What are the main factors that influence a Substitute School Nurse's salary?

The primary factors are: 1) Experience Level, 2) Geographic Location, 3) Education/Skills, 4) Company Size & Industry

How does experience change a Substitute School Nurse's salary?

A Substitute School Nurse's salary grows with experience: starting around $59,289 for beginners, reaching about $64,979 at mid-level, and approach $65,649 for experts.

What are the highest paying states for a Substitute School Nurse?

Substitute School Nurse salary varies significantly by state. The top 3 highest paying states for Substitute School Nurse roles are District of Columbia $68,234, California $67,975, Massachusetts $67,069. These tech hubs typically pay 10-15% above the national average.

How much do different types of Substitute School Nurse roles make?

Salaries for Substitute School Nurse level roles vary by specialization: Certified School Nurse: $67,002; Substitute Nurse: $63,016; LVN School Nurse: $62,882; In- School Nurse (RN): $62,500; School Nurse: $62,437.

How do different companies affect a Substitute School Nurse's salary?

Company size, industry, and compensation structure create significant salary variations for Substitute School Nurse roles. Large, established industry leaders like New York Police Department ($97,099) and State of New York - Metropolitan Transportation Authority ($95,962) offer base salaries 35-40% above the national average. In contrast, smaller firms or startups may offer closer to $75,106.

Substitute School Nurse Salary in the United States

How much does a Substitute School Nurse make in the United States?

As of January 01, 2026, the average salary for a Substitute School Nurse in the United States is $61,628 per year, which breaks down to an hourly rate of $30.

However, a Substitute School Nurse's salary can vary significantly. Here’s a look at the typical salary range:

Top Earners (90th percentile): $79,043
Majority Range (25th-75th percentile): $52,475 to $70,744
Entry-Level (10th percentile): $44,142

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Substitute School Nurse Salaries by Percentile

	Annual Salary	Monthly Pay	Weekly Pay	Hourly Wage
75th Percentile	$70,744	$5,895	$1,360	$34
Average	$61,628	$5,136	$1,185	$30
25th Percentile	$52,475	$4,373	$1,009	$25

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Key Factors That Influence Substitute School Nurse Salaries

A Substitute School 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, education and company size can directly affect your earning potential.

How Experience Level Affects Substitute School Nurse Salaries?

Experience is a primary driver of a Substitute School 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:

Entry-Level (less than 1 year): $59,289
Early Career (1-2 years): $61,225
Mid-Level (2-4 years): $64,979
Senior-Level (5-8 years): $65,381
Expert (over 8 years): $65,649

Levels	Salary
Entry Level Substitute School Nurse	$59,289
Intermediate Level Substitute School Nurse	$61,225
Senior Level Substitute School Nurse	$64,979
Specialist Level Substitute School Nurse	$65,381
Expert Level Substitute School Nurse	$65,649

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What Am I Worth?

How Do Substitute School Nurse Salaries Vary from State to State?

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 Substitute School Nurses. For example, consider the average annual salaries in these key locations:

District of Columbia: $68,234.
California: $67,975.
Massachusetts: $67,069.

District of Columbia $68,234

California $67,975

Massachusetts $67,069

Washington $66,823

New Jersey $66,798

Alaska $66,712

Connecticut $65,861

New York $65,516

Hawaii $64,413

Rhode Island $63,895

Maryland $63,544

Minnesota $63,063

Colorado $62,879

Illinois $62,817

Oregon $62,583

Delaware $62,410

New Hampshire $62,302

Virginia $62,059

Pennsylvania $61,350

Nevada $60,993

North Dakota $60,876

Michigan $60,691

Wisconsin $60,623

Vermont $60,487

Texas $60,111

Maine $60,087

Arizona $60,050

Ohio $60,007

Georgia $59,440

Indiana $59,156

Wyoming $59,101

Utah $59,014

Iowa $58,978

Kansas $58,682

Louisiana $58,595

North Carolina $58,565

Missouri $58,552

Florida $58,312

Montana $58,183

Nebraska $58,059

Kentucky $57,991

South Carolina $57,745

Tennessee $57,591

Idaho $57,529

New Mexico $57,079

Oklahoma $56,981

Alabama $56,617

South Dakota $56,007

Arkansas $55,674

West Virginia $55,496

Mississippi $54,959

Top Paying Cities for Substitute School Nurses

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:

San Jose: $77,731
San Francisco: $76,967
Oakland: $75,260

San Jose, CA $77,731

San Francisco, CA $76,967

Oakland, CA $75,260

New York, NY $71,420

Queens Village, NY $70,958

Paramus, NJ $70,465

Passaic, NJ $70,403

Bergenfield, NJ $70,342

Stamford, CT $70,249

Huntington, NY $70,188

Newark, NJ $69,787

Bridgeport, CT $69,664

New Brunswick, NJ $69,460

Vallejo, CA $69,331

Middlesex, NJ $69,294

Somerset, NJ $69,238

Petaluma, CA $69,097

Santa Cruz, CA $68,856

Boston, MA $68,733

Monterey, CA $68,425

Fairbanks, AK $68,382

Los Angeles, CA $68,265

Washington, DC $68,234

Seattle, WA $68,123

Santa Rosa, CA $68,111

Juneau, AK $67,932

Orange, CA $67,729

Anchorage, AK $67,618

Anaheim, CA $67,575

Santa Ana, CA $67,482

Nassau, NY $67,445

Long Beach, CA $67,420

Danbury, CT $67,402

Santa Maria, CA $67,192

Everett, WA $67,180

Bremerton, WA $66,878

Trenton, NJ $66,761

Sacramento, CA $66,736

San Diego, CA $66,706

Brockton, MA $66,681

Tacoma, WA $66,656

Santa Barbara, CA $66,570

Lowell, MA $66,324

New Suffolk, NY $66,299

Nashua, NH $66,225

Lompoc, CA $66,126

Ventura, CA $66,065

Stockton, CA $66,046

New Haven, CT $65,923

Atlantic City, NJ $65,763

Hartford, CT $65,627

Modesto, CA $65,596

Poughkeepsie, NY $65,461

New Britain, CT $65,430

Olympia, WA $65,344

Kennewick, WA $65,344

New London, CT $65,331

Norwich, CT $65,313

Lawrence, MA $65,282

Bakersfield, CA $65,109

Riverside, CA $65,023

New Bedford, MA $65,023

Richland, WA $64,962

Portsmouth, NH $64,912

Vineland, NJ $64,900

San Bernardino, CA $64,851

Boulder, CO $64,678

Worcester, MA $64,629

Portland, OR $64,573

Saint Paul, MN $64,499

Minneapolis, MN $64,499

Philadelphia, PA $64,413

Honolulu, HI $64,086

Springfield, MA $63,871

Providence, RI $63,865

Chicago, IL $63,686

Bellingham, WA $63,612

Baltimore, MD $63,544

Chico, CA $63,390

Wilmington, DE $63,285

Pittsfield, MA $63,224

Manchester, NH $63,107

Spokane, WA $62,835

Denver, CO $62,829

Albany, NY $62,540

Troy, NY $62,515

Schenectady, NY $62,386

Burlington, VT $62,250

Portland, ME $62,034

Salem, OR $61,985

Yakima, WA $61,973

Ann Arbor, MI $61,954

Rochester, MN $61,782

Fresno, CA $61,751

Reno, NV $61,751

Milwaukee, WI $61,695

Detroit, MI $61,634

Allentown, PA $61,615

Carson City, NV $61,609

Houston, TX $61,517

Colorado Springs, CO $61,510

Syracuse, NY $61,480

Eugene, OR $61,363

Bismarck, ND $61,289

Gary, IN $61,289

Galveston, TX $61,289

Springfield, OR $61,239

Medford, OR $61,091

Fort Collins, CO $61,067

Austin, TX $61,017

Mesa, AZ $60,888

Phoenix, AZ $60,876

Dallas, TX $60,857

Reading, PA $60,820

Saint Cloud, MN $60,796

Concord, NH $60,740

Madison, WI $60,715

Utica, NY $60,549

Raleigh, NC $60,500

Las Vegas, NV $60,494

Rochester, NY $60,450

Des Moines, IA $60,444

Atlanta, GA $60,346

Battle Creek, MI $60,327

Salt Lake City, UT $60,309

Lancaster, PA $60,216

Champaign, IL $60,204

Harrisburg, PA $60,130

Durham, NC $60,074

Kansas City, MO $60,068

Kansas City, KS $60,056

Fort Worth, TX $60,050

Boca Raton, FL $60,025

Cleveland, OH $60,019

Columbus, OH $60,007

Pittsburgh, PA $60,001

Richmond, VA $59,976

Indianapolis, IN $59,964

Cincinnati, OH $59,883

Petersburg, VA $59,791

Billings, MT $59,655

Lansing, MI $59,655

Huntsville, AL $59,655

Lebanon, PA $59,649

Dayton, OH $59,643

Pueblo, CO $59,643

Appleton, WI $59,625

Buffalo, NY $59,600

Racine, WI $59,569

Charlotte, NC $59,563

Saint Louis, MO $59,544

Springfield, IL $59,520

Elkhart, IN $59,508

York, PA $59,508

Gastonia, NC $59,501

Benton Harbor, MI $59,501

Beaumont, TX $59,464

Lorain, OH $59,452

Toledo, OH $59,427

Binghamton, NY $59,397

Rock Hill, SC $59,390

Rockford, IL $59,360

Fargo, ND $59,329

Elyria, OH $59,329

Flagstaff, AZ $59,286

Fort Lauderdale, FL $59,249

Miami, FL $59,212

Duluth, MN $59,113

Bangor, ME $59,033

Cedar Rapids, IA $58,965

Louisville, KY $58,934

Grand Rapids, MI $58,922

Hialeah, FL $58,916

Casper, WY $58,830

Scranton, PA $58,756

New Orleans, LA $58,737

Virginia Beach, VA $58,731

Akron, OH $58,700

Peoria, IL $58,620

Sarasota, FL $58,608

Green Bay, WI $58,565

Baton Rouge, LA $58,534

Charleston, SC $58,521

Nashville, TN $58,503

Jamestown, NY $58,491

Davenport, IA $58,491

Tucson, AZ $58,460

Cheyenne, WY $58,441

Saint Petersburg, FL $58,423

Tampa, FL $58,411

Omaha, NE $58,398

Port Arthur, TX $58,374

Evansville, IN $58,374

Bradenton, FL $58,349

Santa Fe, NM $58,238

Orlando, FL $58,176

Clearwater, FL $58,109

Canton, OH $57,979

La Crosse, WI $57,979

Grand Forks, ND $57,961

Albuquerque, NM $57,942

Tulsa, OK $57,942

Newport News, VA $57,936

High Point, NC $57,918

Ogden, UT $57,893

Corpus Christi, TX $57,844

Laramie, WY $57,807

Norfolk, VA $57,807

Rock Island, IL $57,770

Saginaw, MI $57,757

Jacksonville, FL $57,751

Salisbury, NC $57,739

Memphis, TN $57,726

Moline, IL $57,696

Fort Myers, FL $57,677

Waterloo, IA $57,597

Spartanburg, SC $57,535

Lincoln, NE $57,505

Fort Wayne, IN $57,492

Birmingham, AL $57,425

Cedar Falls, IA $57,412

Provo, UT $57,406

Springfield, OH $57,400

San Antonio, TX $57,388

Greensboro, NC $57,363

South Bend, IN $57,357

Winston Salem, NC $57,351

Boise, ID $57,332

Savannah, GA $57,289

Muskegon, MI $57,178

Lima, OH $57,104

Lake Charles, LA $57,079

Anderson, IN $57,067

Lexington, KY $57,049

Augusta, GA $57,030

Greenville, SC $57,030

Wichita, KS $56,975

Tuscaloosa, AL $56,975

Columbia, SC $56,919

Bloomington, IN $56,765

Roanoke, VA $56,728

Asheville, NC $56,648

Knoxville, TN $56,543

Shreveport, LA $56,537

Wilmington, NC $56,457

Frankfort, KY $56,340

Oklahoma City, OK $56,297

Chillicothe, OH $56,272

Longview, TX $56,266

Topeka, KS $56,247

Mobile, AL $56,155

Terre Haute, IN $56,130

Erie, PA $56,124

Altoona, PA $56,093

Melbourne, FL $56,075

Amarillo, TX $56,050

Killeen, TX $56,032

Fayetteville, AR $55,982

Sioux Falls, SD $55,939

Chattanooga, TN $55,902

Idaho Falls, ID $55,896

Gainesville, FL $55,767

Portsmouth, OH $55,736

Little Rock, AR $55,724

Lynchburg, VA $55,724

Lafayette, LA $55,699

Youngstown, OH $55,699

Temple, TX $55,674

Daytona Beach, FL $55,662

Clarksville, TN $55,656

Pensacola, FL $55,650

Hopkinsville, KY $55,465

Charleston, WV $55,459

Florence, SC $55,428

Sioux City, IA $55,391

Macon, GA $55,212

Tallahassee, FL $55,206

Fayetteville, NC $55,194

Waco, TX $55,181

Wichita Falls, TX $55,181

Pine Bluff, AR $55,157

Vincennes, IN $55,040

Lubbock, TX $55,015

Great Falls, MT $54,978

Alamogordo, NM $54,972

Abilene, TX $54,922

Rapid City, SD $54,842

Monroe, LA $54,842

Albany, GA $54,805

Huntington, WV $54,799

Jackson, MS $54,793

Greenville, MS $54,787

Parkersburg, WV $54,725

Montgomery, AL $54,713

Johnstown, PA $54,701

Springfield, MO $54,651

Biloxi, MS $54,620

Sumter, SC $54,491

Columbus, GA $54,485

Twin Falls, ID $54,448

Pascagoula, MS $54,368

Kingsport, TN $54,208

Gulfport, MS $54,189

Alexandria, LA $53,986

Fort Smith, AR $53,832

El Paso, TX $53,665

Helena, MT $53,585

Las Cruces, NM $53,388

Harlingen, TX $53,215

Pocatello, ID $53,160

Florence, AL $53,141

Brownsville, TX $53,129

Dothan, AL $53,030

Mcallen, TX $53,000

Columbus, MS $52,544

Altus, OK $52,260

Lawton, OK $52,143

Pierre, SD $51,921

What Skills Can Increase a Substitute School Nurse's Salary?

Demanded Skills for the Role:

Commitment (Mentioned in 6.21% Job Postings): An agreement or pledge to do something in the future a commitment to improve conditions at the prison especially : an engagement to assume a financial obligation at a future date.
Community Health (Mentioned in 3.9% Job Postings): Community health refers to simple health services that are delivered by laymen outside hospitals and clinics.
Medication Administration (Mentioned in 2.31% Job Postings): Medication administration is the direct application of a prescribed medication whether by injection, inhalation, ingestion, or other means to the body of the individual by an individual legally authorized to do so.

See More Skills

Skills	Demand Percentage
Commitment	6.21%
Community Health	3.9%
Medication Administration	2.31%

What skills can make your compensation higher?

Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on a Substitute School Nurse's salary.

Home Care: Can increase your salary by up to 8%.
Integrity: Can increase your salary by up to 3%.
Consulting: Can increase your salary by up to 3%.

Skill	Salary	Salary % Increase
Home Care	$66,558	8%
Integrity	$63,476	3%
Consulting	$63,476	3%
Pediatric	$62,860	2%
Attention to Detail	$62,860	2%
Customer Service	$62,860	2%

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How Education impacts a Substitute School Nurse's Salary?

Your level of education can impact your salary potential. While many Substitute School Nurses enter the field with a High School Diploma or Technical Certificate degree, higher education can lead to more specialized and higher-paying roles.

According to our 100% employer-reported salary data, the median salary for a Substitute School Nurse with a High School Diploma or Technical Certificate is between $50,792 and $57,479).

Substitute School Nurse Salaries by Degree Level

Typical Education for Substitute School Nurse

No Diploma 0.6%

High School 10.6%

Associates 30.5%

Bachelors 47.6%

Masters 10.3%

Doctorate 0.3%

view as table

Degree Level	% of user with this level of education
No Diploma	0.6%
High School	10.6%
Associates	30.5%
Bachelors	47.6%
Masters	10.3%
Doctorate	0.3%

view as graph

Substitute School Nurse Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how a Substitute School 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, 2026

$52,475

Average $61,628/year

$70,744

$4,373

Average $5,136/month

$5,895

$1,009

Average $1,185/week

$1,360

$25

Average $30/hour

$34

	Annual Salary	Monthly Pay	Weekly Pay	Hourly Wage
75th Percentile	$70,744	$5,895	$1,360	$34
Average	$61,628	$5,136	$1,185	$30
25th Percentile	$52,475	$4,373	$1,009	$25

Salaries of jobs related to Substitute School Nurse

Salary Trends for Substitute School Nurse

Salaries for a Substitute School Nurse can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $54,887 in 2023 to around $53,753 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Substitute School Nurse salary trends, .

Average Annual Salary of Substitute School Nurse Over Time

2022

$???

2023

$54,887

2024

$54,627

2025

$53,753

2026

$???

2027

$???

Year	Average Annual Salary
2022	View More
2023	$54,887
2024	$54,627
2025	$53,753
2026	View More
2027	View More

Most common benefits for Substitute School Nurse

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Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

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