Registered Nurse · Iowa · SOC 29-1141
Registered Nurses in Iowa: 2026 Salary, Real Wage, and Cost-Adjusted Pay
BLS Occupational Employment and Wage Statistics, 2024 reference period · BEA Regional Price Parity 2023 vintage · Last synced 2026-05-05.
TL;DR
- Registered Nurses in Iowa earn a BLS median of $76,960, with real take-home of $86,697 after BEA RPP adjustment.
- Cost of living below the national index lifts real wage by $9,737 over the nominal — a take-home arbitrage that nominal-ranking tables miss.
- Quartile range $65,770 (bottom 25%) to $83,200 (top 25%); the P10-P90 envelope is $62,210 to $98,280.
- Multistate license: Iowa participates in the NLC compact, useful for travel-RN flexibility.
- RN ranking: #48 on the BLS table, #43 once cost of living is in.
Wage breakdown — Iowa
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $62,210 | $70,081 |
| P25 (lower quartile) | $65,770 | $74,091 |
| P50 (median) | $76,960 | $86,697 |
| P75 (upper quartile) | $83,200 | $93,726 |
| P90 (top tier) | $98,280 | $110,714 |
| Mean | $77,780 | $87,621 |
| Employment | 33,480 RNs in Iowa | |
Cost of living — BEA Regional Price Parity
| Component | Iowa index (US = 100) |
|---|---|
| All-items RPP | 88.8 |
| Goods | 96.6 |
| Services | 87.3 |
| Rents | 66.0 |
Iowa sits below the national baseline (RPP 88.8), so nominal pay translates to a higher real wage than the BLS median suggests — particularly visible in rents at 66.0.
After-tax take-home — Iowa (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (RN) | $76,960 | nominal median |
| Federal income tax | −$8,178 | 10.6% effective; std deduction $15,750 applied |
| State income tax | −$2,326 | 3.8% flat (2026, SF 2417 fully phased) |
| FICA (SS 6.2% + Medicare 1.45%) | −$5,887 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $60,568 | 78.7% of gross |
| Real take-home (RPP-adjusted) | $68,231 | ÷ (88.8 / 100) BEA cost-of-living |
What the Iowa state-tax burden means for RN take-home
Mid-band state-tax burden at 3.0% effective. Combined with federal and FICA, take-home is $60,568 (78.7% of gross). After the 88.8 RPP, real take-home is $68,231.
Computed from 2026 IRS federal brackets (Rev. Proc. 2025-32), 2026 state DOR brackets, and 2026 FICA rates. Single filer, standard deduction, no other adjustments. See methodology · tax for limitations (married filers, ITM/SALT itemizers, retirement deferrals, HSA, dependent credits, etc.).
National context
Across the United States, BLS reports a national median of $93,600 for RNs with mean pay of $98,430 and total employment of 3,282,010. Iowa sits at #48 on nominal pay and #43 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, Iowa climbs 5 positions — the cost of living is favorable relative to the wage.
Licensure — Iowa (NLC)
Iowa participates in the Nurse Licensure Compact (NLC), with effective participation since 2017. RNs holding a multistate license issued by another Compact state may practice in Iowa without applying for a separate Iowa license. Iowa-issued multistate licenses are reciprocally recognized in 36 other Compact states (37 jurisdictions total in 2026), eliminating the per-state endorsement workflow ($100–$500 + 4–16 week processing) for travel and per-diem RN work.
Iowa has been a Compact participant for 9 years as of 2026, putting it among the long-tenured members where the Compact pathway is the established norm at most employers and travel agencies.
Source: NCSBN compact implementation tracker — re-synced quarterly. See NLC reciprocity hub for the cross-state matrix and changelog for status changes.
Frequently asked questions
- How are Iowa RN salaries calculated on this page?
- Nominal wages come from BLS Occupational Employment and Wage Statistics (OES) — annual employer surveys, May 2026 reference period. Real-wage figures use BEA Regional Price Parities (2023 vintage) to adjust for state-level cost of living. No self-report or jobs-board data is mixed in.
- How many RNs does Iowa employ?
- BLS OES counts 33,480 RNs employed in Iowa in the most recent release. Employment density relative to population determines whether wage tiers reflect a robust competitive market or a thinner labor pool.
- Why is the BEA RPP for Iowa different from a single CPI number?
- BEA splits regional price parity into three components — goods, services, and rents — reweighted to the BEA's national consumption basket. Iowa's overall index of 88.8 reflects rents 66.0, services 87.3, and goods 96.6.
- Where does Iowa rank for RN pay?
- On nominal BLS wages alone, Iowa ranks among the 51 states and DC by median pay. After the BEA cost-of-living adjustment the ordering changes — high-cost states fall, low-cost states rise. Both rankings are shown in the data table on this page.
- Is Iowa a 'real-wage arbitrage' state for RNs?
- Yes — the BEA RPP of 88.8 is below the national 100 baseline, so nominal $76,960 stretches to a real-wage equivalent of $86,697. The take-home advantage versus a higher-RPP state is meaningful for RNs comparing offers across regions.
- Should I negotiate based on the BLS median for Iowa?
- The BLS median is a calibration anchor, not a ceiling. Use it to validate that an offer is in-band — anything well below the P25 in this state is a flag, anything above the P75 typically requires demonstrable specialty depth, niche credentials, or a high-COL metro within Iowa.
- Travel RN vs staff RN in Iowa — which earns more on a real basis?
- Travel RN gross weekly is usually higher, but the real comparison nets out housing stipends (which are tax-advantaged but state-dependent), per-diem premiums, and the lack of staff-side benefits and pension accrual. In Iowa, the real-wage gap is narrower than the headline contract numbers suggest.
Sources & methodology
- U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OES), SOC 29-1141, 2024 reference period.
- U.S. Bureau of Economic Analysis — Regional Price Parities, 2023 vintage (all-items, goods, services, rents).
- Real-wage figures = nominal BLS wage ÷ (state RPP / 100).
- See the methodology page for full computation details and limitations.
Cross-comparison: see how Iowa RN pay ranks against the other 254 state × occupation pages on the Real Wage Atlas → — four-way ranking by real wage, after-tax take-home, state-tax savings, and cost-of-living arbitrage.