Mar 25, 2025

The Best States for RNs_ Where to Find the Best Pay and Job Opportunities

For registered nurses (RNs) considering travel healthcare opportunities, choosing the right state can make all the difference in salary potential, job availability, and overall career satisfaction. Whether you’re looking for the highest pay or a state with a strong nursing presence, here’s a look at the top states for RNs based on salary and employment concentration, according to the U.S. Bureau of Labor Statistics (BLS).

National Job Outlook and Average Salary for RNs

According to the BLS, the national annual mean salary for registered nurses is $86,070 per year. Additionally, the job outlook for RNs shows a 6% growth rate, which is faster than the average for all occupations. About 194,500 openings for registered nurses are projected each year, on average, over the decade. Many of these openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire. This demand is driven by an aging population, increased healthcare needs, and ongoing nursing shortages in many regions. For travel nurses, this growth translates into abundant job opportunities and competitive compensation packages across the country.

Top 5 Highest Paying States for RNs

For registered nurses (RNs) looking to maximize their earning potential, location matters. While factors like experience, specialty, and facility type play a role in salary, certain states consistently offer higher wages due to demand, cost of living, and state-specific healthcare needs. Whether you’re considering a permanent move or exploring opportunities as a travel nurse, these five states boast the highest annual mean salaries for RNs—making them prime destinations for those seeking competitive pay and rewarding career opportunities.

1. California – $137,690

●       As the highest-paying state for RNs, California offers lucrative opportunities in major metropolitan areas like San Francisco, Los Angeles, and San Diego.

●       The state’s large population and advanced healthcare system contribute to the high demand for nurses.

●       California’s strict nurse-to-patient ratio laws help ensure better working conditions for nurses, making it an attractive destination for travel RNs.

●       While the cost of living is high, travel nurses can take advantage of competitive housing stipends and benefits to offset expenses.

●       Browse Aequor’s opportunities for travel RNs in California HERE

2. Hawaii – $119,710

●       Hawaii offers more than just stunning beaches and a tropical climate—it’s also one of the top-paying states for RNs.

●       The unique geographic isolation of the islands means there is always a demand for qualified healthcare professionals.

●       Travel nurses in Hawaii often work in both urban hospitals and rural community health centers, offering diverse clinical experiences.

●       With a slower-paced lifestyle and breathtaking scenery, working in Hawaii can provide a perfect blend of professional growth and personal relaxation.

●       See Aequor’s travel RN openings in Hawaii HERE

3. Oregon – $113,440

●       Oregon’s strong healthcare infrastructure and high salaries make it an attractive option for RNs.

●       The state boasts some of the best hospitals in the country, including Oregon Health & Science University (OHSU), which consistently ranks among the top medical institutions.

●       Cities like Portland offer a vibrant cultural scene, while the state’s outdoor recreation opportunities—hiking, skiing, and coastline exploration—make it a fantastic place for work-life balance.

●       With increasing demand for healthcare services, particularly in rural areas, Oregon continues to be a great destination for travel nurses.

●       Find Aequor’s travel RN jobs in Oregon HERE

4. Washington – $111,030

●       Washington ranks as the fourth highest-paying state for RNs, with strong employment opportunities in cities like Seattle, Spokane, and Tacoma.

●       The state is home to prestigious medical centers, including the University of Washington Medical Center and Virginia Mason Medical Center.

●       Nurses in Washington benefit from a high demand for healthcare professionals and competitive salaries that reflect the state’s growing population and healthcare needs.

●       The state’s natural beauty and outdoor activities, from hiking in the Cascades to exploring Puget Sound, make it an attractive location for travel nurses.

●       Browse Aequor’s travel RN positions in Washington HERE

5. Alaska – $109,210

●       Alaska offers high salaries for RNs, especially those willing to work in remote areas where healthcare access is limited.

●       Travel nurses in Alaska can gain unique experience working in rural and indigenous communities.

●       Due to the state’s remote nature, many healthcare facilities offer sign-on bonuses and other incentives to attract nurses.

●       The breathtaking landscapes, wildlife, and outdoor adventures make Alaska a unique and rewarding destination for travel nurses.

●       See what openings Aequor has for travel RNs in Alaska HERE

Top 5 States with the Highest Concentration of Nurses

For registered nurses (RNs) seeking job stability and a strong professional community, certain states stand out due to their high concentration of nursing professionals. A high employment concentration indicates a strong demand for nurses, which often translates to more job opportunities, competitive salaries, and greater workplace support. In these states, nurses play a critical role in meeting healthcare needs, particularly in rural and underserved areas where staffing shortages can be a challenge.

Whether you’re an RN considering a travel assignment, looking for a permanent position, or simply exploring regions with a strong nursing presence, these states offer a thriving healthcare environment. Below are the top three states with the highest concentration of registered nurses per thousand jobs, making them excellent destinations for those looking to build a stable and fulfilling nursing career.

1. South Dakota – 32.85 per 1,000 jobs

●       With a high demand for nurses, South Dakota provides ample opportunities for travel RNs.

●       Rural hospitals and healthcare facilities rely on travel professionals to fill staffing gaps, making it an excellent destination for job security.

●       While South Dakota may not offer the highest salaries, the cost of living is significantly lower than in many other states, allowing nurses to stretch their earnings further.

●       Nurses in South Dakota play a crucial role in serving small communities where healthcare access can be limited.

●       See Aequor’s available RN positions in South Dakota HERE

2. West Virginia – 30.29 per 1,000 jobs

●       West Virginia has a strong need for healthcare professionals, particularly in rural areas where access to medical services can be challenging.

●       The state offers a strong sense of community and rewarding experiences for nurses who want to make a difference.

●       Many hospitals and clinics provide incentives for nurses willing to work in underserved areas, making it a great option for those passionate about healthcare equity.

●       Additionally, travel nurses can enjoy the scenic Appalachian landscapes and outdoor activities that the state has to offer.

●       Browse Aequor’s available travel RN positions in West Virginia HERE

3. Missouri – 25.45 per 1,000 jobs

●       With a growing healthcare sector and a reasonable cost of living, Missouri is a great option for RNs seeking steady employment opportunities.

●       The state has numerous medical centers, including highly ranked hospitals like Barnes-Jewish Hospital in St. Louis and the University of Missouri Health Care system.

●       Missouri’s central location makes it a convenient place for travel nurses who want to explore different parts of the country.

●       The demand for healthcare professionals continues to rise in Missouri, creating job security and opportunities for career advancement.

●       See what opportunities Aequor has for travel RNs in Missouri HERE

4. Delaware – 25.17 per 1,000 jobs

●        Despite its small size, Delaware has a high concentration of RNs, offering ample job opportunities for nurses looking for stability.

●       The state has a mix of urban and rural healthcare settings, with well-regarded hospitals providing employment for many nurses.

●       Delaware’s location along the East Coast allows for easy access to major metropolitan areas while still offering a lower cost of living compared to neighboring states.

●       With increasing demand for healthcare professionals, Delaware remains a strong option for RNs looking to establish themselves in a thriving healthcare system.

●       Explore Aequor’s travel RN jobs in Delaware HERE

5. Mississippi – 25.14 per 1,000 jobs

●        Mississippi has a high concentration of nurses due to its strong need for healthcare services, particularly in rural areas.

●       The state offers job security for nurses, as many hospitals and clinics rely on skilled professionals to support patient care.

●       Mississippi’s lower cost of living allows nurses to make the most of their earnings while enjoying a slower-paced lifestyle.

●       RNs working in Mississippi can gain valuable experience in a variety of healthcare settings, from large medical centers to community hospitals.

●       Find Aequor’s travel RN opportunities in Mississippi HERE

Industries with the Highest Levels of Employment for RNs

Registered nurses (RNs) play a vital role in a wide range of healthcare settings, from fast-paced hospital environments to home-based patient care. While hospitals remain the largest employer of RNs, many nurses are also finding fulfilling careers in outpatient clinics, private practices, and home health services. Each setting offers unique opportunities, work environments, and patient interactions. Below, we explore the top industries employing RNs and the critical roles they play in each. According to the Bureau of Labor Statistics, here are the industries with the highest levels of employment for RNs:

  1. General Medical and Surgical Hospitals – 1,749,320 RNs work in these facilities, making hospitals the largest employer of nurses. RNs in hospitals provide critical care, surgical assistance, and specialized treatment in various departments.
  2. Offices of Physicians – 220,070 RNs are employed in outpatient settings where they assist with patient exams, administer treatments, and provide education on preventive care.
  3. Home Health Care Services – 179,530 RNs work in home based care, offering medical support to patients who require long-term or post-hospitalization care.

Top Paying Industries for RNs

While hospitals and outpatient clinics employ the majority of registered nurses (RNs), some industries offer significantly higher salaries due to the specialized skills required, the complexity of care, or the demand for experienced nurses. From government positions to pharmaceutical research, these industries provide RNs with lucrative career paths, competitive benefits, and opportunities beyond traditional bedside nursing. According to the BLS, here are the top-paying industries for RNs, along with the average annual wages they offer.

Federal, State, and Local Government (excluding schools and hospitals) – $114,860, offering stable employment with benefits.

Employment Services – $110,230, reflecting high demand in staffing agencies and contract positions.

Pharmaceutical and Medicine Manufacturing – $108,640, where RNs work in drug development and clinical research.

Factors to Consider When Choosing a State for Travel Nursing

Selecting the right state for your next travel nursing assignment is an important decision that can impact your earnings, job satisfaction, and overall experience. Before making your choice, take the following factors into account:

Cost of Living

While high-paying contracts may seem enticing, it’s essential to weigh the salary against the cost of living in your chosen state. States like California, Hawaii, and New York often offer lucrative travel nursing pay, but high housing costs, taxes, and daily expenses can quickly eat into your earnings. On the other hand, states like Texas, Florida, and Tennessee tend to have lower costs of living, allowing you to stretch your paycheck further while still benefiting from competitive wages. Research rental prices, transportation costs, and general living expenses in the area before committing to a contract.

State Licensing Requirements

Before accepting an assignment, ensure you meet the state’s licensing requirements. Some states participate in the Nurse Licensure Compact (NLC), which allows nurses with a multi-state license to work in participating states without obtaining additional credentials. However, California, Hawaii, and Oregon are not part of the NLC, meaning you will need to apply for and obtain a state-specific license, which can take weeks or even months. To avoid delays, plan ahead and utilize Aequor’s interactive State Licensing Map to check requirements, timelines, and necessary documentation.

Work Life Balance

A travel nursing assignment isn’t just about the job—it’s also about the experience. Consider what each state has to offer outside of work. Are you looking for year-round sunshine, outdoor adventure, or vibrant city life? States like Colorado and Washington provide breathtaking natural landscapes and outdoor recreation, while cities like Chicago, New York, and Miami offer rich cultural attractions, entertainment, and nightlife. If you prefer a slower pace, states like Montana and the Carolinas may provide a more relaxed and scenic environment. Work-life balance is key to avoiding burnout and making the most of your travel nursing journey.

Job Market and Demand

The demand for travel nurses varies by state, specialty, and season. Some states are consistently in need of nurses due to staffing shortages, higher patient populations, or seasonal trends. For example, Florida and Arizona see increased demand in the winter due to an influx of seasonal residents, while states like North Dakota and Wisconsin often have urgent needs during flu season. Additionally, certain hospitals and healthcare systems have better reputations for supporting travel nurses, offering positive work environments and well-organized onboarding processes. Researching employer reviews, facility rankings, and contract demand in a given state can help you make an informed decision and secure a rewarding assignment.

Find Your Next RN Assignment with Aequor

Whether you’re looking for the highest-paying travel nurse contracts or an assignment in a state with a strong nursing workforce, Aequor is here to help. Get connected with one of our dedicated recruiters who can match you with travel nursing opportunities that fit your career goals and lifestyle preferences.

Start your journey today and explore the best states to work as a registered nurse with Aequor!

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