How much is the icu nurse vs med-surg nurse pay gap in North Carolina?

The estimated gap in North Carolina is about $10,530 a year, or roughly 12% more for icu nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.

Are these North Carolina figures exact?

No — they're modeled estimates, not verified North Carolina wages. They start from each role's national pay and adjust for North Carolina's cost of labor, and they update to verified numbers when official state data is loaded.

Why are some figures verified and others estimates?

National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

North Carolina · NC

ICU Nurse vs Med-Surg Nurse salary in North Carolina

In North Carolina, icu nurses earn more — an estimated $98,330 a year versus $87,800 for med-surg nurses, a gap of about $10,530 (roughly 12% more). Both are estimates based on national pay for each role adjusted for North Carolina.

ICU Nurse — North Carolina

Specialty estimate

Median annual pay

$98,330

-10% vs national

Hourly

$47.27/hr

Median $98,330

$69,490Middle 50%: $80,970–$113,250$138,570

Typical range: $80,970–$113,250; What most nurses earn
High end: $138,570; Top earners
Entry level: $69,490; Newer nurses

Med-Surg Nurse — North Carolina

Specialty estimate

Median annual pay

$87,800

-10% vs national

Hourly

$42.21/hr

Median $87,800

$62,050Middle 50%: $72,300–$101,120$123,720

Typical range: $72,300–$101,120; What most nurses earn
High end: $123,720; Top earners
Entry level: $62,050; Newer nurses

Why the gap in North Carolina

ICU nurses are modeled to earn slightly more than med-surg nurses, though both roles are built on the same RN license and wage base. The edge reflects the ICU's higher patient acuity, lower nurse-to-patient ratios, and critical-care certifications such as the CCRN. The North Carolina figures apply the same local pay adjustment to both roles, so the gap here mirrors the national picture, shifted for North Carolina's cost of labor. Actual pay varies with experience, specialty, shift, and employer — compare the national ICU Nurse vs Med-Surg Nurse comparison or personalize the calculator.

ICU Nurse vs Med-Surg Nurse in North Carolina — FAQ

Do icu nurses or med-surg nurses earn more in North Carolina?: In North Carolina, icu nurses earn more — an estimated $98,330 a year versus $87,800 for med-surg nurses, a gap of about $10,530 (roughly 12% more). Both are estimates based on national pay for each role adjusted for North Carolina's local pay level.
How much is the icu nurse vs med-surg nurse pay gap in North Carolina?: The estimated gap in North Carolina is about $10,530 a year, or roughly 12% more for icu nurses. Your actual pay depends on experience, specialty, shift, and employer — use the calculator to compare both for your situation.
Are these North Carolina figures exact?: No — they're modeled estimates, not verified North Carolina wages. They start from each role's national pay and adjust for North Carolina's cost of labor, and they update to verified numbers when official state data is loaded.
Why are some figures verified and others estimates?: National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.

Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.

Modeled estimate (BLS national × state wage index)

North Carolina figures are estimated by adjusting the U.S. Bureau of Labor Statistics OEWS national median for local pay levels (a state adjustment of 0.90×).

Source year 2025. Last reviewed July 3, 2026. Full methodology

Estimated figures for North Carolina. Last reviewed July 3, 2026.