Best-Paid

Best-Paid Nursing Specialties

The best-paid nursing specialties in 2024, ranked by national median salary with notes on what makes each role lucrative.

Top-paying nursing roles

  • Certified Registered Nurse Anesthetist (CRNA) (APRN) — median $212,650, typical range $170k–$260k+.
  • Nurse Practitioner (NP) (APRN) — median $126,260, typical range $95k–$165k.
  • Certified Nurse-Midwife (CNM) (APRN) — median $120,880, typical range $95k–$155k.
  • Clinical Nurse Specialist (CNS) (APRN) — median $115,000, typical range $90k–$150k.
  • Pain Management Nurse (RN/APRN) — median $110,000, typical range $85k–$140k.
  • Informatics Nurse (RN/BSN) — median $102,000, typical range $80k–$135k.
  • ICU / Critical Care RN (RN) — median $95,000, typical range $78k–$130k.
  • ER / Trauma RN (RN) — median $92,000, typical range $75k–$125k.

What makes a specialty 'best-paid'

Base salary is only part of the picture. The best-paid roles combine a strong base with call pay, shift differentials, productivity bonuses, and procedural premiums — and they're often in settings with the steepest credentialing requirements.

Choosing for total comp, not headline pay

  • Compare base + differentials + bonus, not just base
  • Account for cost of living in your market
  • Weigh benefits (loan repayment, CME, retirement match)
  • Consider call burden and on-call weeks per year
FAQ

Frequently asked questions

What's the best-paid nursing specialty overall?

Certified Registered Nurse Anesthetist (CRNA) — median $212k+ nationally, with senior CRNAs in metro markets earning over $260k.

Are APRN roles always better paid than RN roles?

On average, yes — but a senior travel ICU RN in California can out-earn a starting NP in a rural primary-care clinic. Geography, specialty, and employer all interact.

What drives nurse pay the most?

Credential (APRN > RN > LPN), specialty (procedural and critical-care top the list), geography (CA, HI, MA, OR pay highest), employer type (hospitals and outpatient surgery centers pay more than schools or LTC), shift differentials, and certifications.

Where do these numbers come from?

Medians are from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) plus specialty board and industry compensation surveys. Local pay can vary 20–40% above or below the national median.