Salaries for APRNs: Nurse Practitioners, Nurse-Midwives, Clinical Nurse Specialists and Nurse Anesthetists

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More and more states are making changes to their scope of practice laws to come in to alignment with the Consensus Model for APRN Regulation, granting practice rights to nurse practitioners and other APRNs that include the ability to practice independently and prescribe controlled substances independent of physician oversight. With an expanded scope of practice comes a growing demand as nurse practitioners and other APRNs are recognized as the solution to a national physician shortage at a time when the demand for healthcare services is higher than it’s ever been.

Just like any other industry, this growing demand is contributing to higher salary offers as everything from hospital systems to small partner practices look to recruit and retain the most talented APRNs.

Advanced practice RNs in all four roles (Certified Nurse Practitioner, Certified Nurse-Midwife, Certified Registered Anesthetist, and Clinical Nurse Specialist) are earning salaries north of the six-figure mark.

Nurse Practitioner

States with the highest average salary for NPs:

  • California – $120,930
  • Alaska – $117,080
  • Hawaii – $114,220
  • Massachusetts – $112,860
  • Oregon – $111,210

Certified Nurse Midwife

States with the highest average salary for CNMs:

  • California – $137,040
  • Iowa – $124,450
  • Oregon – $120,980
  • New Jersey – $111,800
  • Minnesota – $109,160

Certified Registered Nurse Anesthetist

States with the highest average salary for CRNAs:

  • Montana – $243,550
  • New Hampshire – $217,500
  • Wyoming – $210,210
  • Wisconsin – $207,220
  • California – $206,150

Clinical Nurse Specialist

In a 2015 report, CNN Money ranked clinical nurse specialist (CNS) as the 7th best career in the country based on salary, growth potential, and job satisfaction.

Salary aggregator PayScale.com found that CNSs with salaries that fall within the top 10% earned an average of $110,000 as of January 2017, while the national median for this APRN role was $82,509.

Nurse Practitioner Salaries

certified nurse holding folders

The American Academy of Nurse Practitioners (AANP) conducted its 4th annual nurse practitioner salary survey in 2015, which revealed a salary range of between $98,760 and $108,643 reported as annual income among full-time NPs.

Income varied most by area of specialty and work setting, with the highest salaries reported in these respective categories:

  • By specialty area – Neonatal and Psychiatry/Mental Health
  • By practice setting – Retail Clinics and Veteran’s Administration facilities
  • By geographic setting – Urban and Suburban

The survey also revealed that 41% of those working full-time received additional bonus compensation based on practice revenue, outcome measures, and the volume of patient encounters.

The US Bureau of Labor Statistics (BLS) conducts an exhaustive survey of the salaries of healthcare professionals. Nurse practitioners in the top 10% earned an average salary of $135,830 as of 2015. The median salary among nurse practitioners was $98,190.

Starting salaries for nurse practitioners increased dramatically between 2015 and 2016 according to a report published by Merritt Hawkins, a national healthcare industry staffing firm that recruits physicians and advanced practice registered nurses for a large number of healthcare organizations throughout the country.

The highest average staring salary offered to NPs reached $197,000 in 2016 – an increase of more than 50% over the top offers in 2015. The report went on to reveal that a skyrocketing demand is the primary factor behind rising starting salaries, with nurse practitioners recognized as the 5th most highly sought after advanced healthcare professional in 2016.

Shown here is the range between the median and top ten percent average salary and hourly pay rate for NPs as of 2015 (US Bureau of Labor Statistics):

Alabama

  • Annual: $89,660 – $127,910
  • Hourly: $43.11 – $61.49

Alaska

  • Annual: $115,040 – $154,960
  • Hourly: $55.31 – $74.50

Arizona

  • Annual: $104,120 – $142,100
  • Hourly: $50.06 – $68.32

Arkansas

  • Annual: $91,510 – $145,980
  • Hourly: $44.00 – $70.18

California

  • Annual: $118,000 – $170,270
  • Hourly: $56.73 – $81.86

Colorado

  • Annual: $101,080 – $150,060
  • Hourly: $48.60 – $72.15

Connecticut

  • Annual: $101,500 – $134,470
  • Hourly: $48.80 – $64.65

Delaware

  • Annual: $97,60 – $140,090
  • Hourly: $46.90 – $67.35

DC

  • Annual: $100,910 – $128,050
  • Hourly: $48.52 – $61.56

Florida

  • Annual: $92,920 – $124,150
  • Hourly: $44.67 – $59.69

Georgia

  • Annual: $92,660 – $124,910
  • Hourly: $44.55 – $60.05

Hawaii

  • Annual: $114,240 – $154,690
  • Hourly: $54.92 – $74.37

Idaho

  • Annual: $92,490 – $123,610
  • Hourly: $44.47 – $59.43

Illinois

  • Annual: $93,270 – $122,570
  • Hourly: $44,84 – $58.93

Indiana

  • Annual: $93,360 – $123,000
  • Hourly: $44.89 – $59.14

Iowa

  • Annual: $92,760 – $119,750
  • Hourly: $44.60 – $57.57

Kansas

  • Annual: $92,290 – $121,580
  • Hourly: $44.37 – $58.45

Kentucky

  • Annual: $91,340 – $127,190
  • Hourly: $43.92 – $61.15

Louisiana

  • Annual: $93,270 – $129,550
  • Hourly: $44.84 – $62.28

Maine

  • Annual: $93,990 – $123,880
  • Hourly: $45,19 – $59.56

Maryland

  • Annual: $97,660 – $126,160
  • Hourly: $46.95 – $60.65

Massachusetts

  • Annual: $109,600 – $159,940
  • Hourly: $52.69 – $76.89

Michigan

  • Annual: $93,580 – $123,060
  • Hourly: $44.99 – $59.16

Minnesota

  • Annual: $104,800 – $130,250
  • Hourly: $50.38 – $62.62

Mississippi

  • Annual: $95,240 – $130,390
  • Hourly: $45.79 – $62.69

Missouri

  • Annual: $91,020 – $117,960
  • Hourly: $43.76 – $56.71

Montana

  • Annual: $92,000 – $125,530
  • Hourly: $44.23 – $60.35

Nebraska

  • Annual: $90,400 – $124,220
  • Hourly: $43.46 – $59.72

Nevada

  • Annual: $99,050 – $127,160
  • Hourly: $47.62 – $61.14

New Hampshire

  • Annual: $101,090 – $134,250
  • Hourly: $48.60 – $64.54

New Jersey

  • Annual: $112,550 – $142,550
  • Hourly: $54,11 – $68.53

New Mexico

  • Annual: $101,990 – $150,780
  • Hourly: $49.03 – $72.49

New York

  • Annual: $107,150 – $141,560
  • Hourly: $51.52 – $68.06

North Carolina

  • Annual: $96,740 – $132,480
  • Hourly: $46.51 – $63.69

North Dakota

  • Annual: $92,570 – $121,130
  • Hourly: $44.50 – $58.24

Ohio

  • Annual: $94,560 – $122,400
  • Hourly: $45.46 – $58.84

Oklahoma

  • Annual: $87,900 – $126,730
  • Hourly: $42.26 – $60.93

Oregon

  • Annual: $109,800 – $148,940
  • Hourly: $52.79 – $71.61

Pennsylvania

  • Annual: $92,740 – $123,500
  • Hourly: $44.58 – $59.37

Rhode Island

  • Annual: $103,720 – $154,580
  • Hourly: $49.87 – $74.32

South Carolina

  • Annual: $90,600 – $116,930
  • Hourly: $43.56 – $56.22

South Dakota

  • Annual: $93,760 – $122,700
  • Hourly: $45.08 – $58.99

Tennessee

  • Annual: $91,990 – $122,660
  • Hourly: $44.23 – $58.97

Texas

  • Annual: $104,370 – $147,900
  • Hourly: $50.18 – $71.11

Utah

  • Annual: $94,360 – $125,410
  • Hourly: $45.37 – $60.30

Virginia

  • Annual: $94,340 – $125,490
  • Hourly: $45.35 – $60.33

Washington

  • Annual: $102,910 – $132,300
  • Hourly: $49.48 – $63.60

West Virginia

  • Annual: $88.880 – $118,420
  • Hourly: $42.73 – $56.93

Wisconsin

  • Annual: $94,260 – $120,590
  • Hourly: $45.32 – $57.97

Wyoming

  • Annual: $96,540 – $147,420
  • Hourly: $46.42 – $70.87

Certified Nurse Midwife Salary

The US Bureau of Labor Statistics (BLS) provides a detailed analysis of the salaries for certified nurse midwives as of 2015. Those in the top 10% earned an average salary of $132,370, while the national median for nurse midwives that year was $98,190.

Shown here is the range between the median and top ten percent average salary and hourly pay rate for CNMs as of 2015 (US Bureau of Labor Statistics):

Alaska

  • Annual: $96,840 – $135,480
  • Hourly: $46.56 – $65.14

Arizona

  • Annual: $84,520 – $111,810
  • Hourly: $40.63 – $53.76

California

  • Annual: $147,330 – >$187,220*
  • Hourly: $66.02 – >$90.00*

Colorado

  • Annual: $94,140 – $116,810
  • Hourly: $45.26 – $56.16

Connecticut

  • Annual: $103,950 – $122,180
  • Hourly: $49.98 – $58.74

Delaware

  • Annual: $90,420 – $111,410
  • Hourly: $43.47 – $53.56

Florida

  • Annual: $90,970 – $114,890
  • Hourly: $43.74 – $55.24

Georgia

  • Annual: $93,330 – $119,320
  • Hourly: $44.87 – $57.36

Illinois

  • Annual: $84,840 – $145,740
  • Hourly: $40.79 – $70.07

Indiana

  • Annual: $95,960 – $137,270
  • Hourly: $46.14 – $65.99

Iowa

  • Annual: $100,900 – >$187,200*
  • Hourly: $48.51 – >$90.00*

Kentucky

  • Annual: $92,970 – $128,370
  • Hourly: $44.70 – $61.72

Maine

  • Annual: $96,280 – $120,750
  • Hourly: $46.29 – $58.05

Maryland

  • Annual: $97,610 – $125,460
  • Hourly: $46.93 – $60.32

Massachusetts

  • Annual: $110,590 – $157,460
  • Hourly: $53.17 – $75.70

Michigan

  • Annual: $97,070 – $120,500
  • Hourly: $46.67 – $57.93

Minnesota

  • Annual: $109,930 – $136,000
  • Hourly: $52.85 – $65.38

Mississippi

  • Annual: 89,580 – $110,440
  • Hourly: $43.07 – $53.10

Nebraska

  • Annual: $72,450 – $106,840
  • Hourly: $34.83 – $51.37

New Hampshire

  • Annual: $98,170 – $129,110
  • Hourly: $47.20 – $62.07

New Jersey

  • Annual: $112,970 – $132,330
  • Hourly: $54.31 – $63.62

New Mexico

  • Annual: $98,670 – $120,970
  • Hourly: $47.44 – $58.16

New York

  • Annual: $96,330 – $125,560
  • Hourly: $46.60 – $60.37

North Carolina

  • Annual: $92,440 – $120,380
  • Hourly: $44.44 – $57.87

Ohio

  • Annual: $94,520 – $122,520
  • Hourly: $45.44 – $58.90

Oregon

  • Annual: $122,080 – $159,530
  • Hourly: $58.69 – $76.70

Pennsylvania

  • Annual: $93,340 – $134,850
  • Hourly: $44.92 – $64.83

South Carolina

  • Annual: $85,700 – $120,680
  • Hourly: $41.20 – $58.02

Tennessee

  • Annual: $71,750 – $108,240
  • Hourly: $34.49 – $52.04

Texas

  • Annual: $97,110 – $135,010
  • Hourly: $46.69 – $64.91

Utah

  • Annual: $88,750 – $121,700
  • Hourly: $42,67 – $58.51

Vermont

  • Annual: $95,620 – $119,630
  • Hourly: $45.97 – $57.52

Washington

  • Annual: $93,390 – $124,360
  • Hourly: $45.16 – $59.79

West Virginia

  • Annual: $95,070 – $179,650
  • Hourly: $45.70 – $86.37

Wisconsin

  • Annual: $67,450 – $112,140
  • Hourly: $32.43 – $53.92

*Salaries are equal to or greater than $187,200 a year or $90.00 an hour. The BLS does not report salaries beyond this threshold.

Salaries for Certified Registered Nurse Anesthetists

Certified Registered Nurse Anesthetists are consistently recognized as the highest paid among advanced practice registered nurses. According to the 2015 salary survey conducted by the US Bureau of Labor Statistics, CRNAs in the top 10% earned an average salary that was so high it exceeded the BLS Occupational Outlook Handbook reporting threshold of $187,200 per year. The national median among certified registered nurse anesthetists was $157,140 that year.

Shown here is the range between the median and top ten percent average salary and hourly pay rate for CRNAs as of 2015 (US Bureau of Labor Statistics):

Alabama

  • Annual: $154,700 – >$187,200*
  • Hourly: $74.37 – >$90.00*

Alaska

  • Annual: $116,690 – >$187,200*
  • Hourly: $56.10 – >$90.00*

Arizona

  • Annual: $137,900 – >$187,200*
  • Hourly: $66.30 – >$90.00*

Arkansas

  • Annual: $143,570 – >$187,200*
  • Hourly: $69.03 – >$90.00*

California

  • Annual: >$187,200*
  • Hourly: >$90.00*

Colorado

  • Annual: $151,240 – >$187,200*
  • Hourly: $72.71 – >$90.00*

Connecticut

  • Annual: $168,740 – >$187,200*
  • Hourly: $81.13 – >$90.00*

DC

  • Annual: $158,610 – >$187,200*
  • Hourly: $76.26 – >$90.00*

Florida

  • Annual: $143,670 – >$187,200*
  • Hourly: $69.07 – >$90.00*

Georgia

  • Annual: $144,180 – $187,060
  • Hourly: $69.32 – $89.93

Hawaii

  • Annual: $185,550 – >$187,200*
  • Hourly: $89.21 – >$90.00*

Idaho

  • Annual: $160,170 – >$187,200*
  • Hourly: $77.01 – >$90.00*

Illinois

  • Annual: $135.980 – >$187,200*
  • Hourly: $65.37 – >$90.00*

Indiana

  • Annual: $146,770 – >$187,200*
  • Hourly: $70.56 – >$90.00*

Iowa

  • Annual: $174,010 – >$187,200*
  • Hourly: $83.66 – >$90.00*

Kansas

  • Annual: $145,170 – >$187,200*
  • Hourly: $69.79 – >$90.00*

Kentucky

  • Annual: $154,360 – >$187,200*
  • Hourly: $74.21 – >$90.00*

Louisiana

  • Annual: $134,640 – $185,290
  • Hourly: $64.73 – $89.08

Maine

  • Annual: $158,170 – >$187,200*
  • Hourly: $76.04 – >$90.00*

Maryland

  • Annual: $149,180 – >$187,200*
  • Hourly: $71.72 – >$90.00*

Massachusetts

  • Annual: $164,410 – >$187,200*
  • Hourly: $79.04 – >$90.00*

Michigan

  • Annual: $180,203 – >$187,200*
  • Hourly: $86.65 – >$90.00*

Minnesota

  • Annual: $173,580 – >$187,200*
  • Hourly: $83.45 – >$90.00*

Mississippi

  • Annual: $161,300 – >$187,200*
  • Hourly: $77.55 – >$90.00*

Missouri

  • Annual: $153,990 – >$187,200*
  • Hourly: $74.04 – >$90.00*

Montana

  • Annual: >$187,200*
  • Hourly: >$90.00*

Nebraska

  • Annual: $158,870 – >$187,200*
  • Hourly: $76.38 – >$90.00*

New Hampshire

  • Annual: >$187,200*
  • Hourly: >$90.00*

New Jersey

  • Annual: $182,130 – >$187,200*
  • Hourly: $87.56 – >$90.00*

New Mexico

  • Annual: $164,020 – >$187,200*
  • Hourly: $78.86 – >$90.00*

New York

  • Annual: $159,700 – >$187,200*
  • Hourly: $76.78 – >$90.00*

North Carolina

  • Annual: $154,540 – >$187,200*
  • Hourly: $74.30 – >$90.00*

North Dakota

  • Annual: $181,470 – >$187,200*
  • Hourly: $87.24 – >$90.00*

Ohio

  • Annual: $145,610 – >$187,200*
  • Hourly: $70.01 – >$90.00*

Oklahoma

  • Annual: $167,900 – >$187,200*
  • Hourly: $80.72 – >$90.00*

Oregon

  • Annual: $182,600 – >$187,200*
  • Hourly: $87.79 – >$90.00*

Pennsylvania

  • Annual: $150,520 – >$187,200*
  • Hourly: $72.36 – >$90.00*

South Carolina

  • Annual: $152,100 – >$187,200*
  • Hourly: $73.12 – >$90.00*

South Dakota

  • Annual: $173,290 – >$187,200*
  • Hourly: $83.61 – >$90.00*

Tennessee

  • Annual: $143,920 – >$187,200*
  • Hourly: $69.19 – >$90.00*

Texas

  • Annual: $153,800 – >$187,200*
  • Hourly: $73.94 – >$90.00*

Utah

  • Annual: $154,980 – >$187,200*
  • Hourly: $74.51 – >$90.00*

Vermont

  • Annual: $151,220 – >$187,200*
  • Hourly: $72.70 – >$90.00*

Virginia

  • Annual: $155,010 – >$187,200*
  • Hourly: $74.53 – >$90.00*

Washington

  • Annual: $178,270 – >$187,200*
  • Hourly: $85.71 – >$90.00*

West Virginia

  • Annual: $163,710 – >$187,200*
  • Hourly: $78.71 – >$90.00*

Wisconsin

  • Annual: >$187,200*
  • Hourly: >$90.00*

Wyoming

  • Annual: >$187,200*
  • Hourly: >$90.00*

*Salaries are equal to or greater than $187,200 a year or $90.00 an hour. The BLS does not report salaries beyond this threshold.

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