Registered Nurse salary in West Virginia: $80,130 median.
Pay for registered nurses across West Virginia at every point of the range, against the U.S., the states it borders and the state's metro areas.
Registered Nurses in West Virginia earned a median annual wage of $80,130 in May 2025, compared with $97,550 nationally, according to the BLS Occupational Employment and Wage Statistics (OEWS) survey (SOC 29-1141). That is 18% below the U.S. median; the middle half of West Virginia workers in this occupation earned between $68,160 and $99,770.
- West Virginia median
- $80,130
- $38.52 an hour
- U.S. median
- $97,550
- -18% in West Virginia
- Rank, 50 states + DC
- 45 of 51
- by median pay
- Employed in West Virginia
- 23,430
- location quotient 1.54
Advice For a pay conversation in West Virginia, the state median ($80,130) is the sourced middle of the market; the 25th–75th percentile band ($68,160–$99,770) is where half of the state's workers in this occupation fall. Experience, employer, metro and specialty move individual offers within and beyond that band.
West Virginia vs the U.S. at every point of the range
Data Annual wages at five points of the pay distribution, SOC 29-1141, BLS May 2025.
| Point in the pay range | West Virginia | United States | Difference |
|---|---|---|---|
| 10th percentile | $57,210 | $68,940 | -17% |
| 25th percentile | $68,160 | $80,330 | -15% |
| Median | $80,130 | $97,550 | -18% |
| 75th percentile | $99,770 | $112,350 | -11% |
| 90th percentile | $131,760 | $137,470 | -4% |
Data The local difference is larger at the bottom of the range than at the top (-17% at the 10th percentile, -4% at the 90th). Locally, the 90th-percentile wage is 2.30 times the 10th-percentile wage, versus 1.99 times nationally, so pay is more spread out than it is nationally.
How common the job is in West Virginia
Data BLS location quotient: the occupation's share of state employment divided by its share of U.S. employment.
Data The BLS location quotient for this occupation in West Virginia is 1.54, so it is more concentrated than nationally (1.00 = the same share as nationally). That is about 33.4 jobs per 1,000 jobs in the state.
West Virginia vs the states it borders
Data Same occupation, same BLS release. A higher median elsewhere is not a job offer; cost of living differs.
| State | Median annual wage | vs West Virginia | Employment |
|---|---|---|---|
| Maryland | $99,790 | +25% | 52,910 |
| Pennsylvania | $96,430 | +20% | 146,520 |
| Virginia | $93,600 | +17% | 77,490 |
| Ohio | $82,510 | +3% | 143,730 |
| Kentucky | $81,040 | +1% | 50,300 |
| West Virginia | $80,130 | 23,430 |
Where in West Virginia it pays most
Data Metropolitan statistical areas that include part of the state and pass TryHired's reliability rule (500+ jobs, employment PRSE ≤ 20%, mean-wage PRSE ≤ 10%, a published median and a non-degenerate wage distribution). Each is the whole BLS metro area, not a city.
Where registered nurses earn the highest medians
Data Highest state medians among the 50 states and DC, BLS May 2025. West Virginia ranks 45.
See every state on the national Registered Nurse salary page.
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How this page is built
BLS OEWS May 2025 state estimates for West Virginia and national estimates for SOC 29-1141 (Registered Nurses). The pay ladder compares the same five published percentiles; the difference column is the local value minus the U.S. value, divided by the U.S. value. Ranks compare published state medians across the 50 states and DC. Employment counts people working in the occupation (excluding the self-employed), not job openings. BLS publishes sampling error for these estimates: the employment estimate has a relative standard error of 1.3%. Lower is more precise; BLS does not publish a standard error for the median itself. Searches this page answers include “rn salary in wv”, “how much do rns make in wv”, “how much does an rn make in wv” (Ahrefs, U.S.).
- Cost of living: wages are not adjusted for local prices.
- Pay at a specific employer, in one city, or for self-employed workers.
- Local outlook: BLS projections are national.
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 state and national estimates (2018 SOC), public domain.
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates (public domain).
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