Who Earns What

How much does a practical nurse make?

US Licensed Practical and Licensed Vocational Nurses
$64,400

a year · about $31 an hour

A typical practical nurse in the United States makes $64,400 a year, about $31 an hour, about the same as a typical US worker (median, May 2025, US Bureau of Labor Statistics).

What do they do?

They check patients’ blood pressure and temperature, help with bathing or bandages, and listen to concerns. They record care, watch for changes, and report them to a registered nurse or doctor.

Did you know? In some U.S. states, practical nurses with the right training can start IV drips—a task they cannot do everywhere.

Is that a lot?

Compared with jobs you know
This job$64,400
Typical worker$50,980
Elementary teacher$63,970
Doctor$244,180
Cashier$32,880

If 100 people had this job

Most earn between $49,740 and $83,440
49 of 100
not many

How do you become one?

In the U.S., complete a state-approved practical nursing program, usually about a year, with classroom lessons and supervised clinical practice. Then pass the NCLEX-PN and meet your state's licensing rules.

School needed: Vocational school or a few years' experience

Good for people who like helping and teaching and building and doing

Why does pay differ?

In the U.S., pay can differ with experience, extra certificates, specialty skills, the kind of workplace, location, and how complex the work is. Night shifts may bring extra pay, since some healthcare employers pay more for less popular hours.

Where does it pay most?

Highest in Washington ($83,150), lowest in Mississippi ($50,220).

See every state
Whole US$64,400
Washington$83,150
Oregon$80,470
Massachusetts$80,220
Rhode Island$80,090
California$79,750
West Virginia$55,360
South Dakota$52,750
Mississippi$50,220

Top 5 and bottom 3 states, typical (median) yearly pay.

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Who earns more?

In Japan, a practical nurse averages $28,501. Practical nurse salary in Japan

Data table and sources
Practical nurse pay in the United States (May 2025, median and spread) — Data: US BLS OEWS, May 2025
Lower earner (10th from bottom)Typical person (median)Higher earner (10th from top)People in this job
$49,740$64,400$83,440about 648,000
States where practical nurses earn the most (median, May 2025)
StateTypical person (median)People in this job
Washington$83,150about 7,000
Oregon$80,470about 4,000
Massachusetts$80,220about 13,000
Rhode Island$80,090about 1,000
California$79,750about 83,000

Official definition: Care for ill, injured, or convalescing patients or persons with disabilities in hospitals, nursing homes, clinics, private homes, group homes, and similar institutions. May work under the supervision of a registered nurse. Licensing required.

Source: US Bureau of Labor Statistics, OEWS May 2025 (bls.gov); descriptions and related jobs from O*NET 31.0. Figures as of May 2025, full-time yearly pay (hourly × 2,080 hours). bls.gov/oes · O*NET OnLine

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Data: US BLS OEWS, May 2025 · 1 USD = 150 JPY