Registered Nurse salary in Roanoke, VA
Registered Nurses in the Roanoke, VA metro area earn a median of $80,090 a year ($38.51 an hour), based on BLS data for 4,670 workers.
Pay ranges from $66,740 for the lowest-paid 10% to $120,100 for the top 10%. That is 18% lower than the national median of $97,550. Pay here is 14% lower than the Virginia statewide median of $93,600. There are 30 registered nurses per 1,000 jobs here — the job is 1.4× more common than nationally. The average (mean) salary is $88,750, above the median because a few high earners pull it up.
Pay range for registered nurses in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $66,740 | $32.09 |
| 25th percentile | $77,860 | $37.43 |
| Median | $80,090 | $38.51 |
| 75th percentile | $100,390 | $48.27 |
| 90th percentile (top earners) | $120,100 | $57.74 |
| Average (mean) | $88,750 | $42.67 |
Half of registered nurses earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $6,674.17 |
| Semi-monthly (24 a year) | $3,337.08 |
| Biweekly (26 a year) | $3,080.38 |
| Weekly | $1,540.19 |
| Hourly | $38.51 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Registered Nurse salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $102,710 | 46,830 |
| Charlottesville, VA | $99,320 | 3,040 |
| Winchester, VA-WV | $95,650 | 1,630 |
| Richmond, VA | $93,580 | 15,700 |
| Staunton-Stuarts Draft, VA | $92,390 | 1,500 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $89,450 | 16,870 |
| Blacksburg-Christiansburg-Radford, VA | $81,230 | 1,330 |
| Lynchburg, VA | $80,450 | 2,200 |
| Kingsport-Bristol, TN-VA | $76,730 | 2,660 |
Highest-paying states for registered nurses
| State | Median salary |
|---|---|
| California | $140,270 |
| Hawaii | $136,320 |
| Oregon | $129,010 |
| Washington | $124,200 |
| Alaska | $109,480 |
| New York | $109,440 |
| New Jersey | $106,500 |
| Massachusetts | $104,550 |
| Nevada | $103,670 |
| Connecticut | $102,740 |
See Registered Nurse pay in every state or the Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Nurse Practitioner | $134,920 | $64.87 |
| Pharmacist | $133,980 | $64.41 |
| Physician Assistant | $135,940 | $65.36 |
| Physical Therapist | $98,770 | $47.49 |
| Family Medicine Physician | $224,410 | $107.89 |
| Respiratory Therapist | $78,820 | $37.89 |
| Speech-Language Pathologist | $91,560 | $44.02 |
| Occupational Therapist | $98,010 | $47.12 |
| Dental Hygienist | $98,550 | $47.38 |
| Dietitians and Nutritionists | $69,780 | $33.55 |
| Veterinarian | $121,940 | $58.63 |
| General Internal Medicine Physician | $227,320 | $109.29 |
| Obstetricians and Gynecologists | $346,900 | $166.78 |
| Pediatricians, General | $219,960 | $105.75 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Roanoke, VA
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-1141. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a registered nurse make in Roanoke, VA?
The median salary for registered nurses in the Roanoke, VA metro area is $80,090 a year, or $38.51 an hour. Pay ranges from $66,740 for the lowest-paid 10% to $120,100 for the top 10%.
How much do the highest-paid registered nurses make in Roanoke, VA?
The top 10% of registered nurses in the Roanoke, VA metro area earn at least $120,100 a year. The top 25% earn $100,390 or more.
What is the starting pay for registered nurses in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $66,740 a year, and a quarter of registered nurses earn $77,860 or less.
How many registered nurses work in Roanoke, VA?
About 4,670 registered nurses are employed in the Roanoke, VA metro area, not counting the self-employed.