Updated October 15, 2026

Registered Nurse salary in South Dakota

Registered Nurses in South Dakota earn a median of $33.42 per hour, about $69,510 a year, 26% below the U.S. median of $45.00. The middle half earn between $30.05 and $38.70 per hour. The highest median among South Dakota metro areas is in Rapid City, SD, at $33.42 per hour. Source: BLS, May 2024.

Registered Nurse pay in South Dakota: percentiles

LevelSouth Dakota per hourSouth Dakota per yearU.S. per hour
Lowest 10%$24.99$51,980$31.75
Lower quartile$30.05$62,500$37.79
Median$33.42$69,510$45.00
Upper quartile$38.70$80,500$51.90
Top 10%$44.50$92,560$65.06

Registered Nurse pay by metro area in South Dakota

Metro areaMedian / hrMedian / yearEmployedvs South Dakota medianAfter cost of living
Rapid City, SD$33.42$69,5102,600in line with$37.48
Sioux Falls, SD-MN$33.12$68,8907,4801% below$36.54

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Registered Nurse pay in states next to South Dakota

StateMedian / hrMedian / yearCompared with South Dakota
Iowa$37.00$76,96011% above South Dakota
Minnesota$48.50$100,87045% above South Dakota
Montana$39.21$81,56017% above South Dakota
North Dakota$37.62$78,26013% above South Dakota
Nebraska$38.95$81,02017% above South Dakota
Wyoming$39.32$81,79018% above South Dakota

What employers are posting in South Dakota

  • 222roles with published pay
  • $39.38median pay per hour
  • $30–$48typical published range
  • 5employers hiring
EmployerRolesMedian pay / hour
Avera Health134$40.50
Monument Health82$39.38
Veterans Health Administration3$49.58
Indian Health Service2$54.32
Acadia Healthcare1$40

Midpoints of pay ranges in 222 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.

Registered Nurse jobs in South Dakota · Registered Nurse salary nationwide · South Dakota state guide · South Dakota licensing guide

Common questions

How much does a registered nurse make in South Dakota?

The median is $33.42 per hour, about $69,510 a year. The lowest 10% earn under $24.99 and the top 10% earn over $44.50 (BLS, May 2024).

Which South Dakota city pays registered nurses the most?

Among South Dakota metro areas, Rapid City, SD has the highest median at $33.42 per hour. See the metro table for the rest and for pay after cost of living.

Where does South Dakota rank for registered nurse pay?

South Dakota ranks 50th of 50 states by median registered nurse pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

Free for every candidate

What do employers near you pay registered nurses? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

Get your free pay report

310+ Registered Nurse roles in South Dakota, sent free by email

Tell us who you are and what you do. We email the report within 24 hours on business days.

Please enter your first name.
Please enter your last name.
That email doesn't look quite right.
Please choose your role.
Please enter your city or ZIP.

Free for candidates. No phone number, no cold calls. One-click unsubscribe.

The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · RN near South Dakota
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your RN pay reportSouth Dakota · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Indian Health ServiceLower Brule, SD · 2 postings$54.32/ hr$47–$61
  • Veterans Health AdministrationFort Meade, SD · 3 postings$49.58/ hr$32–$65
  • Monument Health Rapid City Hospital, Inc.Rapid City, SD · 4 wage offers$40.98/ hr$36–$50
  • Avera HealthSioux Falls, SD · 134 postings$40.50/ hr$28–$60

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$30Median$39.38High$48

222 RN postings with published pay in South Dakota, 151 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 222 RN roles

  1. RN | Emergency DepartmentPermanent
    $35.00–$43.75/ hour
    Monument Health · Rapid City, SD · posted today
  2. RN | 10th St Urgent CarePermanent
    $32.00–$40.00/ hour
    Monument Health · Spearfish, SD · posted today

+ 220 more in your report. Each one has pay, shift and start date.

I'm interestedOne click. A recruiter writes only after you reply.
Check my pay