Clinical nurse specialist salary
Open clinical nurse specialist jobs post a median of $84 an hour, with the middle half paying $64.25–$90.75: about $174,700 a year full time. Measured from 20 jobs at 11 employers that state their pay, read from each employer's own job board.
The jobs themselves: Clinical nurse specialist jobs
What clinical nurse specialists are paid
Each bar counts the open jobs posting an hourly rate in its step of pay (a range at its midpoint). The middle half of employers' rates is in the darker color.
Posted on open jobs
Middle half of 14 employer rates (each employer's advertised range once), median $84. 20% of the 102 open clinical nurse specialist jobs state an hourly rate.
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Clinical nurse specialist pay by employer
What each employer posts for clinical nurse specialists, the employers with the most jobs stating pay first. An employer with at least 5 such jobs has a page of its own with every range it posts.
Median of each employer's own jobs (a range at its midpoint), and the lowest and highest rate it posts. Jobs stating pay link to the employer's open jobs.
Clinical nurse specialist pay by state
States where at least 8 open jobs from 3 employers state an hourly rate, highest median first. Each opens the state's own page, with its towns and employers.
| State | Median posted | Middle half | BLS median | Jobs |
|---|---|---|---|---|
| California | $89.50 | $74.25–$101.50 | $67.44 (source: BLS OEWS, state medians, opens in a new tab) | 12 |
Median and middle half of employers' rates in the state. BLS medians are for the occupation's main SOC code in the state (May 2025).
Clinical nurse specialist jobs that state a yearly salary
Some jobs state a salary for the year instead of an hourly rate. They are measured on their own here, never converted.
33 open jobs from 16 employers state a yearly salary: a median of $132,800, the middle half $122,000 to $180,800, from $83,866 to $261,800 posted.
Best-paid open clinical nurse specialist jobs
The open jobs posting the highest hourly rates tonight, at most two from one employer.

CNS/NP - FT - Days - Neuroscience Institute @ MV
El Camino Health · Mountain View, CA· 1mo ago
$110.97–$149.78/hr
Clinical Nurse Specialist (CNS), Cancer Center – Cellular Therapy/BMT Program
Stanford Health Care · Palo Alto, CA· 1mo ago
$91.68–$121.48/hr
Clinical Nurse Specialist, CPEI Nursing Informatics
Stanford Medicine Children's Health · Menlo Park, CA· 2w ago
$90.19–$112.73/hr
Pediatric Clinical Nurse Specialist, Acute Care
Stanford Medicine Children's Health · Palo Alto, CA· 3w ago
$90.19–$112.73/hr
Clinical Nurse Specialist NICU
CommonSpirit Health · Carmichael, CA· 3mo ago
$77.8–$104.19/hr
Clinical Nurse Specialist - Acute Care
Valley Children's Healthcare · Madera, CA· 3mo ago
$73.12–$106.02/hr
Clinical Nurse Specialist RN - NICU
Kaiser Permanente · Los Angeles and Downey, CA· 2w ago
$78.53–$96.42/hr
Clinical Nurse Specialist - Adult Acute Care
Providence · Anchorage, AK· 1mo ago
$65.24–$102.99/hr
Clinical Nurse Specialist - Perioperative
Providence · Anchorage, AK· 1mo ago
$65.24–$102.99/hr
Advanced Practitioner/CNS - Cardiology
Legacy Health · Portland, OR· 2w ago
$72.84–$94.95/hr
Clinical Nurse Specialist RN NICU
CommonSpirit Health · Glendale and San Bernardino, CA· 2w ago
$58.94–$89.62/hr
Clinical Nurse Specialist (CNS) - NICU - Sharp Tri-City - FT - Days
Sharp HealthCare · Oceanside, CA· 2d ago
$59.160–$72.470/hr
Every open job: Clinical nurse specialist jobs
What BLS measures
The US Bureau of Labor Statistics surveys what people employed in the occupation earn, at every level of experience. A posting advertises what a new hire is offered, so the two measure different things.
| BLS occupation | 10th pct | 25th pct | Median | 75th pct | 90th pct | Employed |
|---|---|---|---|---|---|---|
| Registered Nurses (29-1141) | $33.14 (source: BLS OEWS, Registered Nurses, opens in a new tab) | $38.62 (source: BLS OEWS, Registered Nurses, opens in a new tab) | $46.90 (source: BLS OEWS, Registered Nurses, opens in a new tab) | $54.02 (source: BLS OEWS, Registered Nurses, opens in a new tab) | $66.09 (source: BLS OEWS, Registered Nurses, opens in a new tab) | 3,379,720 (source: BLS OEWS, Registered Nurses, opens in a new tab) |
The posted median ($84) is $37.10 above the BLS median ($46.90 (source: BLS OEWS May 2025, Registered Nurses, opens in a new tab)). Posted ranges run from a new hire's rate to an experienced one's, and their midpoint is counted here.
Clinical nurse specialist salary: common questions
How much does a clinical nurse specialist make an hour?
Open clinical nurse specialist jobs on CareJobs.Now that state an hourly rate post a median of $84, with the middle half between $64.25–$90.75 (20 jobs from 11 employers, each employer's advertised range counted once). Postings advertise a base rate, usually before shift differentials and bonuses. The US Bureau of Labor Statistics measured a median of $46.90/hr ($97,550 a year) for registered nurses in May 2025.
How much does a clinical nurse specialist make a year?
At the posted median of $84 an hour, full time (2,080 hours a year) comes to about $174,700, and the middle half to $133,600 to $188,800. That is arithmetic on the hourly rate, not a salary any job states. 33 open jobs state a yearly salary instead, a median of $132,800.
Where do these figures come from?
From the pay CareJobs.Now's open jobs state, read every night from each employer's own job board: 20 of 102 open clinical nurse specialist jobs (20%) state an hourly rate. No pay is estimated for a job that states none, "up to" ceilings and weekly travel rates are left out, and each employer's advertised range counts once in the median, so no single employer sets it.
More pay by job: NPs & PAs
- Nurse practitioner salarymedian posted $74.50/hr
- Family nurse practitioner salarymedian posted $72.50/hr
- Psychiatric nurse practitioner salarymedian posted $77.75/hr
- Acute care nurse practitioner salarymedian posted $80/hr
- Neonatal nurse practitioner salarymedian posted $86/hr
- Pediatric nurse practitioner salarymedian posted $84.50/hr
- Physician assistant salarymedian posted $76/hr
- Advanced practice provider salarymedian posted $74.75/hr
- Certified registered nurse anesthetist salarymedian posted $160/hr
- Nurse midwife salarymedian posted $72.25/hr
Sources and method
- CareJobs.Now job board: the pay open jobs state, read nightly from each employer's own careers site, published October 24, 2026
- BLS Occupational Employment and Wage Statistics, May 2025: Registered Nurses (SOC 29-1141), published May 15, 2026
- BLS OEWS May 2025: Registered Nurses by state, published May 15, 2026
- BLS Employment Projections 2025-2035: Registered Nurses (Occupational Outlook Handbook), published August 27, 2026
Cite this page
CareJobs.Now. (2026). Clinical nurse specialist salary. Data as of October 24, 2026. https://carejobs.now/salaries/clinical-nurse-specialist