As of January 01, 2026, the average salary for a Lead Nurse in the United States is $116,290 per year, which breaks down to an hourly rate of $56.
However, a Lead Nurse's salary can vary significantly. Here’s a look at the typical salary range:
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A Lead Nurse's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location and company size can directly affect your earning potential.
Experience is a primary driver of a Lead Nurse's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Levels | Salary |
|---|---|
| Entry Level Lead Nurse | $112,932 |
| Intermediate Level Lead Nurse | $113,335 |
| Senior Level Lead Nurse | $115,350 |
| Specialist Level Lead Nurse | $119,259 |
| Expert Level Lead Nurse | $120,656 |
What Am I Worth?
Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract Lead Nurses. For example, consider the average annual salaries in these key locations:
Demanded Skills for the Role:
| Skills | Demand Percentage |
|---|---|
| Leadership | 11.05% |
| Nursing Practice | 3.33% |
| Quality Improvement | 1.47% |
| Skill | Salary | Salary % Increase |
|---|---|---|
|
Decision Making
|
$119,779 |
3%
|
|
Communication Skills
|
$118,616 |
2%
|
|
Critical Thinking
|
$118,616 |
2%
|
|
Assisted Living
|
$118,616 |
2%
|
|
Critical Care
|
$118,616 |
2%
|
|
Patient Flow
|
$118,616 |
2%
|
Understanding how a Lead Nurse's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
Last Updated on January 01, 2026Promotions are the fastest way to increase your earnings. As a Lead Nurse, you have the following paths for advancement. The table below compares the salary raises for common next-step roles. By comparing these figures, you can choose the career path that best meets your financial goals.
| Next Step Role | Estimate Salary | Projected Raise |
|---|---|---|
| CCU Nurse Leader | $109,000 | -6% |
| ER Unit Nurse Leader | $103,290 | -11% |
| Clinic Nurse Manager | $119,700 | 3% |
| Unit Nurse Leader | $135,930 | 17% |
Salaries for a Lead Nurse can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $90,606 in 2023 to around $89,821 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Lead Nurse salary trends, .
| Year | Average Annual Salary |
|---|---|
| 2022 |
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|
| 2023 | $90,606 |
| 2024 | $90,252 |
| 2025 | $89,821 |
| 2026 |
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|
| 2027 |
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|
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Compensation PlanningHere are companies hiring for Lead Nurse and their salaries, click below for more details.
Ready to take the next step in your career? Browse thousands of current Lead Nurse job openings on our job board. Use the search bar below to find your perfect match.
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Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.
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