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For nurses, aides and techs

Shift differentials: what employers add for nights, evenings and weekends

A night shift differential is a median of $2.50 an hour (the middle half $2.00 to $4.60) across 201 employers, from the amounts healthcare employers' own job postings state (read 9 Nov 2026). A weekend differential is a median of $2.50 an hour (the middle half $2.00 to $4.00) across 159 employers. Below, by kind of job and by employer, each amount opening a posting that states it.

By the hours worked

Each employer counts once, at the amount most of its postings state for those hours. A figure needs 3 employers behind it.

Shift differentials by hours worked: median, middle half and employers
HoursStated asMedianMiddle halfEmployersJobs
NightDollars an hour$2.50$2.00–$4.60201792
NightPercent of base15%10.5%–18%26190
EveningDollars an hour$2.00$1.48–$3.00148592
EveningPercent of base10%10%–15%17109
WeekendDollars an hour$2.50$2.00–$4.00159762
WeekendPercent of base15%10%–20%30107
Shift (hours not named)Dollars an hour$2.81$2.00–$4.00160492
Shift (hours not named)Percent of base12.5%10%–15%1734

By kind of job

The median dollar differential per hour for each kind of job, where 3 or more employers state one.

Median shift differential in dollars per hour by kind of job
Kind of jobNightEveningWeekend
Registered Nurses & LPNs$3.00 (128)$2.75 (81)$3.50 (87)
Nursing Assistants & Patient Care Techs$2.00 (84)$2.00 (68)$2.00 (56)
Caregivers & Home Health Aides$1.75 (23)$1.00 (19)$1.75 (28)
Mental Health & Social Work$2.50 (20)$2.00 (13)$2.50 (17)
Physical, Occupational, Speech & Respiratory Therapy$3.50 (9)$3.19 (4)$4.00 (11)
Radiology & Imaging Techs$3.65 (10)$2.53 (8)$3.00 (10)
Lab Techs & Phlebotomists$4.30 (9)$2.50 (5)$2.75 (4)
Patient Access, Coding & Medical Admin$2.50 (6)$2.50 (4)$2.00 (9)
Surgical Techs & Sterile Processing$2.75 (7)$2.34 (8)$3.00 (9)
Pharmacists & Pharmacy Techs$3.63 (4)$2.09 (8)$2.00 (5)
EMTs & Paramedics$2.50 (7)-$2.50 (4)
Medical Assistants-$2.13 (4)$3.00 (5)
More Allied Health$2.00 (4)-$2.63 (4)
Nurse Practitioners & Physician Assistants---

The number in brackets is the employers behind each median.

By employer

The amount each employer's postings state most for each kind of hours, most postings first (the 120 with the most; 440 in all, and every employer's own page states its own). An amount opens a posting that states it.

Shift differentials stated by each employer
EmployerNightEveningWeekendShiftJobs
Banner Health18%None stated$3.00/hr10%166
Geisinger$2.00/hr$3.00/hrNone statedNone stated110
Penn State Health$2.50/hr$2.00/hrNone statedNone stated92
Quest Diagnostics15%15%10%15%68
Centers Health Care$0.75/hr$0.75/hrNone stated$0.65/hr64
MU Health Care$4.00/hr$2.00/hr$3.00/hrNone stated44
OSF HealthCare$4.00/hr$3.00/hr$3.25/hrNone stated43
PAM HealthNone statedNone statedNone stated$4.00/hr36
UNM Health17%None stated26%None stated36
Rochester Regional HealthNone statedNone statedNone stated$1.50–$4.00/hr35
UW Health$5.00/hr$4.00/hr$4.25/hrNone stated34
Montage Health$8.00/hr$5.50/hrNone statedNone stated31
Select Medical$7.00/hrNone stated$3.00/hrNone stated29
Acadia Healthcare$3.00/hrNone stated$7.00/hr$4.50/hr27
Universal Health Services$7.00/hr$3.25/hr$2.00/hrNone stated27
Foundation Health$6.00/hr$2.50/hr$2.00/hr$2.00/hr25
UPMC$2.00/hr$2.55/hr25%$2.00/hr22
Sanford Health$1.25/hr$1.25/hr$1.25/hr$6.00/hr21
Columbia Care Services$3.00/hrNone statedNone statedNone stated20
TriHealth$4.00/hrNone stated$1.00/hr$4.00/hr20
Blessing HospitalNone statedNone statedNone stated$2.00/hr19
Devereux Advanced Behavioral Health$1.00/hr$2.50/hr$3.00/hr$2.00/hr19
Nationwide Children's Hospital$2.30/hr$1.80/hr$1.80/hrNone stated19
Dartmouth Health20%10%15%$5.00/hr18
Boulder Community Hospital$2.50/hr$2.50/hr$2.50/hrNone stated17
RichcroftNone statedNone stated$1.00/hrNone stated17
BrightSpring Health Services$2.00/hrNone stated$2.00/hr$1.00/hr16
Mt Olivet Rolling Acres$1.00/hrNone stated$2.00/hrNone stated16
Aspen Valley Health$10.00/hrNone stated$10.00/hrNone stated15
UnityPoint Health$7.50/hr$5.00/hr$7.50/hr$7.50/hr15
Christian Health Care Center$0.85/hr$1.60/hr$2.00/hr$4.30/hr14
Logan Health$5.00/hr$2.25/hr$2.25/hr$2.25/hr14
MaineGeneral HealthNone statedNone statedNone stated$7.00/hr13
Baptist Health (Kentucky)None statedNone stated25%15%12
Providence$10.00/hr$3.00/hrNone statedNone stated12
Otterbein SeniorLife$3.00/hr$3.00/hr$1.00/hr$3.00/hr11
Cincinnati Children's Hospital Medical CenterNone statedNone stated$5.00/hr$4.00/hr10
Erickson Senior Living$1.00/hr$2.00/hr$1.00/hrNone stated10
Legacy Health$4.30/hr$2.50/hr$3.00/hrNone stated10
United Methodist Communities$2.00/hr$2.00/hr$1.50/hrNone stated10
Advocate Health$5.00/hr$3.00/hr$11.00/hrNone stated9
CoxHealth$3.00/hrNone stated$7.00/hr$3.00/hr9
Downtown Emergency Service Center$3.25/hrNone statedNone stated$0.50/hr9
UW Medicine$5.00/hr$3.00/hr$4.00/hrNone stated9
ChristianaCare20%None stated20%10%8
Citizens Memorial$2.25/hr$1.90/hrNone stated$2.25/hr8
Cleveland Clinic$5.00/hrNone statedNone stated$5.00/hr8
Deaconess Health SystemNone stated$10.00/hr$1.00/hr$7.00/hr8
Denver HealthNone statedNone stated15%None stated8
Hampton-Newport News Community Services BoardNone stated$2.50/hr$2.50/hrNone stated8
KVC Health Systems$1.50/hr$3.00/hr$2.00/hr$2.00/hr8
Lee Health$6.00/hr$3.00/hrNone stated$6.00/hr8
PACS Group$2.00/hr$1.00/hr$4.00/hr$3.00/hr8
Presbyterian Healthcare Services$5.00/hrNone stated$3.00/hrNone stated8
Right at Home LanghorneNone statedNone stated$1.00/hrNone stated8
SanStone Health & Rehabilitation$1.00/hrNone statedNone stated$5.00/hr8
Vibra Healthcare$6.50/hrNone stated$3.00–$6.50/hr15%8
Brookdale Senior Living$2.00/hr$4.00/hr$4.00/hrNone stated7
Duly Health and CareNone statedNone stated$5.00/hrNone stated7
Guthrie$6.00/hrNone statedNone statedNone stated7
Intermountain Health15%10%25%None stated7
Main Line Health$7.00/hrNone statedNone stated$3.00/hr7
North Oaks Communities$2.00/hrNone stated$1.50/hr$2.00/hr7
Primary Health CareNone stated$5.00/hr$5.00/hr$5.00/hr7
Salinas Valley Health$6.00/hr$3.00/hrNone statedNone stated7
Avera HealthNone statedNone statedNone stated$3.00/hr6
Benedictine$2.25/hr$2.50/hrNone stated$3.15/hr6
Cassia$2.00/hr$4.00/hrNone stated$2.00/hr6
CCRM FertilityNone statedNone stated$4.00/hrNone stated6
Grand River Health Main Campus$2.00–$4.00/hrNone statedNone statedNone stated6
Loretto Management$2.75/hr$7.50/hrNone statedNone stated6
Meadowbrook HealthcareNone statedNone statedNone stated$1.00/hr6
Sonic Healthcare USA18%None statedNone statedNone stated6
The Oregon Veterans Home$4.00/hrNone statedNone stated$1.25/hr6
Valleywise Health System18%18%8%None stated6
Virginia Mennonite Retirement Community$2.00/hr$2.00/hr$2.00/hrNone stated6
Vista Prairie Communities$2.00/hr$1.00/hr$3.00/hr$1.00/hr6
Arc of Carroll CountyNone statedNone stated$2.00/hrNone stated5
Baylor Scott & White HealthNone stated$3.50/hrNone statedNone stated5
BJC HealthCare$5.00/hr5%$8.00/hr$15.00/hr5
Children's Home Society of South DakotaNone stated$2.00/hrNone stated$2.00/hr5
Essentia Health$5.50/hr$1.50/hrNone statedNone stated5
Hillsboro Medical Center$6.00/hrNone statedNone statedNone stated5
Iredell Memorial Hospital$4.00/hrNone statedNone stated$4.00/hr5
Kisco Senior LivingNone stated$1.50/hrNone stated$1.50/hr5
Memorial Sloan Kettering Cancer Center10%None stated10%None stated5
Neuropsychiatric Hospitals$5.00/hrNone stated$10.00/hrNone stated5
Pleasant View Retirement Community$2.00/hr$3.00/hrNone statedNone stated5
Prime Healthcare12%–17%None statedNone stated$2.00–$6.00/hr5
The Arc of Cumberland and Perry CountiesNone statedNone statedNone stated$1.00/hr5
TLC ManagementNone statedNone stated$2.00/hr$2.00/hr5
Vivant Behavioral HealthcareNone statedNone statedNone stated$3.00/hr5
Aspire Senior Living CarthageNone statedNone statedNone stated$4.00/hr4
Aspire Senior Living JoplinNone statedNone statedNone stated$4.00/hr4
Aspire Senior Living Roaring RiverNone statedNone statedNone stated$4.00/hr4
Auburn Community HospitalNone stated$7.00/hrNone statedNone stated4
Brightli$2.50/hrNone stated$5.00/hr$0.50–$2.00/hr4
CHS (Community Health Systems)$4.00/hrNone statedNone stated$4.00/hr4
Edgewood Center for Rehab and Healthcare$5.00/hr$2.00/hr$1.00/hrNone stated4
EHGNone stated$2.50/hr$5.00/hrNone stated4
ElderwoodNone statedNone statedNone stated$2.25/hr4
Fairview Health Services$1.50/hr$1.00/hr$2.00/hrNone stated4
Forest Park Nursing and Rehabilitation$1.00/hr$3.00/hr$2.00/hrNone stated4
Frontline ManagementNone statedNone statedNone stated$2.00–$4.00/hr4
FutureCareNone stated$4.00/hr$12.00/hrNone stated4
Glens Falls CenterNone statedNone statedNone stated$0.65/hr4
Granville Medical CenterNone statedNone statedNone stated$2.50–$5.00/hr4
Gundersen Health System$2.50/hr$1.00/hr$1.50/hr$1.00/hr4
Heartland ImagingNone stated$5.00/hr$5.00/hr$5.00/hr4
LifePoint HealthNone statedNone stated$3.50/hr$2.25–$3.50/hr4
Manatawny ManorNone stated$2.00/hrNone statedNone stated4
Marin Community ClinicsNone stated10%10%None stated4
Maxim Healthcare Services$2.00/hrNone stated$2.00/hrNone stated4
New Outlook of Central OregonNone statedNone stated$3.00/hrNone stated4
NORCAL Ambulance$3.00/hrNone statedNone statedNone stated4
Northern Lights Rehab and Long Term Care$2.50/hr$1.00/hrNone statedNone stated4
Ocean HealthcareNone statedNone stated$5.00/hrNone stated4
RHA Health ServicesNone stated15%15%10%4
The Goodman Group$1.00/hr$1.00/hr$2.00/hr$1.00/hr4
United Church of Christ HomesNone stated$3.00/hrNone statedNone stated4

Shift differentials: common questions

What is the average night shift differential for nurses?

Where nurses' postings state a night differential in dollars, it is a median of $3.00 an hour (the middle half $2.00 to $5.00) across 128 employers; where it is a percent of the base rate, a median of 17.5% of base pay (the middle half 10% to 18%) across 14 employers. Each employer counts once, at the amount most of its postings state, since a differential is its pay policy rather than a figure per job.

What is the night shift differential for CNAs?

Where CNAs' and patient care techs' postings state a night differential in dollars, it is a median of $2.00 an hour (the middle half $1.00 to $3.00) across 84 employers; where it is a percent of the base rate, a median of 10% of base pay (the middle half 10% to 13.8%) across 7 employers. Each employer counts once, at the amount most of its postings state.

What is the night shift differential for caregivers and home health aides?

Where caregivers' and home health aides' postings state a night differential in dollars, it is a median of $1.75 an hour (the middle half $1.00 to $2.00) across 23 employers. Each employer counts once, at the amount most of its postings state.

How much is a night shift differential in healthcare?

Where healthcare employers' postings state a night differential in dollars, it is a median of $2.50 an hour (the middle half $2.00 to $4.60) across 201 employers; where it is a percent of the base rate, a median of 15% of base pay (the middle half 10.5% to 18%) across 26 employers. The amounts come from 2,209 open jobs at 440 employers whose postings state one.

How much is a weekend differential?

Where healthcare employers' postings state a weekend differential in dollars, it is a median of $2.50 an hour (the middle half $2.00 to $4.00) across 159 employers; where it is a percent of the base rate, a median of 15% of base pay (the middle half 10% to 20%) across 30 employers.

How much is an evening or second shift differential?

Where healthcare employers' postings state an evening differential in dollars, it is a median of $2.00 an hour (the middle half $1.48 to $3.00) across 148 employers; where it is a percent of the base rate, a median of 10% of base pay (the middle half 10% to 15%) across 17 employers.

Which healthcare employers pay the highest night shift differential?

By the dollar amount their own postings state most: Aspen Valley Health ($10.00 an hour), Providence ($10.00 an hour), AHMC Healthcare ($10.00 an hour), Presbyterian Homes & Services ($9.00 an hour) and Trinity Health ($9.00 an hour). A posting states the employer's amount for that job; units and roles can differ, so each job's own page says what it pays.

Is a shift differential added to the base rate?

Yes. A dollar differential is added to each hour worked in the hours it covers (one posting spells it out: a $22 base rate plus a $1 weekend differential is $23 an hour), and a percent differential is that share of the base rate. Posted pay ranges are the base rate, before differentials, so a night job pays its posted rate plus the differential. How shift differentials work, and how they raise overtime.

Sources and method

A job counts when its posting states an amount for evening, night or weekend hours (or a shift differential): a dollar amount under the job's own posted base rate, or a percent of it. A mention without an amount, a differential for something else (float, charge, on-call, a certification) and a figure that is the wage itself are left out. Each employer counts once in a figure, at the amount most of its postings state.

  1. CareJobs.Now job board: every open job's posting, read every night from each employer's own careers site

Cite this page

CareJobs.Now. (2026). Shift Differentials: What Healthcare Employers Add for Nights, Evenings and Weekends. Data as of 9 Nov 2026. https://carejobs.now/shift-differentials

How the board counts
Shift Differentials for Nurses and Healthcare Workers | CareJobs.Now