Registered Nurse Salary

Reston vs Roanoke: Registered Nurse Salary (2026)

Compare registered nurse salaries between Reston, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Reston, VA
$93,634
$45.02/hr
Roanoke, VA
$84,343
$40.55/hr

Side-by-Side Comparison

MetricReston, VARoanoke, VA
Median Salary$93,634$84,343
Hourly Rate$45.02$40.55
Entry Level (P10)$68,431$70,284
25th Percentile$78,099$81,994
75th Percentile$108,528$105,721
Top Earner (P90)$131,929$126,477
Total Employed164,670
Side-by-side bar chart comparing Reston ($93,634) and Roanoke ($84,343) registered nurse salaries.RestonRoanokeMedian Salary$93,634$84,343Entry Level (P10)$68,431$70,284Top Earner (P90)$131,929$126,477US Median $102,730

Verdict

Reston, VA offers better overall compensation for registered nurses, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Reston and Roanoke is $9,291 (11.02%). Reston's median is -8.85% compared to the US national median of $102,730.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Reston spans $63,498,Roanoke spans $56,193. Reston has a wider pay range, meaning more potential for high earners but also more variation.

Reston
P10 (Entry)$68,431
P25$78,099
Median$93,634
P75$108,528
P90 (Top)$131,929
Roanoke
P10 (Entry)$70,284
P25$81,994
Median$84,343
P75$105,721
P90 (Top)$126,477

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Reston ($90,731 effective) pays 0.71% more than Roanoke ($90,093 effective).

Reston
Nominal: $93,634
CoL Index: 103.2
Adjusted: $90,731
Roanoke
Nominal: $84,343
CoL Index: 93.618
Adjusted: $90,093

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Reston if…

  • Higher median salary ($93,634/year)
  • Better top-earner potential ($131,929)
  • Better purchasing power (CoL-adjusted: $90,731)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (4,670 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, registered nurse salaries in Reston grew 7.4% from 2024 to 2025, compared to 25.9% growth in Roanoke over the same period.

Reston, VA

+7.4%

$82,756 (2024) → $88,913 (2025)

Roanoke, VA

+25.9%

$63,590 (2019) → $80,090 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays registered nurses more: Reston or Roanoke?

Reston has a higher median registered nurse salary at $93,634/year, compared to Roanoke at $84,343/year — a difference of $9,291 (11.02%).

What is the hourly rate difference between Reston and Roanoke?

Reston registered nurses earn $45.02/hr while Roanoke hygienists earn $40.55/hr (2026 est.).

Should I relocate from Reston to Roanoke as a registered nurse?

Consider more than just salary when comparing Reston and Roanoke. Factor in cost of living (CoL-adjusted: Reston = $90,731, Roanoke = $90,093), job availability (16 vs 4,670 employed), commute, and career growth potential.

What do entry-level registered nurses earn in Reston vs Roanoke?

Entry-level (10th percentile) registered nurses earn $68,431 in Reston and $70,284 in Roanoke. The Roanoke area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, RN, BSN

Career Analyst

Jordan Lee has 10 years of experience as a registered nurse. Their specialty is pediatric nursing in a community hospital. They analyze nursing workforce trends and salary data.

Clinically reviewed by Amina Patel, RN, MSNData verified by Carlos Gomez, RN, DNP

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.31% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov