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10 States With High Pay for an Associate’s in Nursing
Working as a registered nurse with an associate’s degree in nursing (ADN) can offer many different job opportunities. Depending on where you work and the field of nursing you work in, state salary averages can vary as well. For instance, some specialties of nursingโsuch as critical care nursingโmay pay a higher salary than an ADN-RN certification alone. In this article, we will look at some of the different specialties you can work in with an associate’s in nursing, as well as state average salaries and the national average associate’s in nursing salary.
Nursing jobs you can get with an ADN
Nurses with ADNs can enter the career field and find many subspecialties available to them for pursuit. For instance, ADNs can take and pass the registered nursing examination (NCLEX-RN) to receive their state licensure. Similarly, nursing students completing their associate’s degrees can also choose to specialize as a licensed practical nurse (LPN) or a licensed vocational nurse (LVN). Critical care nursing (CCRN) certification is also available to registered nurses who are interested in working with critical care patients. The following jobs are nursing fields that ADNs may enter.
- Registered nurse (RN)
- Licensed practical nurse (LPN)
- Licensed vocational nurse (LVN)
- Critical care register nurse (CCRN)
Registered nurse (RN)
With an associate’s degree in nursing, you may apply for your registered nursing certification by taking and passing the national examination (NCLEX-RN). This is the most basic RN certification which allows you to practice in your state. As an ADN-RN, you may expect to work with a variety of patients to provide care and treatment services and assist physicians in diagnosing and treating patients.
Related: Learn About Being a Registered Nurse (RN)
Licensed practical nurse (LPN)
Similar to an RN, a licensed practical nurse (LPN) works with patients from many diverse backgrounds. While the initial certification training can take less time to obtain than an ADN, LPNs can still pursue an RN certification if they choose. LPNs may work closely with RNs and doctors in the treatment and care of patients.
Licensed vocational nurse (LVN)
Licensed vocational nurses (LVN) may also earn their certifications through similar training to an LPN. The training programs for licensed practical nurses can take as little as 12 to 18 months to complete, and LPNs can work with several different healthcare professionals in the care and treatment of their patients.
Critical care registered nurse (CCRN)
Critical care nursing, or ICU nursing, is a nursing specialty that is open to ADN-RNs who are interested in working with critical care patients in intensive care units and other critical care settings. Nurses who obtain their ADN-RN certifications may continue their education further to earn a certification as a critical care nurse (CCRN). Oftentimes, this specialty can offer substantial salaries that can sometimes result in higher averages than an ADN-RN salary, depending on the state where you work.
Registered nurse average salary
According to Indeed’s salary data, registered nurses make an average salary of $33.93 per hour. When assuming a 40-hour workweek with 52 weeks per year, this can amount to $70,574 per year. Registered nurses can earn substantially more or less than this average, depending on where they practice. Additionally, RNs who are certified in a nursing sub-specialty may earn a higher salary due to their specialized skill sets. Salary data on Indeed is frequently updated and can be referred to for up-to-date figures for any of the salaries linked in this article.
Licensed practical nurse average salary
Licensed practical nurses (LPN) generally may not complete the same training and certifications as an RN, and in fact, may complete practical training in as little as 12 months. This can mean a lower average salary than registered nurses, though an LPN’s salary may increase as a result of experience, continuing education and skill set. According to Indeed’s salary information, the national average salary for LPNs in the United States comes in at $23.81 per hour, which can amount to just under $50,000 per year, assuming a 40-hour workweek. LPN salaries can also vary by state, with some state salaries averaging above or below the national level.
Licensed vocational nurse average salary
Licensed vocational nurses (LVN) also can complete their certification or diploma training in as little as 12 to 18 months, which means they may possess fewer qualifications than a certified registered nurse. However, LVNs may advance in their careers and earn higher salaries with experience, continuing education and developing specialized skill sets. The national average salary for an LVN is $24.82 per hour according to the Indeed salaries data. Assuming a 40-hour workweek, LVNs can potentially earn a $50,000 annual salary. Additionally, some states may offer average salaries above or below this national level.
Critical care nurse average salary
RNs with their associate’s degrees may also choose to specialize in critical care or intensive care nursing. This specialty can offer ADNs higher salary opportunities as well as opportunities for advancement. According to Indeed salary data, the national average salary for a critical care nurse or ICU nurse is roughly $1,584 per week. When assuming 52 working weeks throughout the year, CCRNs can potentially earn around $82,000 annually. This can be an attractive option for many ADNs.
Related: 10 Highest Paid Nursing Jobs
Salary by state
The following information offers insight into some of the highest averages by state for an associate’s in nursing salary. The ADN-RN salaries in these states all average above the national salary level.
Related: How To Negotiate Salary (With Tips and Examples)
1. Colorado
Colorado can offer an associate’s in nursing salary averaging around $72,494 per year. Additionally, this is still above the national average salary according to Indeed’s salary guide.
2. Texas
Texas may offer an ADN salary average of $72,884 per year, which is right around the national average according to Indeed’s salary data.
3. Rhode Island
ADN-RNs in Rhode Island can expect a state average salary level of $36.03 per hour. Assuming a 40-hour workweek, this average can be substantial at $74,942 per year.
4. Massachusetts
Another New England state, Massachusetts averages around $37.07 per hour for an associate’s in nursing salary. Calculating a 40-hour workweek, this can amount to around $77,105 per year.
5. Connecticut
RNs in Connecticut may enjoy a substantial salary of $77,758 per year, roughly seven percent above the national average salary level.
6. New Jersey
Some mid-Atlantic states also offer substantial income averages. New Jersey, for instance, averages at $37.50 per hour for ADN-RNs. This can amount to a salary of $78,000 per year when calculating the salary according to a 40-hour workweek.
7. Oregon
The west coast of the United States may also see some significant RN salaries. Oregon averages around $38.36 per hour, or roughly $79,788 per year.
8. Washington
Just after Oregon, Washington’s average ADN salary is $38.75 per hour. This can amount to $80,600 per year and is 14 percent above the national average.
9. Alaska
Alaska also offers one of the highest state averages for an associate’s in nursing. The state average of $1,975 per week can amount to $102,700 per year.
10. California
California appears to be the highest state average, with an ADN-RN annual income of $112,872 per year, according to the Indeed salary guide.
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Associateโs Degree in Nursing
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LPNs earn your ADN or BSN degree online in up to 1/2 the time and cost of traditional programs. All applicants must be either an LPN or LVN to apply.Are You an LPN/LVN?:Yes NoEnter Zip Home ยป ADN ยป Salary
Salaries for Nurses with an Associate Degree in Nursing (ADN)
Many factors can determine the salary of an RN with an ADN, including experience, a specialty, and certification.
Wondering what kind of salary you could earn after two to three years of school? Pursuing an Associate Degree in Nursing (ADN) is one of the fastest ways to launch your career as a registered nurse (RN) and reap the financial rewards that go with it.
Whether youโre a licensed practical nurse (LPN) thinking about returning to school for an ADN or a new student choosing your entry-level path into nursing, find out about the earning potential of an ADN-educated nurse.
In This Article
How Much Do Nurses with ADNs Make? | Whatโs Your Highest Earning Potential? | How to Increase Your Earnings Further
How Much Do Nurses with ADNs Make?
Most nurses go for an associateโs degree because itโs the minimum education required to earn an RN license.$77,460Average salary a nurse with an RN can make
The U.S. Bureau of Labor Statistics (BLS) reports that the average annual salary for RNs is $77,460. This number includes nurses with all levels of educationโan ADN, a Bachelor of Science in Nursing (BSN), and in some cases a masterโs degree and above. But salaries can vary widely based on education.
As a new graduate, youโll qualify for many of the same positions as nurses with a BSN, though you may notice some difference in pay rates. For example, for staff nurses, who work in hospitals, RNs with a BSN can sometimes earn about 8% more, says Joseph A. Dunmire, a board member of the National Association for Health Care Recruitment (NAHCR).
How Does ADN Pay Compare to Other Entry-level Nursing Jobs?
An RNโs salary is a big step up from pay for lower-level nursing jobs such as certified nursing assistant (CNA) and LPN. Thatโs because registered nurses are more skilled, have greater responsibilities and sometimes supervise nursing assistants and licensed practical nurses.
Entry-Level Nursing Salary Comparison
- Registered Nurse: $77,460
- Licensed Practical Nurse: $48,500
- Certified Nursing Assistant: $30,720
Source: U.S. Bureau of Labor Statistics, 2019
โAn ADN is a great entry level into healthcare and into nursing,โ says Keith Carlson, BSN, RN, NC-BC, and a board-certified nurse coach, nursing career expert, and host of the nursing career podcast โThe Nurse Keith Show.โ โItโs a great option for someone who wants to go beyond practical nursing or a diploma-based study program.
โFor someone whoโs not sure, for someone who doesnโt want to go into greater debt, and theyโd like to get out of school as quickly as possible and earn a living, then the ADN is the faster path.โ
How Does ADN Pay Compare to Other Healthcare Jobs that Require Associateโs Degrees?
Many other healthcare occupations also have entry-level opportunities at the associate degree level. Hereโs how some of them stack up against RNs in terms of salary, according to the BLS.
- Registered Nurse: $77,460
- Radiologic Technologist/Technician: $63,120
- Respiratory Therapist: $63,950
- Magnetic Resonance Imaging Technologist: $74,270
- Diagnostics Medical Sonographer: $75,780
- Dental Hygienist: $77,230
- Nuclear Medicine Technologist: $80,240
- Radiation Therapist: $91,620
Whatโs Your Highest Earning Potential?
Thereโs much more in play than just education: The salary you earn with an ADN also will depend on factors such as where you live, demand, and your position, employer, and experience.
Registered nurses have the highest employment of all healthcare occupations, the BLS says, so youโll find a wide range of opportunities to explore. This is largely due to a nursing shortage thatโs going to grow in the coming years. Youโll find entry-level positions in hospitals, physiciansโ offices, home care, schools, and many other areas of healthcare.
Long-term care, medical-surgical nursing, rehabilitation, mental health care, and home care are areas that readily hire ADN-prepared nurses.
Some types of care are likely to offer more opportunities.
โLong-term care, medical-surgical nursing, rehabilitation, mental health nursing, and home care nursing are areas that readily hire ADN-prepared nurses,โ says Damion Jenkins, RN, MSN, and an NCLEX prep expert, nurse educator, and CEO of The Nurse Speak. โSome of the more specialized areas, such as pediatrics, maternal newborn, ICU and OR, typically require that their nurses have more experience and therefore would most likely hire BSN-prepared new grads, if a new grad position were available.โ
Your Experience and the Competition Matter
โMany ADN-educated nurses have wonderful nursing careers without ever needing to go back to school to further their education,โ Jenkins says. โIn fact, with the increasing nursing shortage, many healthcare facilities welcome ADN-prepared RNs with open arms and have a professional development team who can help bridge the gaps that a BSN program may cover.โ
Itโs also important to understand your competition. Of nurses who responded to the 2018 Nurse.com Nursing Salary Research Report, 40% said they had special certifications, which can give you an edge of other potential hires and add to your salary.
Of course, how long youโve been a nurse can also add to your earnings. In the 2019 Medscape RN/LP Compensation Report, RNs with 11โ20 years of experience earned about 9% more than nurses with 6โ10 years of experience. โNursing is one of those careers that demonstrates pay increases with earned on-the-job experience,โ Jenkins says.
How Pay Varies by Nursing Specialty
Earning a certification in an area of specialization can increase your job opportunities and earning potential. โThe whole issue in the marketplace when youโre looking for work is, โHow do I differentiate myself from my competition? What makes me different?’โ Carlson says.
Criteria for certification vary by specialty. Many specialties require one to five years of practice or a minimum number of hours in the specialty.
The RN-BC is Medical-Surgical Board Certification, which is awarded by the American Nurses Credentialing Center (ANCC). Nurses can earn this credential in one of nine specialties. Many specialty nursing organizations offer certifications as well.
Hereโs a look at some common specialties, their average salary, and the certification required.
Gerontological Nurses
$69,740Average salary (BLS)
The U.S. Census Bureau says the number of Americans age 65 and older is projected to be 83.7 million by 2050, almost double the number in 2012.
Where they work: Nursing homes, assisted living facilities, retirement communities, private homes, group homes, and hospitals
Certification: Gerontological Nursing Certification (RN-BC)
Home Health Nurses
$73,660Average salary (BLS)
The increasing preference for older Americans to remain in their homes and the trend toward reducing patientsโ time in the hospital adds to the need for home services. Home health nurses will be in demand because theyโre required to perform some clinical functions that aides canโt perform.
Where they work: Private homes, group homes
Certification: Certified Managed Care Nurse (CMCN)
Hospice Nurses
$73,660Average salary (BLS)
Hospice and palliative care have increased as the population has aged. In 2017, 1.49 million Medicare beneficiaries were enrolled in hospice care for one day or more, a 4.5% increase from 2016, according to the National Hospice and Palliative Care Organization (NHPCO).
Where they work: Private homes, nursing homes, residential facilities, hospice facilities, and hospitals
Certification: Certified Hospice and Palliative Nurse (CHPNยฎ)
Psychiatric Nurses
$74,610Average salary (BLS)
One in five Americans has a mental health illness in any given year, according to the U.S. Centers for Disease Control and Prevention (CDC). Increasing openness and de-stigmatization of mental health issues have contributed to growing demand for psychiatric nurses.
Where they work: Hospitals, psychiatric or substance abuse hospitals, community mental health centers, crisis centers, private psychiatric practices, state and federal facilities such as VA hospitals, and correctional facilities
Certification: Psychiatric-Mental Health Nursing Certification (RN-BC)
Occupational Health Nurses
$77,460Average salary (BLS)
Rising insurance costs and increasing worker compensation cases require nurses who understand work-related health issues, says the American Board for Occupational Health Nurses Inc.
Where they work: Businesses, manufacturing and production factories, clinical practice, regulatory/legislative government agencies, private consultation, occupational health clinics
Certification: Certified Occupational Health Nurse (COHN)
Travel Nurses
$77,460Average salary (BLS) plus potential incentives, such as bonuses for crisis pay and stipends for housing, food, and travel
Demand for travel nurses varies by geographic area and changes in response to local and regional nurse shortages such as those that occurred during the COVID-19 pandemic.
Where they work: Hospitals, all types of healthcare facilities
Certification: No specific certification for travel nurses, but having one can increase a nurseโs earning potential and assignment options
Acute Care/Hospital-Based Nurses
$79,460Average salary (BLS)
The nationโs aging population and the retirement of many nurses have created a shortage of bedside and other nurses.
Where they work: Hospital emergency rooms, critical care units, operating rooms, and urgent care facilities
Certification: Medical-Surgical Nursing Certification (RN-BC)
Community Health Nurses
$78,750Average salary (BLS)
Public health issues, including declining immunization rates, the opioid addiction crisis, and the COVID-19 pandemic, have increased the need for community health nurses, who coordinate public care and resources.
Where they work: Government health agencies, schools, community centers, outpatient clinics, and hospitals
Certification: None available at RN level
Rehabilitation Nurses
$80,840Average salary (BLS)
The CDC reports that about 1 in 4, or 61 million adults, lives with some form of disability. Age, increased rates of chronic illness, and better survival rates after traumatic injuries have added to the demand for rehabilitation nurses.
Where they work: Sub-acute care units, inpatient and outpatient rehabilitation units at hospitals, long-term acute-care hospitals, skilled nursing facilities, community/home health agencies, insurance companies, and government/VA facilities
Certification: Certified Rehabilitation Registered Nurse (CRRNยฎ)
Outpatient Care Nurses
$84,720Average salary (BLS)
A report by the commercial real estate firm CBRE indicates that the number of outpatient centers increased by 51%, or 13,700, between 2005 and 2016, fueled by our aging population, increased access to insurance, and the popularity of low-cost, high-deductible health plans that pay fewer out-of-pocket costs.
Where they work: Outpatient facilities, clinics, and physiciansโ offices
Certification: Ambulatory Care Nursing Certification (RN-BC)
Your Salary Can Also Depend on Where You Work
Where you work can make a big difference in your take-home pay. Nursing care facility jobs tend to pay below average, while home healthcare nurses make closer to average. Jobs in outpatient care, such as at a dialysis clinic or a surgical center, often pay above average.
Take a look at average annual RN salaries by industry:
Outpatient Care Facilities
Provide outpatient care services directly or indirectly to ambulatory patients
$84,720
General Medical and Surgical Hospitals
Provide medical, diagnostic, treatment, and special accommodation services to inpatients and may provide outpatient services as a secondary service
$79,460
Home Healthcare Services
Provide skilled nursing services, including high-tech care such as IV therapy, in the home
$73,660
Nursing Care Facilities (Skilled Nursing)
Provide a mix of health and social services in a residential care setting
$69,740
Physiciansโ Offices
Provide medical and surgical treatment with physicians in private practice
$69,570
Source: U.S. Bureau of Labor Statistics, 2019
Where You Live Also Can Make a Difference
Your physical location can also affect your pay since salaries often align with the local cost of living. For example, the BLS reports that the average RN salary for nurses in San Jose-Sunnyvale-Santa Clara, California, is $140,740, while RNs in the Upper Savannah, South Carolina, non-metropolitan area earn an average of $64,660.
How to Increase Your Earnings Further
As a nurse with an ADN, you have many options to increase your earnings. It all depends on your goals.
- Overtime: From a practical standpoint, you may have the opportunity to work overtime or earn a premium on overnight shifts, weekends, or holidays. A 2019 Medscape survey says that 40% of RNs reported working overtime.
- Union membership: If you end up joining a union, you could have support in the form of collective bargaining power for higher wages.
- Certifications and fellowships: These can raise your earnings by adding to your expertise and experience.
- Pursue a higher degree: If you decide to return to school, an ADN is an excellent foundation for earning a BSN, a degree that can help you move into positions with more responsibility and higher pay. Employers that encourage nurses to pursue a BSN oftentimes have tuition reimbursement programs, which can ease financial concerns. And many schools have online programs, which can give students the flexibility to work while theyโre in school.
If you decide to return to school, an ADN is an excellent foundation for earning a BSN, a degree that can help you move into positions with more responsibility and higher pay.
The increasing demand for BSN-educated nurses developed partly in response to a recommendation by the Institute of Medicine (IOM) (now the National Academy of Medicine), that 80% of RNs worldwide should have a BSN.
โThe real difference lies in opportunity,โ Dunmire says. โThe BSN includes courses of study in theory, informatics, management/leadership, public health, social science, communication, and critical thinking that are not covered as much under an ADN curriculum.
โThe BSN is far more likely to secure advanced career opportunities such as management, research, administrative, teaching/faculty, as well as opportunities outside of the hospital like technology and consulting.โ
If youโre thinking about getting an ADN, whether through online classes or in a classroom setting, your timing couldnโt be better: A growing baby boomer population and a high number of retiring nurses is increasing demand for nursesโso much so that itโs going to be difficult to fill the predicted 100,000-plus nursing jobs available by 2022.
โAs we are going into what is predicted to be the greatest nursing shortage in our history, the associate-level program [will play] a vital and significant role bringing nurses into the profession,โ says Donna Cardillo, RN, MA, CSP, FAAN, and a nursing career expert, advocate, and author known as The Inspiration Nurse.
Written and reported by:
Contributing Writer
With professional insight from:
Board Member, National Association for Health Care Recruitment (NAHCR); and Vice PresidentโWorkforce Solutions, Qualivis
Nurse Coach
Nursing Consultant
Donna Cardillo, RN, MA, CSP, FAAN
Nursing Author and Public Speaker
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