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Perioperative Nurse · 2026 salary + AI outlook

Perioperative Nurse salary — and how to earn like the top 1%

$82,000median / year · about $39 an hour (BLS)

AI trims the paperwork — ambient documentation, OR scheduling, instrument tracking — not the sterile field; nurses who add CNOR, RNFA, or specialty circulating skills pull ahead of the floor.

Entry level
$60,000
Top earners
$112,000
Job growth
+6%
AI exposure
Low
🏆 The Top 1% Playbook

How to reach the top 1% of Perioperative Nurses

Four moves, straight from how the highest-paid in this field use AI in 2026:

1
Earn the CNOR CNOR is the perioperative gold standard and often a raise trigger; layer CSSM for surgical-services management or CNAMB for ambulatory to move toward charge and coordinator pay bands.
2
Become an RNFA The Registered Nurse First Assistant role puts you at the table, not just circulating; RNFA certification through CCI opens first-assist billing and the highest OR-nurse compensation tier.
3
Specialize the service line Cardiac, neuro, and robotics rooms pay for scarcity; master the da Vinci workflow and complex instrumentation, because robotics-credentialed circulators are hard to replace and hard to lose.
4
Let AI take charting Ambient tools like Nuance DAX and smoother EHR flows cut documentation load; reclaim that time for precepting and CNOR study — the skills that actually move you up.
💡 The move that pays: The robot still needs a scrub nurse who knows what to do when it stops mid-case.
HomeJob Salaries › Perioperative Nurse Salary

Perioperative Nurse Salary in 2026

Perioperative Nurse pay, in real terms

Per hour
$39.42
Per week
$1,577
Every 2 weeks
$3,154
Per month
$6,833

At the national median of $82,000/year, a perioperative nurse earns $6,833/month before taxes. Over a 30-year career that's roughly $2,460,000 in gross earnings — and that's before raises, promotions, or bonuses.

That puts this role about 71% above the U.S. median wage for all workers (about $48,060/year, per BLS). Using the common rule of keeping housing under 30% of gross pay, this salary supports about $2,050/month in rent or mortgage.

Figures are gross (pre-tax) estimates from the national median; use the take-home and hourly calculators on PayCrunch for your exact state and situation.

Updated June 2026 · BLS Data
How much does a Perioperative Nurse make?
$82,000per year
National median salary · $39.42/hour · $6,833/month
Hourly
$39.42
Monthly
$6,833
Weekly
$1,577
Daily
$315
Estimated take-home
$62,320/yr
Adjust Your Market Position
$82,000/yr
Entry Level · $60,000 Top Earner · $112,000
IRS.gov data
BLS.gov verified
All 50 states
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What Does a Perioperative Nurse Do?

Perioperative nurses care for surgical patients before, during, and after procedures, ensuring safety in operating rooms.

Perioperative Nurse Salary by State

Select your state to see the adjusted perioperative nurse salary based on cost-of-living differences.

Select a state above

How to Become a Perioperative Nurse

Education: Bachelor's degree in Nursing

Certifications: CNOR certification

Career path: RN → Perioperative Nurse → Senior Perioperative Nurse → OR Manager

Perioperative Nurse Salary by Experience

Entry level
$60,000
Mid-career
$82,000
Senior
$101,920

Estimates based on BLS percentile data and industry surveys. Actual salaries vary by employer, location, and individual qualifications.

Top 10 Highest-Paying States for Perioperative Nurses

#StateAnnualMonthlyHourly
1Hawaii$96,760$8,063$46.52
2California$94,300$7,858$45.34
3New York$94,300$7,858$45.34
4Massachusetts$91,840$7,653$44.15
5New Jersey$91,840$7,653$44.15
6Connecticut$90,200$7,517$43.37
7Washington$90,200$7,517$43.37
8Maryland$88,560$7,380$42.58
9Alaska$86,100$7,175$41.39
10Colorado$86,100$7,175$41.39

State salaries estimated using BLS national median adjusted by regional cost-of-living factors.

Compare to Related Jobs

Job TitleMedian SalaryHourlyDifference
Perioperative Nurse$82,000$39.42
Psychiatric Nurse$82,000$39.42
Emergency Room Nurse$82,000$39.42
Nurse Case Manager$82,000$39.42
Pharmaceutical Sales Rep$82,000$39.42
Oncology Nurse$82,000$39.42
Nurse Educator$82,040$39.44+$40

Job Outlook

The BLS projects +6% growth for perioperative nurses through 2032, which is faster than average compared to the average for all occupations (3%).

🆕 New & Trending AI Tools for Perioperative NurseReviewed July 2026

We track new AI-tool launches every week and refresh this list — here’s what’s gaining traction for Perioperative Nurse work right now.

AbridgeNEWEnterprise / see site

Ambient AI scribe that turns a patient conversation into structured clinical notes.

How a Perioperative Nurse uses it: document a visit automatically instead of charting after your shift

Microsoft Dragon CopilotNEWEnterprise / see site

Voice AI that dictates and drafts clinical documentation (successor to Nuance DAX).

How a Perioperative Nurse uses it: speak your notes and have the chart written and filed for you

Heidi HealthNEWFree / paid tiers

AI documentation tool built around clinician and nurse workflows.

How a Perioperative Nurse uses it: handle shift notes and handovers without manual write-ups

OpenEvidenceNEWFree for verified clinicians

AI that answers clinical questions from current medical evidence, with citations.

How a Perioperative Nurse uses it: check the latest evidence at the point of care in seconds

NotebookLMNEWFree / $7.99 mo

Google tool that answers questions grounded only in the documents you give it — with citations.

How a Perioperative Nurse uses it: load your own manuals, policies, or PDFs and ask questions that stay accurate to the source

SukiEnterprise / see site

AI voice assistant for clinical notes and coding.

How a Perioperative Nurse uses it: dictate notes hands-free and cut charting time sharply

NablaFree tier / see site

Ambient AI assistant that generates notes from the patient encounter.

How a Perioperative Nurse uses it: capture the visit and get a ready-to-review note in seconds

ChatGPTFree / $20 mo

The most-used AI assistant — writing, analysis, research, and images from a plain-language chat.

How a Perioperative Nurse uses it: draft emails and documents, summarize long files, and get instant answers to on-the-job questions

ClaudeFree / $20 mo

AI assistant known for careful writing, long-document analysis, and coding.

How a Perioperative Nurse uses it: analyze big reports or spreadsheets and turn messy notes into clean, finished writing

Frequently Asked Questions

How much does a perioperative nurse make?
The national median salary for a perioperative nurse is $82,000 per year, or $39.42 per hour. Entry-level positions start around $60,000 while top earners make $112,000 or more.
What education do you need to become a perioperative nurse?
Most perioperative nurse positions require bachelor's degree in nursing. Additional certifications or experience may increase earning potential.
What is the job outlook for perioperative nurses?
Employment of perioperative nurses is projected to grow 6% over the next decade, which is faster than average compared to the average for all occupations.
What are the highest paying states for perioperative nurses?
The highest paying states include Hawaii, California, New York, Massachusetts, and New Jersey, where cost of living adjustments push salaries above the national median.
Can you make six figures as a perioperative nurse?
Yes, experienced professionals in this field regularly earn six figures, especially in high-cost-of-living areas.
Methodology and data sources

Salary data is based on the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OES) program. National median, 10th percentile, and 90th percentile figures are sourced from the most recent BLS OES release. State-level salary estimates are calculated by applying regional price parity adjustments from the Bureau of Economic Analysis (BEA) to the national median. Job growth projections are from the BLS Employment Projections program. Education and certification requirements are based on BLS Occupational Outlook Handbook descriptions. All figures are approximate and updated periodically.

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