS Metropolitan and Nonmetropolitan Area Estimates
Official directory for May 2025 area-level occupational employment and wage estimates.
BLS Technical Notes for May 2025 OEWS
Methodology, survey scope, wage definition, area definitions, exclusions and estimation procedures.
BLS May 2025 Occupation Profiles
Official SOC structure confirming Registered Nurses as occupation 29-1141.
BLS OEWS Data Type Mapping
Official BLS time-series mapping confirming data type 13 as annual median wage.
BLS Occupational Outlook Handbook — Registered Nurses
National RN median wage benchmark and definition of the median wage.
