Freelance Registered Nurse hourly rate: what to charge in 2026
A freelance Registered Nurse should charge about $55–$80/hour (≈ $520/day). That's built up from the salaried median of $93,304 — not the naive $45/hour, because contractors cover their own taxes, benefits, and unpaid time.
Suggested rate range
Day rate ≈ $520. At the market rate with ~70% billable time, that's roughly $94,640/year gross. Raise rates for specialised work, rush timelines, or high-value clients.
Common questions
What should a freelance Registered Nurse charge per hour?
Aim for about $55–$80/hour (mid $65). That starts from the salaried-employee equivalent of $45/hour and adds markup for self-employment tax (~15%), your own benefits, and unpaid/non-billable time.
Why is a contract rate higher than the salary hourly rate?
A $93,304 salary is ~$45/hour, but employees get employer-paid taxes, health insurance, 401k, and paid time off. As a freelance Registered Nurse you cover all of that yourself and only ~70% of your time is billable — hence the markup.
What annual income does that rate produce?
At $65/hour with ~70% billable utilisation, a freelance Registered Nurse grosses roughly $94,640/year before business expenses — comparable to the $93,304 salaried median once you account for benefits you now self-fund.
Rates derived from salaried medians + standard contractor markup; planning estimates, not tax or business advice.