Clinical Nurse Specialist Salary in 2026

    SOC: 29-1141.04 · BLS OEWS 2026 · Updated March 2026
    Median Annual
    $93,600
    per year
    Salary Range
    $66K – $135K
    P10–P90
    Total Jobs
    3,282,010
    employed
    Job Growth
    +4.9%
    2024–2034
    Section 01

    How Much Do Clinical Nurse Specialists Make?

    Clinical Nurse Specialists earn a median annual salary of $93,600 as of 2026, based on BLS Occupational Employment and Wage Statistics (OEWS) data. Wages span from $66,030 at the 10th percentile to $135,320 at the 90th percentile — a range of $69,290. The highest-paying state is California at $140,330.

    PercentileAnnual salary
    10th percentile$66,030
    25th percentile$78,610
    Median (50th)$93,600
    75th percentile$107,960
    90th percentile$135,320
    10th: $66,030Median: $93,60090th: $135,320
    Section 02

    Clinical Nurse Specialist Salary by State

    Median annual salary across all 50 states. Click a column to sort.

    StateMedian salary
    Californiatop$140,330
    Hawaii$136,320
    Oregon$123,990
    Washington$112,180
    Alaska$110,690
    New York$105,600
    District of Columbia$104,550
    New Jersey$102,730
    Nevada$101,990
    Massachusetts$101,970
    Connecticut$101,590
    Minnesota$100,870
    Rhode Island$99,960
    Arizona$96,890
    Maryland$96,830
    New Hampshire$96,830
    Colorado$96,520
    Delaware$92,610
    Texas$90,010
    Virginia$88,820
    New Mexico$88,260
    Pennsylvania$87,610
    Georgia$86,560
    Illinois$86,410
    Idaho$86,100
    Wisconsin$86,070
    Michigan$85,670
    Vermont$85,150
    Maine$82,860
    Florida$82,850
    Utah$82,270
    North Carolina$81,860
    Wyoming$81,790
    Montana$81,560
    Ohio$81,250
    Oklahoma$81,160
    Nebraska$81,020
    Indiana$80,740
    West Virginia$79,990
    Kentucky$79,910
    South Carolina$79,900
    Missouri$79,770
    Tennessee$79,030
    Louisiana$78,880
    North Dakota$78,260
    Kansas$78,060
    Arkansas$77,130
    Iowa$76,960
    Mississippi$74,470
    Alabama$71,040
    South Dakota$69,510
    Section 03

    Highest-Paying Metros for Clinical Nurse Specialists

    San Jose-Sunnyvale-Santa Clara, CA
    Highest paying
    $208,940
    top metro salary
    Vallejo, CA
    $192,470
    $-16,470 vs highest
    San Francisco-Oakland-Fremont, CA
    $188,020
    $-20,920 vs highest
    Santa Cruz-Watsonville, CA
    $178,900
    $-30,040 vs highest
    Santa Rosa-Petaluma, CA
    $172,390
    $-36,550 vs highest
    Modesto, CA
    $169,460
    $-39,480 vs highest
    Sacramento-Roseville-Folsom, CA
    $169,210
    $-39,730 vs highest
    Yuba City, CA
    $144,220
    $-64,720 vs highest
    Section 04

    Clinical Nurse Specialist Salary by Experience

    Estimated salary ranges derived from BLS wage percentiles. Entry level corresponds to P10–P25, mid-career to the median, experienced to P75, and senior to P90+.

    Experience levelEstimated salary
    Entry level (0–2 yrs)~$66,030 – $78,610
    Mid career (3–7 yrs)~$93,600
    Experienced (8–15 yrs)~$107,960
    Senior (15+ yrs)$135,320+
    Section 05

    How to Earn More as a Clinical Nurse Specialist

    Location is the single biggest salary lever: Clinical Nurse Specialists in San Jose-Sunnyvale-Santa Clara, CA earn $208,940 — $115,340 above the national median. An advanced credential — such as a graduate degree or specialized certification — is consistently associated with higher earnings in this field. Reaching the 75th percentile ($107,960) typically requires 5–10 years of experience plus specialization in a high-demand area.

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    Section 06

    Clinical Nurse Specialist Salary vs Similar Careers

    CareerMedian salary
    Clinical Nurse Specialistthis career$93,600
    Health Informatics Specialist$103,790
    Physician Assistant$133,260
    Registered Nurse$93,600
    Acute Care Nurse$93,600

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    Section 07

    Frequently Asked Questions

    SOC: 29-1141.04 · Data: BLS OEWS 2026, O*NET 29.1 · Salary figures are national medians unless otherwise noted.