Registered Nurse Salary in North Carolina 2026

Last reviewed · Methodology

The median annual wage for a registered nurse in North Carolina is $80,045 (mean $89,336). After federal, North Carolina state, and FICA taxes, take-home pay is approximately $61,540/year ($5,128/month).

Median Annual

$80,045

in North Carolina

Mean Annual

$89,336

vs. $96,060 national

Take-Home / yr

$61,540

after all 2026 taxes

Effective Tax

23.1%

federal + state + FICA

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North Carolina vs. national registered nurse wages

MetricNorth CarolinaNationalDifference
Median annual wage$80,045$86,070-7%
Mean annual wage$89,336$96,060-7%
Take-home (single filer)$61,540after all 2026 taxes

North Carolina median derived from BLS OEWS May 2024 national figure adjusted by state wage pattern.

Take-home breakdown for $80,045 in North Carolina

Annual deductions

Federal income tax
−$8,780
North Carolina state income tax
−$3,602
FICA (SS + Medicare)
−$6,123
Total taxes
−$18,505

Your paycheck

Annual net
$61,540
Monthly net
$5,128
Bi-weekly net
$2,367
Hourly equivalent
$29.59/hr

Assumes single filer, no pre-tax deductions, standard deduction, 2026 IRS brackets. Use the full calculator for filing-status adjustments, 401(k) contributions, and other pre-tax items.

About this occupation

Provides and coordinates patient care, educates patients and the public about health conditions, and provides emotional support to patients and families.

Outlook (2023-2033)

+6% (2023-2033, faster than average)

Typical Education

Bachelor's degree in nursing (BSN) and RN licensure

BLS SOC Code

29-1141

Frequently asked questions

How much do registered nurses make in in North Carolina in 2026?

The national median annual wage for RNs was $86,070 in May 2024 (BLS OEWS). With 2026 tax rules, take-home pay on a $86,070 salary runs roughly $66,000-$72,000 depending on state — California and Hawaii are outliers on the high end ($130K+ median).

Which states pay registered nurses the most?

California ($137K median), Hawaii ($128K), Oregon ($110K), Massachusetts ($105K), Washington ($100K), and New York ($100K) lead the country. High wages reflect strong union presence (CA) and high cost-of-living.

Do states without income tax pay nurses less?

Texas, Florida, Washington, and Tennessee are no-state-income-tax states, but their RN wages ($75K-$80K median) are only slightly below national median. The lower tax burden partly offsets the lower gross pay — and cost-of-living in most of these states is also lower than CA/NY.

Is nursing a good career in 2026?

Yes. BLS projects 6% employment growth through 2033 (faster than average), with persistent demand from an aging population. RN remains one of the most stable, recession-resistant healthcare careers.

What is the take-home pay on a $80,045 registered nurse salary in North Carolina?

On a $80,045 registered nurse salary in North Carolina, take-home pay is approximately $61,540/year ($5,128/month, $2,367/bi-weekly). That accounts for $8,780 in federal income tax, 3,602 in North Carolina state income tax, and $6,123 in FICA. The effective tax rate is 23.1%.

Highest-paying states for Registered Nurses

Related occupations in North Carolina

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