RN Pay in 27 Industries, Ranked: Where Registered Nurses Earn the Most and Least (BLS May 2025)

By NurseCompensation Research Team · 2026-10-19 · 7 min read

RN Pay in 27 Industries, Ranked: Where Registered Nurses Earn the Most and Least (BLS May 2025)

Federal agencies pay RNs a median of $121,260. K-12 schools pay $69,340. General hospitals, which employ 56% of all RNs, pay $100,210. The full BLS breakdown by industry and by public vs. private employer.

Where a nurse works affects pay as much as where a nurse lives. The Bureau of Labor Statistics publishes RN wages for every industry that employs them in meaningful numbers. Below are all 27 detailed industries with at least 3,000 RNs, from the May 2025 survey.

RN pay by industry

RankIndustryRNs employedMedian10th pct90th pct
1Federal government (executive branch)101,050$121,260$94,410$174,640
2Specialty hospitals (except psychiatric)73,710$102,840$80,430$137,660
3Colleges, universities, professional schools25,920$102,580$70,990$163,890
4General medical and surgical hospitals1,902,960$100,210$76,270$138,990
5Management of companies (corporate offices)22,900$100,010$75,430$137,430
6Outpatient care centers173,380$99,350$73,770$177,360
7Scientific research and development3,360$97,440$65,750$173,530
8Psychiatric and substance abuse hospitals43,560$97,060$76,790$137,740
9Health and personal care retailers3,950$95,560$67,210$125,140
10State government (excl. schools, hospitals)32,750$94,100$68,780$138,660
11Management and technical consulting6,880$93,150$62,400$131,090
12Insurance carriers42,180$92,670$78,190$108,790
13Employment services (staffing agencies)102,110$90,840$47,740$151,530
14Office administrative services7,970$90,330$63,220$127,900
15Local government (excl. schools, hospitals)35,850$85,730$62,600$133,830
16Skilled nursing facilities142,270$85,510$72,960$107,940
17Offices of physicians232,420$85,000$61,330$125,740
18Home health care services198,180$84,930$66,350$126,090
19Insurance agencies and brokerages12,150$84,800$67,170$103,570
20Offices of other health practitioners21,350$84,500$59,070$136,210
21Other ambulatory health care20,500$84,300$59,160$124,290
22Other residential care facilities3,300$84,240$59,920$128,750
23Residential mental health and disability facilities20,550$83,010$61,260$108,650
24Continuing care and assisted living32,710$82,520$63,090$106,800
25Individual and family services24,410$81,240$56,160$113,760
26Personal care services3,670$73,940$53,710$104,250
27Elementary and secondary schools67,120$69,340$48,010$103,310

The national RN median across all industries is $97,550.

What the ranking shows

Hospitals set the market

General medical and surgical hospitals employ 1.9 million RNs, 56% of the national total. Their median ($100,210) sits just above the overall RN median, and almost every other setting is measured against it. Only three industries on this list pay a higher median, and together they employ about 200,700 RNs.

Federal jobs lead by a wide margin

The federal executive branch pays a median of $121,260, about $21,000 above hospitals. This category includes Department of Veterans Affairs medical centers. The federal 10th percentile ($94,410) is close to the national median for all RNs, which means the federal pay floor is unusually high.

The non-hospital jobs nurses often move to pay about $15,000 less

Physician offices, home health, and skilled nursing facilities employ a combined 572,870 RNs. All three have medians between $84,900 and $85,600, about $15,000 below general hospitals. These are often the jobs nurses take for regular daytime hours or less physical strain, and the data puts a price on that tradeoff.

Wide ranges point to mixed jobs

Two industries have unusually wide pay ranges:

  • Staffing agencies: a 10th percentile of $47,740 and a 90th of $151,530. This category mixes per diem, travel, and part-time placements, so the median says little about any one arrangement.
  • Outpatient care centers: a 90th percentile of $177,360, the highest on the list. The category includes ambulatory surgery and specialty clinics, which can pay much more than general outpatient work.

Schools pay the least

Elementary and secondary schools have the lowest median of any industry with at least 3,000 RNs: $69,340, about $28,000 below the overall RN median. School nurses often work a school-year calendar. BLS calculates annual RN pay as the hourly rate times 2,080 hours, so these figures do not reflect a shorter work year.

Public vs. private employers

BLS also splits some industries by who owns the employer.

Hospitals

Hospital ownershipRNs employedMedianMean
State government108,180$104,170$116,390
Private1,730,350$100,240$104,040
Local government181,690$97,640$100,920

State-run hospitals, many of them university medical centers, pay the highest median. County and city hospitals pay the lowest of the three. The gap between them is $6,530.

Educational services

OwnershipRNs employedMedian
State government (mainly public universities)16,350$100,530
Private16,850$88,810
Local government (mainly public K-12 districts)62,050$69,690

Most school nurses work for local districts, and that is where pay is lowest.

What the data includes

These figures are base wages. They exclude overtime, shift differentials, on-call pay, and bonuses, which are more common in hospitals than in offices or schools. As a result, the real gap between hospital and non-hospital pay may be larger than shown here. The industry labels follow the North American Industry Classification System, which BLS uses for all of its industry data.


Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, national industry-specific estimates (4-digit NAICS) and national estimates by ownership (3-digit NAICS), SOC 29-1141 Registered Nurses. Industries shown are all 4-digit industries with at least 3,000 RNs. Differences and shares calculated by NurseCompensation from the published BLS figures.