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North Carolina · NC

Nurse salary in North Carolina

Registered nurses in North Carolina earn about $84,240 a year ($40.50/hr) — about 10% below the U.S. average. State figures are estimates based on national pay and local cost of living — a starting point, not a guaranteed local wage.

Registered nurse — North Carolina

Estimated

Median annual pay

$84,240

-10% vs national

Hourly

$40.50/hr

Median $84,240
$59,430$121,790
Typical range
$68,390–$90,700
What most nurses earn
High end
$121,790
Top earners
Entry level
$59,430
Newer nurses

Explore North Carolina nurse pay

Switch between cities and roles to drill into local pay.

What affects nurse pay in North Carolina

Pay below the national median; growing metros. Within North Carolina, pay is shaped by the metro labor market, the mix of hospitals vs long-term care and clinics, union presence, shift differentials, and how short-staffed local employers are. Advanced-practice roles (NP, CRNA) and critical-care specialties command the highest pay. Use the calculator to estimate your own.

How this estimate was calculated

The North Carolina figure adjusts the national RN average of $93,600 for local pay levels — a factor of 0.90× (about 10% below the U.S. average). It is a starting point — not an official North Carolina wage — until verified local figures and nurse submissions are loaded.

Local pay can vary well beyond this by specialty, shift, union status, employer type, overtime, and care setting. When official state wage data is loaded, this number updates to a verified value automatically.

Use this state estimate as a starting point

  • It’s a starting point for North Carolina, based on national pay and local cost of living until official state data is loaded — not a guaranteed local wage.
  • Your actual pay shifts with role and specialty, care setting, shift, overtime, union status, and years of experience — so compare a role-specific page and personalize the calculator.
  • Reviewed salary submissions from nurses in North Carolina make this page more precise over time.
Source & confidenceAn estimate based on national nurse pay and local cost of living. A ballpark to start from, not an exact figure.

Modeled estimate (BLS national × state wage index)

North Carolina figures for SOC 29-1141 are modeled by applying a state wage index of 0.90 to the BLS national median. Import official OEWS state files to replace with verified figures.

Source year 2024. Last reviewed June 1, 2025. Full methodology

Last reviewed June 1, 2025.