The median First Assist Nurse salary is $78.15 per hour, or $162,552 per year, based on 832 job postings across 34 states. Compare pay by location, employer, shift, and contract type.
$78.15
Median hourly
$162,552
Annual salary
$68-$91
Pay range
34
States tracked
Salary guide
A typical First Assist Nurse earns $78.15/hr, with most posted roles landing between $72.67 and $84.79/hr.
Recent posted pay is up, with the last 30 days showing +9.8% movement versus the prior period.
Location matters: Clackamas, OREGON is currently among the highest-paying cities, while Washington, MISSOURI sits near the lower end.
30-day market pulse
Compare the most recent 30 days of job postings against the previous 30 days. Use this as a quick read on whether pay and hiring volume are moving together.
Posted pay
+9.8%
Current median: $82.00/hr
Prior period: $74.65/hr
Job openings
-40.9%
139 recent postings
Previous period: 235 postings
Daily pay signal
$87.00/hr latest
Year-over-year
Building
We are collecting enough historical First Assist Nurse postings to show a reliable year-over-year pay comparison.
Pay is moving up even though posting volume changed. Recent listings are showing a median of $82.00/hr, up from $74.65/hr.
Pay range
The middle band is usually the most useful offer benchmark. The 10th and 90th percentiles show the broader market floor and ceiling.
Entry / low
$68.39
$142,251/yr
Median
$78.15
$162,552/yr
Top earners
$91.17
$189,634/yr
MARKET TRENDS
Month-over-month median hourly pay and posting volume.
| Month | Median Hourly | Postings |
|---|---|---|
Apr 2026Current | $82.23/hr | 124 |
Mar 2026 | $75.32/hr | 250 |
Feb 2026 | $77.82/hr | 122 |
Jan 2026 | $78.19/hr | 139 |
Dec 2025 | $79.20/hr | 87 |
Nov 2025 | $82.43/hr | 110 |
BY LOCATION
See how pay varies across the country. Ranked by job volume.
Estimated from national data
~$75.83
—
Estimated from national data
~$73.46
—
Estimated from national data
~$79.07
—
Estimated from national data
~$69.34
—
159 postings · 44 companies
$82.00
$77-$90
Estimated from national data
~$72.67
—
8 postings · 7 companies
$84.58
$81-$88
Estimated from national data
~$91.02
—
Estimated from national data
~$87.17
—
Estimated from national data
~$70.65
—
9 postings · 7 companies
$84.94
$84-$86
Estimated from national data
~$74.19
—
Estimated from national data
~$79.86
—
52 postings · 28 companies
$76.40
$72-$88
Estimated from national data
~$80.77
—
Estimated from national data
~$85.24
—
Estimated from national data
~$78.67
—
25 postings · 21 companies
$89.08
$79-$93
8 postings · 8 companies
$77.92
$74-$80
Estimated from national data
~$90.12
—
Estimated from national data
~$84.29
—
100 postings · 42 companies
$80.00
$78-$82
51 postings · 30 companies
$77.40
$74-$80
Estimated from national data
~$81.52
—
Estimated from national data
~$70.69
—
118 postings · 44 companies
$72.60
$68-$78
Estimated from national data
~$89.75
—
Estimated from national data
~$78.71
—
Estimated from national data
~$88.77
—
10 postings · 10 companies
$74.90
$72-$76
13 postings · 8 companies
$80.20
$74-$83
7 postings · 7 companies
$77.80
$74-$80
98 postings · 22 companies
$81.06
$74-$85
Estimated from national data
~$70.24
—
Estimated from national data
~$72.82
—
35 postings · 25 companies
$75.25
$72-$84
Estimated from national data
~$79.51
—
28 postings · 15 companies
$95.67
$90-$100
5 postings · 5 companies
$76.10
$73-$79
Estimated from national data
~$90.61
—
Estimated from national data
~$73.73
—
Estimated from national data
~$67.91
—
Estimated from national data
~$89.46
—
14 postings · 14 companies
$71.82
$70-$72
Estimated from national data
~$76.81
—
Estimated from national data
~$85.44
—
Estimated from national data
~$83.53
—
Estimated from national data
~$68.36
—
62 postings · 31 companies
$73.61
$71-$76
Estimated from national data
~$71.58
—
Estimated from national data
~$75.29
—
Est.Estimated values are based on national averages.
BY CITY
See which cities offer the highest and lowest First Assist Nurse salaries.
Clackamas
Oregon · 25 postings
$97.35/hr
Arroyo Grande
California · 10 postings
$92.97/hr
Centralia
Illinois · 10 postings
$90.60/hr
Edgewood
Kentucky · 17 postings
$90.20/hr
Canton
Ohio · 11 postings
$88.31/hr
Washington
Missouri · 21 postings
$66.61/hr
Longview
Texas · 14 postings
$71.82/hr
Marion
Illinois · 14 postings
$72.40/hr
Saint Louis
Missouri · 31 postings
$72.50/hr
St. Louis
Missouri · 39 postings
$72.50/hr
BY EMPLOYER
See which companies pay the most and least for First Assist Nurse positions.
Theraex Staffing Services
5 postings
$105.00/hr
19 postings
$87.05/hr
Prokatchers
11 postings
$86.25/hr
Lancesoft
11 postings
$85.85/hr
Amergis Healthcare Staffing, Inc.
5 postings
$85.03/hr
Commonspirit Health
7 postings
$60.50/hr
Solomon Page
48 postings
$72.60/hr
Health Advocates Network - Nursing
17 postings
$72.72/hr
Supplemental Health Care
20 postings
$73.72/hr
Vivian Health
8 postings
$73.81/hr
RELATED POSITIONS
| Job Title | Postings | Median |
|---|---|---|
| Nurse Rn - First Assist | 610 | $79.14/hr |
| Rn First Assist | 60 | $79.47/hr |
| Pediatric Or Rn First Assist | 29 | $71.53/hr |
| Nurse Rn - Cvor First Assist | 28 | $78.03/hr |
| Rn First Assist Operating Room | 17 | $65.33/hr |
| Registered Nurse First Assist - Cardiac Or & Endoscopic Vein Harvest | 14 | $78.31/hr |
| Rn First Assistant Sw | 4 | $60.50/hr |
| Nurse - Operating Room - First Assist $3,120/wk | 3 | $78.00/hr |
| Nurse - Operating Room - First Assist $3,080/wk | 3 | $77.00/hr |
| Nurse - Operating Room - First Assist $2,520/wk | 3 | $70.00/hr |
PAY FACTORS
How shift type, contract length, and employment type impact First Assist Nurse salaries.
FAQ
The median First Assist Nurse salary is $78.15 per hour, or $162,552 annually. Pay ranges from $68.39/hr (10th percentile) to $91.17/hr (90th percentile) depending on location, experience, and employer.
Based on 832 job postings, the highest paying states for First Assist Nurses include Oregon, Kentucky, Georgia. Pay rates vary based on cost of living, demand, and state regulations.
There are currently 832 First Assist Nurse job postings across 34 states, from 114 different healthcare employers.
First Assist Nurse pay varies based on geographic location, years of experience, certifications, shift differentials (nights/weekends), employment type (travel vs. staff), facility type, and specialized skills. Travel contracts typically pay higher hourly rates.
First Assist Nurse pay is currently trending upward. Over the past 30 days, median hourly rates increased 9.8%.
First Assist Nurse pay varies by specialty and setting. Travel positions typically pay $6.64 to $13.02 more per hour than staff positions. Night shifts and weekend differentials also increase earnings.
Pay varies significantly by location. Top paying cities like Clackamas offer $97.35/hr, while lower cost areas may pay around $66.61/hr. However, rural areas often offer signing bonuses and housing stipends to attract talent.
Entry-level First Assist Nurses typically earn around $68.39 to $72.67 per hour ($142,251 to $151,154 annually). With experience, pay increases toward the median of $78.15/hr.
DATA METHOD
Source
Based on 832 active postings with listed compensation for First Assist Nurse. We prioritize postings with explicit hourly or annual pay and exclude rows without usable compensation signals from salary percentiles.
Range
Percentiles show the spread of posted pay, not a guaranteed offer or take-home pay after taxes. State and city views use available market observations and label estimated values when direct samples are limited.
Freshness
Current dataset window: 2025-11-01 to 2026-04-30. Recent trend cards compare the latest posting window with the prior period so short-term pay movement is separated from the full historical median.
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