Nursing salary comparison — CNA to CRNA

LS
By Lindsay Smith, AGPCNP
· Data: BLS OES May 2024

Nursing salaries vary more than most people expect — the gap between entry-level CNA pay and a top-earning CRNA can exceed $250,000 per year. Understanding where each role sits on the pay scale, and why, helps you plan a career path with realistic expectations. This tool pulls together Bureau of Labor Statistics data for every major nursing credential in a single sortable table.

Use the search box to filter by role name, click any column header to sort, or scroll the table to compare education requirements and job growth side by side. All salary figures are from the BLS Occupational Employment and Wage Statistics (OEWS) survey, May 2024.

Showing 7 of 7 nursing roles

Role Median salary
CNA
Certified Nursing Assistant (CNA)
$39,530
per year
LPN
Licensed Practical Nurse (LPN/LVN)
$62,340
per year
RN
Registered Nurse (RN)
$93,600
per year
NP
Nurse Practitioner (NP)
$129,210
per year
CNM
Certified Nurse Midwife (CNM)
$131,570
per year
CNS
Clinical Nurse Specialist (CNS)
$128,490
per year
CRNA
Certified Registered Nurse Anesthetist (CRNA)
$223,210
per year

Salary data sourced from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (May 2024). Individual earnings vary by location, experience, and employer. CNS range reflects NACNS/BLS combined estimates.

How much do nurses make?

The answer depends almost entirely on which nursing credential you hold. At the entry end, Certified Nursing Assistants (CNAs) earn a median of $39,530 per year — a livable starting income that reflects the four-to-twelve-week training required. At the top, Certified Registered Nurse Anesthetists (CRNAs) earn a median of $223,210, with top earners surpassing $290,000, reflecting the doctoral education, specialized training, and high-stakes clinical responsibility the role demands.

Between those extremes sits a full spectrum: LPNs at $62,340, RNs at $93,600, and Advanced Practice Registered Nurses (APRNs) — Nurse Practitioners, Certified Nurse Midwives, and Clinical Nurse Specialists — earning $128,000–$131,000 at the median. Understanding why those differences exist is as useful as knowing the numbers themselves.

What drives salary differences between nursing roles

Education and training length

Every step up the nursing education ladder carries a salary premium. CNA programs run four to twelve weeks; CRNA programs require a doctoral degree plus a mandatory year of ICU experience as a registered nurse. The return on that education investment is substantial but front-loaded — the years in school cost time and money before the salary gains begin. Comparing median salaries without accounting for education costs can overstate the financial advantage of advanced roles.

Scope of practice and autonomy

Nurses are paid in proportion to their clinical accountability. An LPN works under RN or physician supervision with a defined, narrower scope. An RN holds an independent license, assesses patients, plans care, and delegates. An NP or CNS can diagnose, prescribe, and manage complex patient panels with varying degrees of physician oversight depending on the state. Scope of practice laws differ by state, which is one reason geographic variation in APRN pay is so significant.

Specialization and setting

Within each credential level, specialty and work setting matter considerably. An ICU RN in a major metropolitan hospital earns more than a med-surg RN in a rural community hospital. A family NP in a primary care practice earns differently from a psychiatric NP in an inpatient behavioral health unit. The BLS medians in this table reflect national averages across all settings — your realistic target depends on where you practice and in what specialty.

Geography

California, Alaska, Hawaii, Washington, and Oregon consistently rank among the highest-paying states for nursing at every credential level. Mississippi, Alabama, South Dakota, and Iowa tend to rank lower. The variation between highest- and lowest-paying states is typically 30–50% for RNs and can exceed 60% for APRNs. Cost of living offsets some of this difference, but not all of it.

Job growth across nursing roles

The BLS projects strong growth across all nursing occupations through 2034, driven primarily by the aging population and the resulting increase in chronic disease management. APRN roles (NP, CNM, CNS, CRNA) are projected to grow 35% — among the fastest of any occupation in the US economy. Registered nurses are projected to grow 5%, adding roughly 189,100 openings per year. CNA and LPN growth is more modest (2% and 3% respectively) but both roles still see tens of thousands of annual job openings driven by turnover and retirements.

How to advance your nursing salary

The most direct path to a higher nursing salary is credential advancement. Many nurses follow a stepwise path: CNA experience while completing an LPN program, LPN-to-RN bridge, then RN-to-BSN completion, then an MSN for specialization or APRN status. Each step adds education cost and time but compounds the long-term earning ceiling.

Within a credential level, specialty certification, overtime capacity, travel nursing contracts, and union membership all affect actual take-home pay meaningfully. Some RNs in high-demand settings or travel contracts earn more than entry-level NPs in lower-paying markets. The comparison table above shows medians — the ceiling and floor within each role are wider than most people expect.

Related guides and tools