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How Much Do Perioperative (OR) Nurses Make?

Perioperative nurses are registered nurses, and the U.S. Bureau of Labor Statistics reports a median registered-nurse wage of $93,600 as of May 2024 (lowest 10% under $66,030; top 10% over $135,320). OR nursing often pays above the RN base in practice because of call pay, call-back hours, and shift differentials that are built into surgical staffing — and experience, region, facility type, and certification such as the CNOR all move the number further.

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Written and reviewed by the LexPort exam-prep team, led by our Founder & Exam-Prep Lead. LexPort builds certification practice questions — this is exam-preparation material, not medical advice. Last reviewed September 2026.

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How much does a perioperative nurse make?
Start from the registered-nurse baseline: the BLS reports a median RN wage of $93,600 as of May 2024, with the lowest 10% under $66,030 and the top 10% above $135,320. Perioperative nurses sit inside that range, and OR-specific extras — on-call pay, call-back time, and shift differentials — commonly push real take-home above the posted base rate.
Do OR nurses earn more than floor nurses?
Often in practice, though not always on the posted base rate. The OR difference comes from structure: surgical teams carry call responsibilities, and call-back hours are typically paid at premium rates. A perioperative nurse who takes regular call can out-earn a floor nurse with the same base salary. Compare total compensation, not just the hourly rate.
Does CNOR certification increase your salary?
It depends on the employer, and that is the honest answer. Many hospitals recognize the CNOR in clinical-ladder steps, certification differentials, or bonuses; others offer recognition without direct pay. Ask HR how certification is rewarded at your facility. Even without a direct differential, the CNOR strengthens hiring and promotion cases in perioperative services.
What factors move perioperative pay the most?
Region and setting lead: state wage levels differ widely, and large surgical centers, trauma centers, and academic hospitals generally pay more than small facilities. After that: years in the OR, call burden (more call, more premium hours), specialty lines like cardiac or neuro, and charge or coordinator responsibilities.
How can an OR nurse increase their earnings?
The reliable levers: earn the CNOR (it anchors ladder advancement in perioperative services), take call strategically, move toward high-acuity service lines, and step into charge or coordinator roles. Longer term, the RN First Assistant (RNFA/CRNFA) path expands scope in the OR and typically commands higher compensation.
Is demand for perioperative nurses strong?
Yes — surgical volume keeps rising and experienced OR nurses are consistently hard to replace, which is why many facilities offer sign-on incentives and paid CNOR support. For current wage tables by state and setting, the BLS registered-nurse data is the closest official source.

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