How Much Do Aesthetic Nurses, Nurse Injectors & Aesthetic NPs Really Make?
View Upcoming Dates Call 866-261-5164Aesthetic nurses in the U.S. average between $80,321 (ZipRecruiter, Nov 10, 2026) and $100,737 (Indeed, Oct 28, 2026) a year. Aesthetic nurse practitioners average $130,295 (ZipRecruiter, Nov 10, 2026). For comparison, the median for all registered nurses is $97,550 (BLS, May 2025).
The figures differ because the federal government does not track aesthetic nurses as an occupation, and each job site estimates from the postings it holds. Below: every published figure with its source, RN and NP wages for all 50 states, and how commission fits into the picture.
"Aesthetic nurse" covers several roles, and the pay data is organized by job title rather than by license:
The U.S. Bureau of Labor Statistics (BLS) counts all of these inside two occupations: registered nurses (3,379,720 jobs, median pay $97,550) and nurse practitioners (323,040 jobs, median pay $132,300), as of May 2025. This guide covers RNs and NPs only; it has no data for LPNs or physician assistants.
Key takeaway: Job-site averages for aesthetic nurses ($80,321 to $100,737) sit around the BLS median for all registered nurses ($97,550). BLS medians for RNs in physician offices ($85,000) are below the hospital median ($100,210), commission included. Nothing here shows aesthetics paying more than nursing in general; what is documented is the step up from RN to NP.
What a BLS wage includes: commissions, tips and production bonuses are counted. Overtime, shift differentials and year-end bonuses are not. BLS covers employees only, so self-employed and contract (1099) injectors and practice owners are left out. Annual figures are the hourly wage multiplied by 2,080 hours, a full-time year; part-time and per-diem roles, common in aesthetics, pay proportionally less.
Each row is one published figure. Rows from different sources are not directly comparable: each site counts different postings and does not say whether advertised pay includes commission.
| Role | Source and date | Annual pay | Low | High | Hourly | Basis |
|---|---|---|---|---|---|---|
| Aesthetic Nurse | ZipRecruiter, Nov 10, 2026 | $80,321 avg. | $61,500 (25th pct.) | $90,000 (75th pct.) | $38.62 | Job postings and third-party data |
| Aesthetic Nurse | Indeed, Oct 28, 2026 | $100,737 avg. | $51,066 (low) | $198,723 (high) | — | 62 salaries from postings, past 36 months |
| Aesthetic Nurse | PayScale, Sep 1, 2026 | — | $12.08/hr (10th pct.) | $49.66/hr (90th pct.) | $33.00 median | 15 profiles; too small to rely on |
| Aesthetic RN | ZipRecruiter, Nov 2026 | $91,102 avg. | — | — | $43.80 | Job postings and third-party data |
| RN Injector | ZipRecruiter, Nov 10, 2026 | $83,797 avg. | — | — | $40.29 | From the related-jobs list on its Aesthetic Nurse page |
| Nurse Injector | Indeed, Nov 2, 2026 | $116,700 avg. | $51,956 (low) | $200,596 (high) | — | 716 salaries from postings, past 36 months |
| Aesthetic Nurse Practitioner | ZipRecruiter, Nov 10, 2026 | $130,295 avg. | $108,000 (25th pct.) | $150,000 (75th pct.) | $62.64 | Job postings and third-party data |
| All Registered Nurses | BLS, May 2025 | $97,550 median | $68,940 (10th pct.) | $137,470 (90th pct.) | $46.90 median | Employer survey, 3,379,720 jobs; mean $101,420 |
| All Nurse Practitioners | BLS, May 2025 | $132,300 median | $101,340 (10th pct.) | $174,420 (90th pct.) | $63.61 median | Employer survey, 323,040 jobs; mean $137,300 |
ZipRecruiter also reports the 90th percentile: $118,000 for aesthetic nurses and $180,000 for aesthetic nurse practitioners.
About the nurse injector gap: Indeed's $116,700 (Nurse Injector) and ZipRecruiter's $83,797 (RN Injector) are similar titles measured differently. Neither site explains the gap, and we cannot. Ask every employer how the advertised figure splits between fixed and variable pay.
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SAVE150No source reports aesthetic nurse pay by years of experience. The pay range is the nearest substitute: it reflects experience, along with location and employer.
| Percentile | All Registered Nurses (BLS, May 2025) | All Nurse Practitioners (BLS, May 2025) | Aesthetic Nurse (ZipRecruiter) | Aesthetic NP (ZipRecruiter) |
|---|---|---|---|---|
| 10th percentile | $68,940 | $101,340 | — | — |
| 25th percentile | $80,330 | $117,990 | $61,500 | $108,000 |
| Median or average | $97,550 (median) | $132,300 (median) | $80,321 (average) | $130,295 (average) |
| 75th percentile | $112,350 | $156,700 | $90,000 | $150,000 |
| 90th percentile | $137,470 | $174,420 | $118,000 | $180,000 |
No source publishes aesthetic-specific pay for every state. What exists for all 50 states and the District of Columbia is the BLS wage for registered nurses and nurse practitioners. Read it as context, not as an aesthetic wage: state figures are dominated by hospital employment, and nationally RNs in physician offices earn less than hospital RNs (see work setting). The 75th percentile is the level a quarter of the occupation earns at or above.
All registered nurses and all nurse practitioners in each state, not aesthetic roles only. BLS, May 2025. Ranked by RN median.
| RN pay rank | State | RN median | RN 75th percentile | NP median | NP 75th percentile |
|---|---|---|---|---|---|
| 1 | California | $140,270 | $173,170 | $168,520 | $209,350 |
| 2 | Hawaii | $136,320 | $144,140 | $135,570 | $165,810 |
| 3 | Oregon | $129,010 | $134,420 | $155,680 | $168,700 |
| 4 | Washington | $124,200 | $134,240 | $156,100 | $169,500 |
| 5 | Alaska | $109,480 | $129,100 | $155,170 | $172,000 |
| 6 | New York | $109,440 | $129,660 | $153,510 | $170,290 |
| 7 | New Jersey | $106,500 | $127,730 | $159,310 | $170,530 |
| 8 | Massachusetts | $104,550 | $136,110 | $142,440 | $168,100 |
| 9 | Nevada | $103,670 | $120,270 | $140,670 | $161,760 |
| 10 | Connecticut | $102,740 | $121,840 | $138,470 | $160,700 |
| 11 | District of Columbia | $102,540 | $127,800 | $135,880 | $160,950 |
| 12 | Minnesota | $101,510 | $114,760 | $133,260 | $155,260 |
| 13 | Rhode Island | $100,640 | $107,100 | $135,970 | $163,450 |
| 14 | Colorado | $100,260 | $108,930 | $132,930 | $150,990 |
| 15 | Maryland | $99,790 | $107,340 | $131,110 | $147,140 |
| 16 | New Hampshire | $99,700 | $108,400 | $137,550 | $155,620 |
| 17 | Delaware | $99,520 | $111,720 | $131,040 | $153,050 |
| 18 | Arizona | $99,500 | $108,580 | $134,420 | $159,780 |
| 19 | Vermont | $97,460 | $105,210 | $134,740 | $157,000 |
| 20 | Pennsylvania | $96,430 | $104,730 | $130,140 | $142,720 |
| 21 | Illinois | $95,990 | $105,960 | $130,680 | $142,000 |
| 22 | Texas | $95,970 | $105,100 | $131,670 | $147,660 |
| 23 | Wisconsin | $95,530 | $102,610 | $131,980 | $147,970 |
| 24 | New Mexico | $94,340 | $102,750 | $137,520 | $160,950 |
| 25 | Michigan | $94,300 | $103,450 | $131,450 | $140,850 |
| 26 | Virginia | $93,600 | $103,030 | $127,810 | $139,500 |
| 27 | Georgia | $93,550 | $106,330 | $129,430 | $141,240 |
| 28 | Idaho | $92,460 | $102,320 | $132,540 | $151,600 |
| 29 | Maine | $86,990 | $101,460 | $130,260 | $141,440 |
| 30 | Montana | $85,280 | $100,800 | $137,210 | $151,860 |
| 31 | Nebraska | $84,730 | $99,640 | $132,130 | $140,900 |
| 32 | Utah | $84,600 | $105,130 | $130,920 | $150,940 |
| 33 | North Carolina | $84,350 | $102,040 | $128,990 | $142,180 |
| 34 | Florida | $84,190 | $101,180 | $129,510 | $137,610 |
| 35 | Wyoming | $83,760 | $101,100 | $132,200 | $143,420 |
| 36 | Indiana | $83,500 | $100,410 | $128,830 | $135,990 |
| 37 | Oklahoma | $82,920 | $98,910 | $133,390 | $152,330 |
| 38 | Ohio | $82,510 | $99,030 | $124,870 | $134,750 |
| 39 | South Carolina | $82,360 | $97,230 | $123,290 | $132,220 |
| 40 | Missouri | $81,780 | $98,560 | $129,930 | $144,640 |
| 41 | Tennessee | $81,500 | $95,250 | $117,590 | $130,330 |
| 42 | Kentucky | $81,040 | $97,200 | $122,870 | $132,720 |
| 43 | North Dakota | $80,730 | $93,080 | $130,070 | $135,620 |
| 44 | Louisiana | $80,230 | $93,600 | $125,600 | $135,610 |
| 45 | West Virginia | $80,130 | $99,770 | $127,320 | $133,220 |
| 46 | Kansas | $79,320 | $94,700 | $126,650 | $133,940 |
| 47 | Arkansas | $78,940 | $90,280 | $125,660 | $137,550 |
| 48 | Iowa | $78,630 | $85,940 | $130,160 | $141,940 |
| 49 | South Dakota | $78,060 | $84,280 | $128,840 | $136,180 |
| 50 | Mississippi | $77,090 | $84,500 | $124,730 | $134,020 |
| 51 | Alabama | $77,080 | $83,380 | $105,750 | $123,970 |
Two things to read next to a state figure: Texas, Florida, Nevada and Tennessee have no state income tax on wages (federal taxes still apply). And for nurse injectors specifically, Indeed's city figures include Las Vegas ($117,719), Scottsdale ($115,017) and New York ($114,918), all close to its national average (November 2, 2026). For what each state lets an RN, NP or PA do with injectables, see the requirements by state.
The BLS reports nursing pay by type of employer. There is no "medical spa" category, and BLS does not publish how medical spas are classified; physician offices, offices of other health practitioners and personal care services are the categories one could fall under. Hospitals and outpatient centers are shown for comparison.
| Work setting | RN median | RN mean | NP median | NP mean |
|---|---|---|---|---|
| General medical and surgical hospitals | $100,210 | $104,360 | $136,230 | $144,260 |
| Outpatient care centers | $99,350 | $112,690 | $139,320 | $148,880 |
| Offices of physicians | $85,000 | $90,670 | $129,190 | $131,210 |
| Offices of other health practitioners | $84,500 | $93,050 | $129,490 | $134,220 |
| Personal care services (salons, day spas, weight-loss centers; very few nurses) | $73,940 | $78,100 | $122,510 | $125,980 |
Source: BLS, May 2025, national industry-specific estimates.
How to read it: BLS wages include commissions, tips and production bonuses, but exclude overtime, shift differentials and year-end bonuses. The hospital figure therefore leaves out pay many hospital nurses receive, while the office and personal-care figures already include commission.
Many aesthetic roles pay part of their income as commission or bonuses. The BLS figures above count that pay in the total but do not show how it is split, and no reliable source publishes commission rates. Ask for the structure in writing.
| Component | How it works | What to ask |
|---|---|---|
| Base salary or hourly wage | Fixed pay regardless of how many patients you treat | Is it guaranteed, and for how many hours? |
| Commission on services | A percentage of the revenue from treatments you perform | What percentage, on gross or net revenue, and from the first dollar or only above a threshold? |
| Tiered commission | The percentage rises after you pass a revenue target | Where are the tiers, and how often do injectors at this practice reach them? |
| Product sales commission | A percentage of the retail products you sell | Is it paid on every sale or only above a monthly minimum? |
| Bonuses | Paid for meeting revenue, retention or review targets | What were the targets last year, and how many people met them? |
| Benefits | Health insurance, paid time off, retirement match, training allowance | Which are offered, and from what date? |
Compare offers on the same basis: Ask each employer what a nurse in the role was actually paid last year, fixed and variable pay separately, and for how many hours a week.
Pay first, then everything else:
| Factor | Hospital RN | Aesthetic / Medspa RN |
|---|---|---|
| BLS median by setting | $100,210, general hospitals (BLS, May 2025) | $85,000, physician offices (BLS, May 2025) |
| Job-site average | — | $80,321 (ZipRecruiter) to $100,737 (Indeed) |
| Pay counted in the BLS figure | Base wages | Base wages, commission, tips and production bonuses |
| Pay left out of the BLS figure | Overtime, shift differentials, year-end bonuses | Overtime, year-end bonuses |
| Patients | Acute and chronic illness | Elective treatments, paid for by the patient |
The trade-off: Nothing in this data shows that moving from a hospital to an aesthetic practice raises pay. If you are considering the move, settle the figure you need first, then ask how it would be earned.
No public dataset covers travel aesthetic pay; any figure you see quoted is an estimate.
To judge a travel or contract offer, take the BLS annual wage for registered nurses in the state where the assignment is (see the state table), divide it by 2,080 to get an hourly rate, and compare. Then get these in writing: guaranteed hours, who pays for housing and travel, how commission works on a short contract, and what happens if the assignment is cancelled.
The data above says pay alone is not the reason to switch. If the work is what you want, tell us your license and your state, and a training advisor will call you with the course that fits and the next dates.
Request Course InformationSee upcoming dates · or call 866-261-5164
ZipRecruiter put the average aesthetic nurse salary at $80,321 a year ($38.62 an hour) as of November 10, 2026, with the middle half of salaries between $61,500 and $90,000. Indeed reported an average of $100,737 from job postings (updated October 28, 2026). For comparison, the U.S. Bureau of Labor Statistics (BLS) reports a median of $97,550 for all registered nurses (May 2025). The BLS does not track aesthetic nurses as a separate occupation.
$38.62 an hour on average (ZipRecruiter, November 10, 2026). PayScale reports a median of $33.00 an hour, but from only 15 profiles (September 1, 2026). The median for all registered nurses is $46.90 an hour (BLS, May 2025).
Indeed reported an average nurse injector salary of $116,700 a year, based on 716 salaries from job postings in the past 36 months (updated November 2, 2026), from a low of $51,956 to a high of $200,596. ZipRecruiter lists RN injector jobs at an average of $83,797 a year (November 10, 2026). The two sites measure similar job titles differently, and neither explains the gap.
Registered nurses in California earn a median of $140,270 a year, the highest of any state, and nurse practitioners a median of $168,520 (BLS, May 2025). Those figures cover all nurses and are dominated by hospital jobs; no source publishes an aesthetic-only figure for the state.
Registered nurses in Florida earn a median of $84,190 a year and nurse practitioners a median of $129,510 (BLS, May 2025). Those figures cover all nurses and are dominated by hospital jobs; no source publishes an aesthetic-only figure for the state. Florida has no state income tax on wages (federal taxes still apply).
Registered nurses in Texas earn a median of $95,970 a year and nurse practitioners a median of $131,670 (BLS, May 2025). Those figures cover all nurses and are dominated by hospital jobs; no source publishes an aesthetic-only figure for the state. Texas has no state income tax on wages (federal taxes still apply).
The available data does not show that they do. The BLS median for registered nurses in general hospitals is $100,210, against $85,000 in physician offices (May 2025). BLS wages include commissions and tips but leave out overtime and shift differentials, which many hospital nurses also receive. Job-site averages for aesthetic nurses run from $80,321 (ZipRecruiter) to $100,737 (Indeed).
"Botox nurse" is not a job title that salary sources track separately; the closest are nurse injector and aesthetic nurse. Averages for nurse injectors run from $83,797 (ZipRecruiter, RN Injector, November 10, 2026) to $116,700 (Indeed, November 2, 2026), and ZipRecruiter puts aesthetic nurses at $80,321.
ZipRecruiter put the average aesthetic nurse practitioner salary at $130,295 a year ($62.64 an hour) as of November 10, 2026, with the middle half of salaries between $108,000 and $150,000 and the 90th percentile at $180,000. The BLS reports a median of $132,300 for all nurse practitioners (May 2025), about 36% above the median for registered nurses.
No public dataset covers travel aesthetic nurse pay; any figure you see quoted is an estimate. Compare an offer against the BLS wage for registered nurses in the state where the assignment is, and get the housing, travel and cancellation terms in writing.
Still deciding? Ask before you commit to anything. Call 866-261-5164 or send us your license type and state; we will tell you which course covers the injectables your state lets you perform.
Aesthetic.education sells injectable training. Every salary figure on this page comes from the third-party sources below, not from us. Each figure carries the date its source published or updated it; all were checked on November 11, 2026. We calculated two things from BLS figures: the 36% difference between the NP and RN medians, and the state ranking. Nothing else was averaged, adjusted or estimated.
Limits of this data: BLS figures are the most reliable numbers here, but they describe whole occupations, not aesthetics, and the industry figures for small groups such as nurses in personal care services rest on few jobs. Job-site figures are specific to aesthetics but come from whatever postings and profiles each site holds, some of them small samples, and they change from month to month. No source covers LPNs or physician assistants in aesthetics, pay by years of experience, how quickly newly trained injectors find work, or the costs of entering the field. Use these figures as a range to check an offer against, not as a promise of what a given job pays.
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