LIVE MARKET·6,269 postings · last 180 days·Updated April 30, 2026

Operating Room (or) Nurse salary: $75.15/hr$3,006/wk$156,312/yr median.

Pay range $71.68$2,867$149,094$80.25/hr$3,210/wk$166,920/yr across the middle 50% of active Perioperative Nurse Registered Nurse (RN) postings nationwide.

167 unique employers · 557 cities · 53 states.

Show pay as
Median /hr/wk/yr
$75.15$3,006$156,312
P25–P75
$71.68$2,867$149,094$80.25$3,210$166,920
middle 50%
Postings
6,269
Coverage
53 states
167 employers
01·PAY DISTRIBUTION·P10 → P90

How Operating Room (or) Nurse pay is distributed.

10% of postings pay under $63.00/hr$2,520/wk$131,040/yr. The top 10% pay above $86.39/hr$3,456/wk$179,691/yr.

P10
$63.00
P25
$71.68
P50
$75.15
P75
$80.25
P90
$86.39
P10
$63.00/hr$2,520/wk$131,040/yr
P25
$71.68/hr$2,867/wk$149,094/yr
P50 (median)
$75.15/hr$3,006/wk$156,312/yr
P75
$80.25/hr$3,210/wk$166,920/yr
P90
$86.39/hr$3,456/wk$179,691/yr
03·STATE BREAKDOWN·n=6,269

Operating Room (or) Nurse pay across every state with live data.

01Alabama AL6 postings
$70.78/hr
02Alaska AK77 postings
$74.90/hr
03Arizona AZ231 postings
$76.03/hr
04Arkansas AR18 postings
$58.00/hr
05California CA948 postings
$81.18/hr
06Colorado CO479 postings
$76.15/hr
07Connecticut CT121 postings
$77.83/hr
08Delaware DE47 postings
$79.28/hr
09District Of Columbia DC16 postings
$73.43/hr
10Florida FL52 postings
$66.45/hr
11Georgia GA73 postings
$56.00/hr
12Hawaii HI52 postings
$80.89/hr
13Idaho ID70 postings
$72.49/hr
14Illinois IL237 postings
$72.95/hr
15Indiana IN75 postings
$71.40/hr
16Iowa IA147 postings
$75.00/hr
17Kansas KS24 postings
$65.00/hr
18Kentucky KY49 postings
$60.00/hr
19Louisiana LA13 postings
$63.00/hr
20Maine ME48 postings
$68.90/hr
21Maryland MD12 postings
$62.50/hr
22Massachusetts MA419 postings
$81.00/hr
23Michigan MI125 postings
$73.75/hr
24Minnesota MN25 postings
$73.00/hr
25Missouri MO72 postings
$73.32/hr
26Montana MT52 postings
$73.98/hr
27Nebraska NE79 postings
$74.15/hr
28Nevada NV6 postings
$71.68/hr
29New Hampshire NH326 postings
$73.50/hr
30New Jersey NJ197 postings
$78.05/hr
31New Mexico NM150 postings
$74.20/hr
32New York NY513 postings
$77.00/hr
33North Carolina NC23 postings
$55.00/hr
34North Dakota ND219 postings
$75.13/hr
35Ohio OH80 postings
$77.00/hr
36Oklahoma OK39 postings
$62.00/hr
37Oregon OR116 postings
$73.58/hr
38Pennsylvania PA171 postings
$73.00/hr
39South Carolina SC18 postings
$55.50/hr
40South Dakota SD138 postings
$72.81/hr
41Tennessee TN21 postings
$79.39/hr
42Texas TX100 postings
$53.00/hr
43Vermont VT182 postings
$75.75/hr
44Virginia VA38 postings
$75.55/hr
45Washington WA83 postings
$72.00/hr
46West Virginia WV20 postings
$68.00/hr
47Wisconsin WI226 postings
$73.65/hr
48Wyoming WY16 postings
$72.33/hr

Showing all 48 states with live data. Bars scale to the highest-paying state.

04·TOP-PAYING CITIES·METROS WITH ACTIVE POSTINGS

The metros writing the biggest Operating Room (or) Nurse paychecks.

CityStateMedian /hr/wk/yrP25–P75Postings
ll still be able to contribute to our mission of providing high quality health care at a local facility. shawn bsnRN · RN$116.60$4,664$242,528$104.94$4,198$218,275$116.60$4,664$242,52811
joshua treeCA · CALIFORNIA$96.58$3,863$200,886$86.21$3,448$179,317$96.58$3,863$200,88614
san diegoCA · CALIFORNIA$91.31$3,652$189,925$87.56$3,502$182,125$94.42$3,777$196,39459
stocktonCA · CALIFORNIA$90.81$3,632$188,885$84.72$3,389$176,218$94.56$3,782$196,68560
lancasterCA · CALIFORNIA$90.12$3,605$187,450$90.00$3,600$187,200$94.21$3,768$195,95718
05·EMPLOYER BREAKDOWN·TOP 20 BY PAY

Where the top of the market is paying for Operating Room (or) Nurse.

EmployerMedian /hr/wk/yrRangePostings
$81.00$3,240$168,480$48.23$1,929$100,318$128.23$5,129$266,718713
cure healthcare staffing$80.83$3,233$168,126$71.65$2,866$149,032$96.64$3,866$201,01112
express healthcare staffing ny$84.69$3,388$176,155$72.10$2,884$149,968$94.61$3,784$196,7896
flexstaff$81.15$3,246$168,792$77.15$3,086$160,472$95.64$3,826$198,9315
kaiser permanente$102.09$4,084$212,347$25.17$1,007$52,354$116.60$4,664$242,52831
seven healthcare$87.50$3,500$182,000$85.42$3,417$177,674$88.89$3,556$184,8915
smarter healthcare partners$82.00$3,280$170,560$72.00$2,880$149,760$88.56$3,542$184,20514
trusted resource associates (tra)$84.69$3,388$176,155$77.00$3,080$160,160$87.78$3,511$182,5826
united staffing solutions$82.27$3,291$171,122$75.15$3,006$156,312$83.61$3,344$173,9096
uniti med$80.72$3,229$167,898$49.13$1,965$102,190$94.69$3,788$196,95533

Showing all 10 employers with live pay data.

06·SHIFT & CONTRACT MIX·PAY BY WORK PATTERN

How Operating Room (or) Nurse pay shifts by schedule and contract type.

Staff Position pays the most at $85.49/hr$3,420/wk$177,819/yr median — 73% above Local Contract at $49.50/hr$1,980/wk$102,960/yr. Travel Contract drives the volume with 4,154 active postings.

BY SHIFT
Days
4,840 postings
$75.00/hr$3,000/wk$156,000/yr
Day
373 postings
$76.22/hr$3,049/wk$158,538/yr
Nights
370 postings
$78.18/hr$3,127/wk$162,614/yr
Evenings
246 postings
$76.86/hr$3,074/wk$159,869/yr
Rotating
210 postings
$74.00/hr$2,960/wk$153,920/yr
Flexible
97 postings
$76.00/hr$3,040/wk$158,080/yr
Mids
58 postings
$66.00/hr$2,640/wk$137,280/yr
AM
32 postings
$102.09/hr$4,084/wk$212,347/yr
Weekend
19 postings
$73.50/hr$2,940/wk$152,880/yr
Variable
7 postings
$80.40/hr$3,216/wk$167,232/yr
PM
5 postings
$78.08/hr$3,123/wk$162,406/yr
Mid
4 postings
$81.01/hr$3,240/wk$168,501/yr
Night
3 postings
$78.43/hr$3,137/wk$163,134/yr
BY JOB TYPE
Travel Contract
4,154 postings
$75.75/hr$3,030/wk$157,560/yr
Not Specified
1,715 postings
$73.00/hr$2,920/wk$151,840/yr
Permanent
371 postings
$76.65/hr$3,066/wk$159,432/yr
Staff Position
24 postings
$85.49/hr$3,420/wk$177,819/yr
Local Contract
3 postings
$49.50/hr$1,980/wk$102,960/yr
08·HOW TO BECOME·CAREER PATHWAY

How to become a Operating Room (or) Nurse.

Operating Room nurses provide specialized nursing care to patients before, during, and after surgical procedures in the operating room environment.

Education·Min: ADN · Preferred: BSN

OR nursing requires specialized training beyond nursing school. Most facilities offer 6-12 month perioperative orientation programs combining classroom learning with hands-on OR experience.

DegreeDurationNotes
Associate Degree in NursingADN2-3 yearsEntry-level option. Many ORs accept ADN with comprehensive perioperative training.
Bachelor of Science in NursingBSN4 yearsPreferred by most surgical centers. Required for magnet hospitals and leadership roles.
Perioperative Nursing CertificatePeriop Certificate6-12 monthsStructured OR training programs for RNs transitioning from other specialties.
Licenses & Exams·4 credentials
RN LicenseRegistered Nurse LicenseRequired
Exam: NCLEX-RN · Issued by: State Board of Nursing

State RN license required. Must pass NCLEX-RN examination.

BLSBasic Life SupportRequired
Issued by: American Heart Association

CPR certification required for all OR positions.

ACLSAdvanced Cardiovascular Life SupportRequired
Issued by: American Heart Association

Required for most OR positions. Critical for managing intraoperative emergencies.

PALSPediatric Advanced Life SupportOptional
Issued by: American Heart Association

Required for ORs with pediatric surgical cases.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
CNOR
Certified Perioperative Nurse
Gold standard certification for OR nurses. Validates expertise in perioperative nursing. Requires 2 years and 2,400 hours of perioperative experience.
CCI (Competency & Credentialing Institute)+5-15%
CRNFA
Certified Registered Nurse First Assistant
Advanced role assisting surgeons directly. Requires additional training and certification.
CCI+15-25%
CSSM
Certified Surgical Services Manager
For OR nurses moving into surgical services management.
CCILeadership credential
Laser Safety Officer
Laser Safety Certification
Required for designated laser safety officer role in surgical suites.
Various+2-5%
Career Path·6 steps
  1. 0-1 years
    OR Orientation / Periop 101

    Structured 6-12 month orientation learning circulating and scrub roles across surgical specialties.

  2. 1-3 years
    Staff OR Nurse

    Independent practice in multiple surgical specialties. Competent circulator and scrub.

  3. 3-5 years
    Senior OR Nurse / Specialty Lead

    Expert in specific surgical specialty (cardiac, neuro, ortho). Preceptor for new staff.

  4. 5-7 years
    OR Charge Nurse

    Coordinates daily OR schedule, staffing, room turnover, and emergency cases.

  5. 5+ years
    RN First Assistant (RNFA)

    Advanced role directly assisting surgeons. Requires additional training and CRNFA certification.

  6. 10+ years
    OR Manager / Director of Surgical Services

    Oversees OR operations, budgets, staff, and quality metrics. MSN/MBA often required.

Work Environment
Hospital operating roomsAmbulatory surgery centers (ASC)Trauma centersCardiac surgery suitesOutpatient procedure centersRobotic surgery suites

Schedule. Varies significantly. Many ORs run 8-hour shifts weekdays, but hospitals require evening, night, and weekend on-call coverage. Call requirements can be significant.

Physical demands. Moderately demanding. Long periods of standing, wearing lead aprons for fluoroscopy cases, and maintaining focus during lengthy procedures. Limited breaks during cases.

Job Outlook·Strong
6% (2022-2032)

OR nursing has consistent demand as surgical volumes increase. Travel OR positions pay $2,500-4,000+/week. RNFA roles command top pay. Specialized OR nurses (cardiac, neuro) are highly valued.

FAQ — Becoming this role·4 questions
How long is OR nurse orientation?

Typically 6-12 months. OR nursing is highly specialized, so expect comprehensive training covering circulating, scrubbing, and multiple surgical specialties.

Can new grad nurses work in the OR?

Yes, many hospitals offer perioperative residency programs for new grads. These are competitive but excellent pathways into OR nursing.

What's the difference between circulating and scrub nurse?

Circulating nurses manage the room, documentation, and patient advocacy from the non-sterile area. Scrub nurses work in sterile field, passing instruments and assisting surgeons. Most OR nurses learn both roles.

Is OR nursing stressful?

OR has unique stressors: high-stakes procedures, demanding surgeons, on-call requirements. However, many nurses love the teamwork, no call lights, and the satisfaction of helping patients through surgery.

09·FREQUENTLY ASKED·OPERATING ROOM (OR) NURSE

What clinicians ask about Operating Room (or) Nurse pay.

What is the average Operating Room (or) Nurse salary in 2026?

The median Operating Room (or) Nurse salary is $75.15/hr (approximately $156,312/yr) based on 6,269 active job postings.

What is the pay range for Operating Room (or) Nurse?

Hourly pay ranges from $71.68 at the 25th percentile to $80.25 at the 75th percentile, with the top 10% earning above $86.39/hr.

Which state pays Operating Room (or) Nurse roles the most?

Alabama currently leads with a median of $70.78/hr across 6 postings.

How many employers are hiring Operating Room (or) Nurses?

Our dataset shows 167 unique employers posting Operating Room (or) Nurse roles across 53 states.

Where does TrueRounds get Operating Room (or) Nurse salary data?

All salary figures are computed from active US healthcare job postings with listed pay ranges, collected over a rolling 180-day window and weighted by posting volume.

11·METHODOLOGY·HOW WE BUILD THESE NUMBERS

Active US healthcare postings. Weighted by volume. Refreshed daily.

Pay benchmarks are computed from active job postings with listed pay ranges, collected on a rolling 180-day window. Each role's percentiles are weighted by posting volume so a metro with two postings doesn't outweigh a metro with two hundred. Outliers (postings priced more than 4× the role median) are dropped to avoid contract-line distortion.

Use the data, then push back.

Bring these numbers into your next contract conversation. Recruiters know what the market pays — now you do too.