Registered Nurses play a critical role in the healthcare system, with a national median wage of $97,550 according to BLS data. This figure represents the midpoint of the profession, meaning half of the 3,379,720 registered nurses in the United States earn more, and half earn less. Because this is a national median, individual earnings vary based on seniority, specialty, and clinical setting. Understanding how your gross compensation translates into actual take-home pay requires looking beyond the base salary offered by hospitals.
All take-home figures are computed by the shipped 2026 engine (tax-2026.js) at the BLS national median wage of $97,550, single filer, no pre-tax contributions. Federal tax ($12,631) and FICA ($7,463) are identical in every state — only the state line moves.
Same gross wage everywhere: $97,550 a year. The four states keeping the most and the four keeping the least, ranked by take-home. Rent is the Zillow ZORI metro average for that state and is clearly labelled as a rent figure, not a tax.
| State | State tax | Federal | FICA | Take-home / year | Take-home / month | Rent / month | Left after rent |
|---|---|---|---|---|---|---|---|
| Alaska no state income tax | $0 | $12,631 | $7,463 | $77,456 | $6,455 | — | — |
| Florida no state income tax | $0 | $12,631 | $7,463 | $77,456 | $6,455 | $2,076 | $52,544 |
| Nevada no state income tax | $0 | $12,631 | $7,463 | $77,456 | $6,455 | $1,742 | $56,552 |
| New Hampshire no state income tax | $0 | $12,631 | $7,463 | $77,456 | $6,455 | — | — |
| South Carolina flat 6.00% | $5,853 | $12,631 | $7,463 | $71,603 | $5,967 | $1,569 | $52,775 |
| Vermont planning estimate | $5,853 | $12,631 | $7,463 | $71,603 | $5,967 | — | — |
| District of Columbia planning estimate | $6,341 | $12,631 | $7,463 | $71,115 | $5,926 | $2,433 | $41,919 |
| Oregon planning estimate | $6,829 | $12,631 | $7,463 | $70,627 | $5,886 | $1,818 | $48,811 |
State income tax on wages is zero in Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, Wyoming — those states share the same take-home on this wage and only differ in what the local rent does to it.
Five states that keep the most of a $97,550 wage and five that keep the least. The full 51-state table follows.
| State | State tax | Take-home | / month |
|---|---|---|---|
| 1. Alaska | $0 | $77,456 | $6,455 |
| 2. Florida | $0 | $77,456 | $6,455 |
| 3. Nevada | $0 | $77,456 | $6,455 |
| 4. New Hampshire | $0 | $77,456 | $6,455 |
| 5. South Dakota | $0 | $77,456 | $6,455 |
| State | State tax | Take-home | / month |
|---|---|---|---|
| 1. Oregon | $6,829 | $70,627 | $5,886 |
| 2. District of Columbia | $6,341 | $71,115 | $5,926 |
| 3. Vermont | $5,853 | $71,603 | $5,967 |
| 4. South Carolina | $5,853 | $71,603 | $5,967 |
| 5. Minnesota | $5,853 | $71,603 | $5,967 |
The gap between Alaska and Oregon is $6,829 a year on an identical $97,550 wage.
BLS percentile wages for this occupation, and what each level leaves after 2026 federal, FICA and state tax in the best and the worst state on the page (Alaska and Oregon).
| Wage level (BLS national) | Gross / year | Take-home in Alaska | Take-home in Oregon | Difference |
|---|---|---|---|---|
| 10th percentile BLS national | $68,940 | $57,329 | $52,503 | $4,826 |
| 25th percentile BLS national | $80,330 | $65,342 | $59,719 | $5,623 |
| Median BLS national | $97,550 | $77,456 | $70,627 | $6,829 |
| 75th percentile BLS national | $112,350 | $87,868 | $80,003 | $7,865 |
| 90th percentile BLS national | $137,470 | $105,227 | $95,604 | $9,623 |
Percentile wages are published BLS OEWS values for Registered Nurses; the take-home columns are the same engine used by every AfterTaxLab calculator. About 3,379,720 people work in this occupation nationwide.
Every registered nurse in the country contributes the same amount toward federal taxes and FICA, which remain identical regardless of where you live. However, the state-level tax burden creates significant variation in your final paycheck. For instance, a nurse working in Oregon faces the largest single state tax bill of $6,829 at the median wage level. In contrast, those working in states like Alaska or Florida do not pay any state income tax on their earnings. This discrepancy accounts for a notable spread between the best and worst states for net take-home pay.
States without income tax, such as Washington, Texas, and Nevada, allow nurses to keep a larger portion of their gross earnings. When comparing job offers, the absence of state tax acts as a de facto salary increase, effectively boosting your monthly disposable income. While the federal tax portion remains fixed at $12,631, the state tax component fluctuates significantly. Nurses should calculate the total annual tax liability for their target state to understand how different tax regimes influence their annual take-home potential compared to their current position.
Every state and DC, ranked by take-home on the same $97,550 gross wage. Rent is the ZORI metro average for the metros published in that state.
| # | State | State tax | Take-home / year | Effective total tax | Rent / month |
|---|---|---|---|---|---|
| 1 | Alaska AK | $0 | $77,456 | 20.6% | — |
| 2 | Florida FL | $0 | $77,456 | 20.6% | $2,076 |
| 3 | Nevada NV | $0 | $77,456 | 20.6% | $1,742 |
| 4 | New Hampshire NH | $0 | $77,456 | 20.6% | — |
| 5 | South Dakota SD | $0 | $77,456 | 20.6% | — |
| 6 | Tennessee TN | $0 | $77,456 | 20.6% | $1,607 |
| 7 | Texas TX | $0 | $77,456 | 20.6% | $1,587 |
| 8 | Washington WA | $0 | $77,456 | 20.6% | $2,278 |
| 9 | Wyoming WY | $0 | $77,456 | 20.6% | — |
| 10 | Arizona AZ | $2,439 | $75,017 | 23.1% | $1,603 |
| 11 | North Dakota ND | $2,829 | $74,627 | 23.5% | — |
| 12 | Louisiana LA | $2,927 | $74,529 | 23.6% | $1,598 |
| 13 | Ohio OH | $2,927 | $74,529 | 23.6% | $1,499 |
| 14 | Indiana IN | $2,975 | $74,481 | 23.6% | $1,552 |
| 15 | Pennsylvania PA | $2,995 | $74,461 | 23.7% | $1,690 |
| 16 | Iowa IA | $3,707 | $73,749 | 24.4% | — |
| 17 | Kentucky KY | $3,902 | $73,554 | 24.6% | $1,348 |
| 18 | Michigan MI | $4,146 | $73,310 | 24.8% | $1,578 |
| 19 | North Carolina NC | $4,146 | $73,310 | 24.8% | $1,712 |
| 20 | Arkansas AR | $4,292 | $73,164 | 25.0% | — |
| 21 | Colorado CO | $4,292 | $73,164 | 25.0% | $1,922 |
| 22 | Delaware DE | $4,390 | $73,066 | 25.1% | — |
| 23 | Kansas KS | $4,390 | $73,066 | 25.1% | — |
| 24 | Virginia VA | $4,390 | $73,066 | 25.1% | $1,810 |
| 25 | Utah UT | $4,439 | $73,017 | 25.1% | $1,641 |
| 26 | Mississippi MS | $4,585 | $72,871 | 25.3% | — |
| 27 | Oklahoma OK | $4,634 | $72,822 | 25.3% | $1,385 |
| 28 | Missouri MO | $4,682 | $72,774 | 25.4% | $1,486 |
| 29 | West Virginia WV | $4,702 | $72,754 | 25.4% | — |
| 30 | New Mexico NM | $4,780 | $72,676 | 25.5% | — |
| 31 | New York NY | $4,805 | $72,651 | 25.5% | $2,200 |
| 32 | Illinois IL | $4,829 | $72,627 | 25.5% | $2,210 |
| 33 | Alabama AL | $4,878 | $72,578 | 25.6% | $1,433 |
| 34 | Connecticut CT | $4,878 | $72,578 | 25.6% | $2,462 |
| 35 | Maryland MD | $4,878 | $72,578 | 25.6% | $1,948 |
| 36 | Massachusetts MA | $4,878 | $72,578 | 25.6% | $2,599 |
| 37 | Rhode Island RI | $4,878 | $72,578 | 25.6% | $2,167 |
| 38 | Wisconsin WI | $4,878 | $72,578 | 25.6% | $1,563 |
| 39 | Georgia GA | $5,063 | $72,393 | 25.8% | $1,853 |
| 40 | Nebraska NE | $5,073 | $72,383 | 25.8% | $1,413 |
| 41 | California CA | $5,116 | $72,340 | 25.8% | $2,861 |
| 42 | Maine ME | $5,365 | $72,091 | 26.1% | — |
| 43 | New Jersey NJ | $5,365 | $72,091 | 26.1% | — |
| 44 | Idaho ID | $5,555 | $71,901 | 26.3% | — |
| 45 | Montana MT | $5,755 | $71,701 | 26.5% | — |
| 46 | Hawaii HI | $5,853 | $71,603 | 26.6% | $3,020 |
| 47 | Minnesota MN | $5,853 | $71,603 | 26.6% | $1,719 |
| 48 | South Carolina SC | $5,853 | $71,603 | 26.6% | $1,569 |
| 49 | Vermont VT | $5,853 | $71,603 | 26.6% | — |
| 50 | District of Columbia DC | $6,341 | $71,115 | 27.1% | $2,433 |
| 51 | Oregon OR | $6,829 | $70,627 | 27.6% | $1,818 |
The largest single state tax bill on this wage is in Oregon at $6,829; across the 51 states the average state tax is $3,830. Local city and county taxes, credits and itemised deductions are excluded from every figure.
When evaluating nursing career opportunities, it is essential to remember that pay structures are influenced by regional taxation. While clinical duties and patient care demands remain consistent, your financial reality shifts depending on your practice location. This guide provides a framework to help you compare offers across different states. Please note that this is not tax advice, and you should always consult with a qualified professional regarding your specific financial situation before making major career or relocation decisions.
In practice, a higher salary does not always result in more purchasing power once local housing costs are factored into the equation. For example, while the District of Columbia has a high cost of living with a reference rent of $2,433/month, other areas like South Carolina offer more affordable options at $1,569/month. After accounting for rent, a nurse in South Carolina might have $52,775 left, demonstrating how housing expenses significantly impact your lifestyle. Always evaluate your net pay by subtracting major fixed costs from your annual take-home salary.
A common mistake nurses make when comparing offers is focusing solely on the gross annual wage without considering the local cost of housing. A higher salary in a high-tax state can easily be offset by increased rent or cost-of-living expenses. Conversely, a lower salary in a state like Alaska, where there is no state income tax, might actually provide more financial flexibility. Always confirm the local rent averages and tax requirements before accepting a position that requires relocating to a different state.
No, the median wage of $97,550 reflects the entire profession, not individual specialties. Your actual salary will depend on your specific certification, experience level, and the clinical environment, such as acute care versus outpatient clinics.
While your federal tax and FICA remain $7,463 everywhere, state income taxes vary significantly. Moving to a state with high income tax can reduce your monthly net income compared to a state with no income tax.
States like Florida or Nevada allow you to retain more of your gross wage because they do not collect state income tax. However, you should still consider local rent prices when determining your total financial well-being.
Yes, federal taxes and FICA are standardized nationally. Regardless of your state, these two deductions remain fixed, ensuring that the primary driver of regional pay variation is the local state income tax policy.
Rent is a major variable that affects your remaining income. A state with a high monthly rent, such as the District of Columbia at $2,433/month, will leave you with less disposable income than a lower-cost area.
Before moving, calculate your expected net take-home pay after both federal and state taxes. Compare this against local housing costs to ensure the compensation supports your desired standard of living in that specific region.
Wage data: BLS Occupational Employment and Wage Statistics (OEWS), national estimates, May 2025 — series OEUN000000000000029114113 (annual median) and OEUN000000000000029114104 (annual mean), retrieved 2026-09-21 via the BLS Public Data API v2 — https://www.bls.gov/oes/current/oes_nat.htm · Occupation titles: O*NET 29.0 Database — https://www.onetcenter.org/database.html · Take-home figures: AfterTaxLab 2026 engine (/assets/js/tax-2026.js), single filer, no pre-tax contributions · Rents: Zillow Research ZORI (Metro), kamuya açık araştırma dosyası (Aug 2026).
Estimates for planning only — not tax advice. Tax year 2026, single filer, no pre-tax contributions, no city or county tax. Same engine as every AfterTaxLab calculator · methodology.
Figures on this page are planning estimates built from published IRS tables and state agency rates; they are not tax advice. How we build and check these estimates · Edited by: Nuh Taspinar · Last updated: 2026-11-09