Registered Nurse Hourly Pay in Roanoke, VA: $40.55 (2026)
Quick Answer:Hourly pay for a registered nurse working in Roanoke, VA runs $40.55 at the median for 2026 — annualizing to $84,343 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1141). Weighted against Roanoke's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $43.32 nationally would. A 24-hour part-time schedule grosses $50,612 per year.
Official BLS data · View source
In 2026, the registered nurse hourly pay in Roanoke, Virginia, is projected to be $40.55, which is notably lower than the national median of $49.39. This hourly rate is essential for both part-time and per-diem nurses, who often work in diverse settings such as hospital floors, intensive care units, and outpatient clinics. For an RN working three days a week, the compensation translates to a steady income while offering flexibility. With an hourly range spanning from $33.79 to $60.81, there are avenues for both entry-level positions and experienced nurses earning higher rates in specialized roles. This data is grounded in the official Bureau of Labor Statistics figures, providing a reliable perspective on what RNs can expect in Roanoke.
Registered Nurse Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $33.79 | $270.35 |
| Lower Range (P25) | $39.42 | $315.34 |
| Median (P50) | $40.55 | $324.44 |
| Upper Range (P75) | $50.83 | $406.67 |
| Top Earners (P90) | $60.81 | $486.45 |
Estimated Annual Income by Work Schedule in Roanoke
Based on $40.55/hr median hourly rate · 2026 est.
At $40.55/hr, a registered nurse working full-time (40 hr/wk) in Roanoke, VA can expect to earn approximately $84,354 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $48,666. With a cost-of-living index of 93.62 (below the national average), these earnings stretch further in Roanoke.
Hourly Rate Calculator
Schedule Comparison in Roanoke
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,622.20 | $7,030 | $84,354 |
| Part-Time (24 hrs) | $973.32 | $4,218 | $50,612 |
| Per Diem (16 hrs) | $648.88 | $2,812 | $33,742 |
Compare RN Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Registered Nurse (Roanoke) | $40.55 |
| Licensed Practical Nurse (National Avg) | $29.34 |
| Nursing Assistant (CNA) (National Avg) | $18.60 |
| Nurse Practitioner (National Avg) | $63.50 |
| Medical Assistant (National Avg) | $19.70 |
Registered Nurses in Roanoke, VA earn a median of $84,343 per year (2026 est.), which is 17.90% lower than the national median of $102,730 and 11.90% below the Virginia state average of $95,735.
Registered Nurse Hourly Pay vs. Cost of Living
Working 24h/week at $40.55/hr = $50,612/year (purchasing power: $54,063).
Working 40h/week (full-time) = $84,354/year (purchasing power: $90,105).
CoL index: 93.618 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$30.57/hr
2025 BLS Actual
$38.51/hr
2026 Current Est.
$40.55/hr
2019–2027 Growth
+39.7%
Hourly Rate Trajectory for Registered Nurses in Roanoke (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.31% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $30.57/hr | Actual |
| 2020 | $31.66/hr | Actual |
| 2021 | $32.46/hr | Actual |
| 2022 | $36.68/hr | Actual |
| 2023 | $37.69/hr | Actual |
| 2024 | $36.52/hr | Actual |
| 2025 | $38.51/hr | Actual |
| 2026(current) | $40.55/hr | Estimated |
| 2027 | $42.71/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for registered nurses in Roanoke grew 26.0% from $30.57/hr (2019) to $38.51/hr (2025). At a 5.31% projected growth rate, hourly pay is expected to reach $42.71/hr by 2027. Part-time and per-diem registered nurses can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Roanoke metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.31% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Registered Nurse in Roanoke
Analyzing the earning potential for part-time registered nurses in Roanoke, a nurse working 24 hours per week can anticipate a take-home pay substantially lower than their full-time counterparts. The per diem registered nurse pay in Roanoke can vary significantly; nurses often see rates between $50 and $80 per hour, especially in specialized areas. Furthermore, travel nursing continues to be a lucrative choice, with contracts generating upwards of $5,000 per week in high-demand segments such as critical care. In terms of compensation, hourly rates differ across employer types: hospitals may offer lower rates but provide benefits, while agencies can present higher pay without those perks. For RNs considering their options, effective negotiation skills are vital, particularly when addressing shifts that fall on nights or weekends, where differential pay can augment their income considerably.
More salary data for Roanoke, VA:
Frequently Asked Questions
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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.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.31% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for registered nurses in Roanoke. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.31%, derived from historical BLS wage trends for registered nurses (SOC 29-1141).
Compiled and verified by Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov