Registered nurse salary in West Virginia

The median registered nurse in West Virginia earned $80,130 a year in 2025, $17,420 (18%) below the $97,550 national median. That ranks 45th of 51 states.

Median yearly pay
$80,130
Average yearly pay
$86,970
Employed in West Virginia
23,430

How West Virginia compares

  • California highest state$140,270
  • United States national median$97,550
  • Middle state median of state medians$93,600
  • West Virginia 45th of 51$80,130
  • Alabama lowest state$77,080

BLS Occupational Employment and Wage Statistics, May 2025, state estimates. Pay is before tax and does not adjust for cost of living, which is higher in some states than others.

Nursing pay in West Virginia

Median pay by nursing role in West Virginia
RoleMedian yearly payEmployed
Registered nurse$80,13023,430
LPN or LVN$55,3606,050
Nurse practitioner$127,3202,550

A nurse practitioner in West Virginia earns a median $47,190 more than a registered nurse ($127,320 against $80,130). A registered nurse earns a median $24,770 more than an LPN or LVN here ($80,130 against $55,360).

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Common questions

How much does a registered nurse make in West Virginia?

The median is $80,130 a year, according to BLS data for May 2025. Half of registered nurses in West Virginia earn more and half earn less.

Is West Virginia a high-paying state for registered nurses?

West Virginia ranks 45th of 51 states on median pay for this job. The national median is $97,550, so West Virginia pays 18% below it. The highest median is $140,270 in California.

How many registered nurses work in West Virginia?

BLS counted 23,430 registered nurses employed in West Virginia in May 2025.

Why is the average different from the median?

The median is the middle wage: half of workers earn less. The average adds every wage and divides, so a few very high earners pull it up. In West Virginia the average is $86,970, $6,840 above the median.

What do you need to work as a registered nurse in West Virginia?

West Virginia requires an associate or bachelor’s degree in nursing and a passing NCLEX-RN score, and a state license.