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2026 Salary — Virginia
Updated April 29, 2026

Registered Nurse Salary in Virginia: $91K Median

Registered Nurses in Virginia earn between $68K and $141K per year.

That's +6% above the US national median.

Quick Answer

As of April 2026, the median Registered Nurse salary in Virginia is $91,234 per year — +6% above the US national median of $86,070. Salaries range from $67,543 (entry, 25th percentile) to $140,641 (90th percentile). Virginia's cost-of-living index is 104. State income tax applies.

Median
$91,234
+560.0% YoY
Entry
$68,900
Experienced
$111,300
Top 10%
$140,641

About Registered Nurses in Virginia

Registered nurses (RNs) provide direct patient care, administer medications, coordinate care plans, and educate patients about health conditions.

Hot 2026 Skills

TelehealthEpic EHRBSN credentialSpecialty certificationsNLC compact license

ATS Keywords

patient caremedication administrationEHR (Epic, Cerner)critical thinkingBLSIV therapypatient education

Registered Nurse Salary in Virginia Metros

Click any city for full breakdown including take-home pay calculator.

CityMedian
Virginia Beach$84,349

How to Negotiate Your Registered Nurse Salary in Virginia

Walk-away anchor: $82,940.

Leverage Points

  • Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
  • Compact license / multi-state authority and willingness to float between units
  • Night, weekend, and holiday shift differentials add up to $10K-$25K annually
  • Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage

Negotiate Beyond Base

Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend

Registered Nurse Salary FAQ — Virginia

What is the average Registered Nurse salary in Virginia?
The average Registered Nurse salary in Virginia is $91,234 per year as of April 2026. Salaries range from $67,543 (entry, 25th percentile) up to $140,641 (90th percentile). State income tax applies.
How does Registered Nurse pay in Virginia compare to the US average?
Registered Nurses in Virginia earn approximately 6% more than the US national median ($86,070 nationally vs $91,234 in Virginia). Virginia's cost-of-living index of 104 is close to the national average.
Did Registered Nurse salaries in Virginia increase in 2026?
Yes — Registered Nurse salaries in Virginia grew approximately 560.0% year-over-year, from $13,823 in 2025 to $91,234 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telehealth and Epic EHR demand.
Which Virginia cities pay Registered Nurses the most?
Top-paying Virginia metros for Registered Nurses: Virginia Beach ($84K). Click any city for full breakdown including take-home pay.
What's the job outlook for Registered Nurses in Virginia?
RN employment projected to grow 6% through 2034, with 194,500 openings annually. Chronic shortage continues, driving competitive salaries and signing bonuses. Virginia's top industries include Government/Defense, Tech (Data Centers), Shipbuilding, and the state's unemployment rate is 3.3% — a tight labor market favoring candidates.
Does Virginia have state income tax?
Yes, Virginia has state income tax. This affects take-home pay — at $91,234, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Registered Nurses in 2026?
Hottest 2026 skills: Telehealth, Epic EHR, BSN credential, Specialty certifications, NLC compact license. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with Virginia employers.
How can I increase my Registered Nurse salary in Virginia?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for Virginia: $82,940.

Methodology

Virginia Registered Nurse salary is the BLS national median ($86,070) adjusted by Virginia's state multiplier (1.06×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.

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