As of July 01, 2026, the average salary for a RN - First Assistant (RNFA) in North Carolina is $99,660 per year, which breaks down to an hourly rate of $48.
However, a RN - First Assistant (RNFA)'s salary can vary significantly. Here’s a look at the typical salary range:
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RN - First Assistant (RNFA) Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
| 75th Percentile | $110,980 | $9,248 | $2,134 | $53 |
| Average | $99,660 | $8,305 | $1,917 | $48 |
| 25th Percentile | $91,000 | $7,583 | $1,750 | $44 |
Fusion Medical Staffing - Asheville, NC
Next Move Healthcare - Asheville, NC
Duke Health - Durham, NC
INFOJINI - Asheville, NC
A RN - First Assistant (RNFA)'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 RN - First Assistant (RNFA)'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 RN - First Assistant (RNFA) | $96,815 |
| Intermediate Level RN - First Assistant (RNFA) | $97,461 |
| Senior Level RN - First Assistant (RNFA) | $100,503 |
| Specialist Level RN - First Assistant (RNFA) | $105,233 |
| Expert Level RN - First Assistant (RNFA) | $105,570 |
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 RN - First Assistant (RNFA)s. For example, consider the average annual salaries in these key locations:
Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:
RN - First Assistant (RNFA) salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $105,847. While startup companies pay approximate $90,152.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $90,152 |
| Growth Stage | 51~500 | $95,177 |
| Established | 501~5000 | $102,391 |
| Enterprise | 5000+ | $105,847 |
For RN - First Assistant (RNFA) roles, the industry you choose can impact your earning potential by as much as 40% (the gap between the highest and lowest paying industries). Data shows that the highest-paying industry, Healthcare, offers compensation 20% above the average. Conversely, RN - First Assistant (RNFA) positions in Edu., Gov't. & Nonprofit typically offer lower base pay, as this sector often view RN - First Assistant (RNFA) as a support function rather than a direct revenue driver.
| Industry Sector | Average Annual Salary | Average Hourly Rate | Pay vs.Avg |
|---|---|---|---|
| Healthcare | $119,592 | $57.0 | 20% |
Understanding how a RN - First Assistant (RNFA)'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.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $110,980 | $9,248 | $2,134 | $53 |
| Average | $99,660 | $8,305 | $1,917 | $48 |
| 25th Percentile | $91,000 | $7,583 | $1,750 | $44 |
Promotions are the fastest way to increase your earnings. As a RN - First Assistant (RNFA), 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 |
|---|---|---|
| Director Mother and Baby Unit | $154,000 | 55% |
| Director Intensive Care Unit Operations | $146,500 | 47% |
| Entry Registered Nurse - Staff | $70,000 | -30% |
| Organ Transplant Coordinator RN | $104,700 | 5% |
Ready to take the next step in your career? Browse thousands of current RN - First Assistant (RNFA) job openings on our job board. Use the search bar below to find your perfect match.
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