Salaries

Nurse Specialty Salaries

What every major nursing specialty pays in 2024 — APRN, RN, and LPN roles compared with national medians, typical ranges, and pay drivers.

How to read these numbers

Medians are national. Local markets, employer type, shift differentials, and certifications move the actual offer up or down. Use the median as a baseline, then layer in your geography.

Specialty salary table

  • Certified Registered Nurse Anesthetist (CRNA) — median $212,650 ($170k–$260k+). Highest-paid nursing role. DNP or MSN + CRNA certification.
  • Nurse Practitioner (NP) — median $126,260 ($95k–$165k). Pay varies by specialty (psych and acute care top the list).
  • Certified Nurse-Midwife (CNM) — median $120,880 ($95k–$155k). L&D and primary GYN. State scope variation.
  • Clinical Nurse Specialist (CNS) — median $115,000 ($90k–$150k). Expert practice + system-level quality work.
  • Pain Management Nurse — median $110,000 ($85k–$140k). Often APRN-led; procedural and chronic pain.
  • Informatics Nurse — median $102,000 ($80k–$135k). EHR optimization, clinical analytics.
  • ICU / Critical Care RN — median $95,000 ($78k–$130k). CCRN-certified earns a premium.
  • ER / Trauma RN — median $92,000 ($75k–$125k). CEN and TNCC certifications add value.
  • OR / Perioperative RN — median $90,000 ($72k–$120k). Call pay and CNOR add to base.
  • Cardiac Cath Lab RN — median $92,000 ($75k–$125k). Procedural and call pay premium.
  • Oncology RN — median $88,000 ($72k–$115k). OCN certification and chemo/biotherapy add-on.
  • Neonatal ICU (NICU) RN — median $90,000 ($72k–$120k). Level III/IV centers pay highest.
  • L&D RN — median $87,000 ($72k–$115k). RNC-OB certification preferred.
  • Psychiatric / Mental Health RN — median $83,000 ($68k–$110k). PMH-BC certification; high demand.
  • Home Health RN — median $78,000 ($65k–$100k). OASIS expertise and case management.
  • Travel RN — median $110,000 ($85k–$170k). Total comp with stipends; varies by contract.
  • School Nurse — median $60,000 ($48k–$80k). Often 10-month contract.
  • LPN / LVN — median $59,730 ($45k–$78k). Long-term care and home health top settings.

Five factors that move pay

  • Credential level (APRN > RN > LPN)
  • Geography (West Coast and Northeast pay highest)
  • Setting (hospital and surgery center > LTC and school)
  • Shift differential and call pay
  • Specialty certification
FAQ

Frequently asked questions

What is the average nurse specialty salary?

RN medians cluster around $86k nationally per BLS, but specialty roles range from ~$60k (school nursing) to $212k+ (CRNA). The specialty and credential matter more than years of experience alone.

Do LPN specialties exist?

Yes. LPNs specialize in long-term care, home health, dialysis, hospice, and pediatrics. Pay varies by setting more than specialty title.

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.