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Registered Nurse Salaries in Iowa — 2026 Overview

BLS 2026

How much does a registered nurse make in Iowa? The Bureau of Labor Statistics reports a median salary of $76,960/yr ($37.00/hr), with around 33,480 people working in this field statewide.

Registered Nurse salaries in Iowa are below the national average by approximately $13,216. Iowa has a state income tax rate of up to 6%.

Iowa's manufacturing base and stable economy provide steady employment for registered nurses.

Iowa Registered Nurse Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in Iowa after federal tax, Social Security and Medicare. Iowa has a state income tax rate of up to 6%.

Your annual gross salary ($)
Gross Annual
$76,960
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$59,191

Estimate based on 2026 federal tax brackets, single filer, standard deduction. Iowa has a state income tax rate of up to 6%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — Iowa Registered Nurse Check

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Enter your current salary to see how it compares to the Iowa median of $76,960.

Your annual salary ($)

Registered Nurse Salary by Experience — Iowa

Entry Level (0–2 years)$47,700/yr · $22.93/hr
Beginning career, developing core skills under supervision in Iowa.
Mid-Level (3–6 years)$68,494/yr · $32.93/hr
Established professional working independently in Iowa. Pursuing advanced certifications.
Experienced (7–12 years)$85,425/yr · $41.07/hr
Senior professional with specialised skills commanding above-average pay in Iowa.
Senior / Expert (12+ years)$110,800+/yr · $53.27/hr
Top earner. Leadership, management or highly specialised role in Iowa.
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Registered Nurse Salary Trend in Iowa — 2021 to 2026

5-Year Data

Over the past five years, Iowa has seen 13.9% wage growth for registered nurses — broadly in line with cost-of-living changes across the region. The growth reflects broader workforce and economic conditions in Iowa's healthcare and hospitals.

2021
$67,570
2022
$71,495
+5.8%
2023
$74,805
+4.6%
2024
$76,036
+1.6%
2026
$76,960
+1.2%

Registered Nurse Salary by City — Iowa

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Des Moines$85,450$41.08+11.0%11,718
Cedar Rapids$81,600$39.23+6.0%9,374
Davenport$79,250$38.10+3.0%6,026
Sioux City$73,900$35.53-4.0%3,013
Iowa City$70,050$33.68-9.0%2,008
Waterloo$66,950$32.19-13.0%1,339

Tip: Des Moines offers the highest registered nurse salaries in Iowa at $85,450/yr — +11.0% above the state average.

Iowa vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, Iowa sits in the mid-range for registered nurses.

Iowa — 6.0% state income tax$76,960 gross~$59,191 take-home
Minnesota — 9.85%$100,870 gross+31.1% vs IA
Wisconsin — 7.65%$86,070 gross+11.8% vs IA
Illinois — 4.95%$86,410 gross+12.3% vs IA

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Iowa has a state income tax rate of up to 6%.

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Registered Nurse Job Outlook in Iowa

BLS Projections
+10%Job growth 2026–33
33,480Currently employed
3,348+New jobs projected

Employment for registered nurses in Iowa is projected to grow over the next decade, driven by strong demand across the Iowa job market. Iowa's manufacturing base and stable economy provide steady employment for registered nurses.

How to Earn More as a Registered Nurse in Iowa

1. Pursue advanced certification or licensing. Moving from entry to senior level as a registered nurse in Iowa typically adds $63,100 to your annual salary. Additional certifications from the State Board of Nursing can accelerate this progression.

2. Target the highest-paying city. Des Moines pays registered nurses $85,450/yr — +11.0% above the Iowa average. Simply relocating within Iowa can meaningfully increase your income without changing careers.

3. Specialise in high-demand areas. Registered Nurses who specialise in healthcare and hospitals typically command premium rates in Iowa. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Minnesota pays registered nurses $100,870/yr — 31.1% vs Iowa.

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Frequently Asked Questions

What's the average registered nurse salary in Iowa?
The average registered nurse salary in Iowa is $76,960 per year, or $37.00 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $47,700 while experienced professionals earn $110,800 or more.
Where do registered nurses earn the most in Iowa?
Des Moines pays registered nurses the most in Iowa at an average of $85,450 per year — +11.0% above the state average.
How does Iowa registered nurse salary compare to the national average?
Iowa registered nurse salaries are below the calculated national average by approximately $13,216. Iowa has a state income tax rate of up to 6%.
What's the after-tax salary for registered nurses in Iowa?
A registered nurse earning the Iowa average of $76,960 takes home approximately $59,191 per year after federal income tax, Social Security and Medicare. Iowa has a state income tax rate of up to 6%.
Is registered nurse a good career in Iowa?
Yes. Registered Nurse is a strong career choice in Iowa with steady demand projected over the next decade. Iowa's manufacturing base and stable economy provide steady employment for registered nurses.
How do you become a licensed registered nurse in Iowa?
In Iowa, registered nurses are licensed through the State Board of Nursing. Requirements vary by specialisation level — contact the State Board of Nursing for current examination and experience requirements.
DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.