Intro
As a registered nurse (RN), your salary can vary significantly depending on several factors. With the increasing demand for healthcare services, RNs are in high demand, and their salaries are expected to continue growing. However, understanding the factors that affect your pay can help you navigate the job market and negotiate a fair salary. In this article, we'll explore the five key factors that impact RN nurse salaries.

Factor 1: Location, Location, Location
Where you work as an RN can significantly impact your salary. Cities with a high cost of living, such as San Francisco or New York, tend to offer higher salaries to compensate for the increased living expenses. On the other hand, rural areas or cities with a lower cost of living may offer lower salaries.
According to the Bureau of Labor Statistics (BLS), the top five states with the highest average RN salaries in May 2020 were:
- California: $113,240
- Hawaii: $104,830
- Massachusetts: $96,630
- Alaska: $95,910
- Oregon: $94,690
Conversely, the states with the lowest average RN salaries were:
- South Dakota: $62,440
- Alabama: $63,620
- Mississippi: $64,490
- Arkansas: $65,110
- West Virginia: $65,310
Regional Variations
Even within states, salaries can vary significantly depending on the region. For example, RNs working in urban areas tend to earn higher salaries than those working in rural areas.

Factor 2: Level of Experience
As with any profession, experience plays a significant role in determining RN salaries. More experienced RNs tend to earn higher salaries, as they bring valuable skills and knowledge to their employers.
According to the BLS, RNs with more experience tend to earn higher salaries:
- 0-2 years of experience: $65,000 - $75,000 per year
- 2-5 years of experience: $70,000 - $85,000 per year
- 5-10 years of experience: $80,000 - $100,000 per year
- 10-20 years of experience: $90,000 - $120,000 per year
- 20+ years of experience: $100,000 - $140,000 per year
Specialized Experience
RNs with specialized experience, such as critical care or pediatrics, may also earn higher salaries due to their advanced skills and knowledge.

Factor 3: Education and Certifications
The level of education and certifications an RN holds can also impact their salary. RNs with advanced degrees, such as a Master's or Doctoral degree, tend to earn higher salaries.
According to the BLS, RNs with advanced degrees tend to earn higher salaries:
- Associate's degree: $65,000 - $80,000 per year
- Bachelor's degree: $70,000 - $90,000 per year
- Master's degree: $80,000 - $110,000 per year
- Doctoral degree: $90,000 - $130,000 per year
Certifications
RNs with specialized certifications, such as CCRN or PCCN, may also earn higher salaries due to their advanced skills and knowledge.

Factor 4: Employer and Industry
The type of employer and industry an RN works in can also impact their salary. For example, RNs working in hospitals tend to earn higher salaries than those working in long-term care facilities.
According to the BLS, RNs working in the following industries tend to earn higher salaries:
- Hospitals: $80,000 - $110,000 per year
- Outpatient care centers: $75,000 - $100,000 per year
- Physician offices: $70,000 - $90,000 per year
- Nursing and residential care facilities: $65,000 - $80,000 per year
Government and Non-Profit
RNs working in government or non-profit organizations may earn lower salaries, but may also receive additional benefits, such as job security and loan forgiveness programs.

Factor 5: Shift Differentials and Overtime
Finally, shift differentials and overtime pay can also impact an RN's salary. RNs working night shifts, weekends, or holidays may receive additional pay, while those working overtime may earn higher hourly rates.
According to the BLS, RNs working night shifts tend to earn an additional 10-20% on top of their base salary, while those working overtime may earn an additional 50-100% on top of their base salary.
Benefits and Perks
In addition to salary, RNs may also receive benefits and perks, such as health insurance, retirement plans, and paid time off.

What is the average salary for an RN in the United States?
+According to the Bureau of Labor Statistics, the average salary for an RN in the United States is $76,840 per year.
What factors can impact an RN's salary?
+Location, level of experience, education and certifications, employer and industry, and shift differentials and overtime can all impact an RN's salary.
Can RNs earn higher salaries with specialized certifications?
+Yes, RNs with specialized certifications, such as CCRN or PCCN, may earn higher salaries due to their advanced skills and knowledge.
As an RN, understanding the factors that impact your salary can help you navigate the job market and negotiate a fair salary. Remember to consider location, level of experience, education and certifications, employer and industry, and shift differentials and overtime when evaluating salary offers. By doing so, you can ensure that you're earning a competitive salary and living a fulfilling career as an RN.