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How Much Does an RN Make in Roanoke, VA in 2026?

Typical pay for RNs in Roanoke, from federal wage data (May 2025), with the ten-year trend and how the city compares across Virginia.

$80,090
Typical pay a year
$38.51
Typical pay an hour
-14%
vs Virginia · -18% vs US
4,670
RNs employed in the area
Where RN pay falls in Roanoke
from starting out to the top earners
$66,740
Starting out
$77,860
First years
$80,090
Typical
$100,390
Experienced
$120,100
Top 10%

BLS OES May 2025 · Roanoke metro area

A typical RN in Roanoke, Virginia earns $38.51 per hour, or $80,090 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $6,674 a month. Entry-level positions typically offer around $66,740, and the top 10% of earners make over $120,100.

That pay is 14% below the Virginia figure of $93,600 and 18% below the national figure of $97,550. Roanoke ranks 9th of 10 metro areas in Virginia for RN pay. About 4,670 RNs work in the Roanoke area.

RN pay in Roanoke at a glance

  • Typical pay is $38.51 an hour, or $80,090 a year.
  • That is 14% below the Virginia figure, ranking 9th of 10 metro areas in the state.
  • Entry-level positions typically offer around $66,740; the top 10% make over $120,100.
  • Typical pay rose +32% from 2015 to 2025, against +47% for Virginia as a whole.

BLS OES May 2025

How much does an RN make in Roanoke?

Pay in Roanoke runs from entry-level positions at around $32.09 an hour to more than $57.74 for the top 10% of earners. The table sets each career stage against the Virginia and national figures.

RN pay by career stage in Roanoke

RN pay by career stage in Roanoke
Career stageRoanokeVirginiaUnited States
Starting out$66,740$32.09 an hour$67,830$32.61 an hour$68,940$33.14 an hour
First years$77,860$37.43 an hour$80,090$38.51 an hour$80,330$38.62 an hour
Typical RN$80,090$38.51 an hour$93,600$45.00 an hour$97,550$46.90 an hour
Experienced$100,390$48.27 an hour$103,030$49.53 an hour$112,350$54.02 an hour
Top 10%$120,100$57.74 an hour$125,580$60.37 an hour$137,470$66.09 an hour

BLS OES May 2025 · city figures cover the Roanoke area as BLS defines it

RN pay growth in Roanoke

$80,090
2025 typical annual pay
+$4,130 vs 2024
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Typical (median) annual wage for RNs in the Roanoke area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change

In 2015, typical RN pay in Roanoke was $60,710 a year. By 2025 it had reached $80,090, a change of +32%, compared with +47% for Virginia over the same years.

How Roanoke compares with other Virginia cities

Arlington pays RNs the most in Virginia at $102,710 a year, $22,620 more than Roanoke. The lowest-paying area in the state is Bristol at $76,730.

Typical RN pay by metro area in Virginia
#CityTypical payHourlyVs RoanokeRNs employed
1Arlington$102,710$49.38+28%46,830
2Charlottesville$99,320$47.75+24%3,040
3Winchester$95,650$45.99+19%1,630
4Richmond$93,580$44.99+17%15,700
5Staunton
metro incl. Stuarts Draft
$92,390$44.42+15%1,500
6Virginia Beach$89,450$43.00+12%16,870
7Christiansburg
metro incl. Blacksburg · Radford
$81,230$39.05+1%1,330
8Lynchburg$80,450$38.680%2,200
9Roanoke$80,090$38.51this city4,670
10Bristol$76,730$36.89-4%2,660

Every metro area in Virginia with RN wage data · BLS OES May 2025 · Virginia typical pay $93,600

Is Roanoke a good place to work as an RN?

-18%
vs national pay · -14% vs Virginia
4,670
RNs employed in the Roanoke area
30
RN jobs per 1,000 jobs, vs about 22 nationally

RNs in Roanoke earn less than the national figure: typical pay is $80,090 a year, 18% below the national rate. For every 1,000 jobs in the Roanoke area, about 30 are RN positions; nationally, the figure is closer to 22. That makes the local economy more reliant on RNs than most places, and turnover keeps positions opening through the year.

Frequently asked questions

How much does an RN make in Roanoke, VA?
A typical RN in Roanoke earns $80,090 a year, or $38.51 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $66,740 and the top 10% earn over $120,100.
How much does an RN make an hour in Roanoke?
Typical hourly pay for RNs in Roanoke is $38.51. Entry-level hourly pay runs about $32.09, and the top 10% earn over $57.74 an hour.
What is the starting pay for an RN in Roanoke?
Entry-level RN positions in Roanoke typically offer around $32.09 an hour, or $66,740 a year.
Is RN pay in Roanoke higher than in the rest of Virginia?
Roanoke pay is 14% below the Virginia figure of $93,600 a year, ranking 9th of 10 metro areas in the state. Arlington pays the most in Virginia at $102,710.

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