Registered Nurse Salary in Roanoke, VA — 2026 Guide
Estimated salaries are adjusted for Roanoke's cost of living (index: 88). National data from BLS OEWS 2024; city adjustments reflect local market conditions.
Registered Nurse Salary in Roanoke — Key Numbers
Cost of Living in Roanoke
Rent-to-income below 28% is considered affordable; above 35% is cost-burdened. Home price multiple below 3× is affordable; above 5× is expensive by traditional guidelines.
Job Market in Roanoke
Roanoke has a metro population of 320,000, offering a growing job market with opportunities especially in established local industries. The 3.6% unemployment rate is below the national average, suggesting a tight labor market favorable to job seekers.
Financial Calculators for Roanoke
Other Professions in Roanoke
Registered Nurse Salary — Other Virginia Cities
Frequently Asked Questions
How much does a Registered Nurse make in Roanoke, VA?
The estimated median salary for a Registered Nurse in Roanoke is $75,742 per year (2026). This is derived from the national BLS median of $86,070 adjusted by Roanoke's cost of living index (88). The typical salary range runs from $60,623 (25th percentile) to $94,767 (75th percentile), with top earners reaching $116,758.
Is Roanoke affordable for a Registered Nurse?
On a $75,742 annual salary, a Registered Nurse in Roanoke would spend approximately 15.1% of gross monthly income on median rent ($950/month). This is well within the 28% affordability threshold, making Roanoke relatively affordable for this profession. The median home price of $215,000 is 2.8× the annual salary.
How does a Registered Nurse's salary compare to Roanoke's overall income?
Roanoke's median household income is $55,800. A Registered Nurse earning the city-adjusted median of $75,742 earns 35.7% more than the typical Roanoke household — placing them solidly in the middle-to-upper income tier for the city.
Explore More Salary Data
Salary data from U.S. Bureau of Labor Statistics (BLS) OEWS, 2024 release. City salary estimates adjusted by cost of living index. City data from Census Bureau, BLS, Zillow, and ApartmentAdvisor (2024–2025). Last updated: March 2026.