LPN Salary

Roanoke vs Salem: Licensed Practical Nurse Salary (2026)

Compare licensed practical nurse salaries between Roanoke, VA and Salem, VA. All figures are 2026 estimates projected from BLS 2025 data.

Roanoke, VA
$64,699
$31.11/hr
Salem, VA
$62,895
$30.24/hr

Side-by-Side Comparison

MetricRoanoke, VASalem, VA
Median Salary$64,699$62,895
Hourly Rate$31.11$30.24
Entry Level (P10)$53,949$47,610
25th Percentile$62,648$60,096
75th Percentile$71,802$72,051
Top Earner (P90)$76,664$76,590
Total Employed9506
Side-by-side bar chart comparing Roanoke ($64,699) and Salem ($62,895) licensed practical nurse salaries.RoanokeSalemMedian Salary$64,699$62,895Entry Level (P10)$53,949$47,610Top Earner (P90)$76,664$76,590US Median $68,071

Verdict

Roanoke, VA offers better overall compensation for licensed practical nurses, winning 4 out of 4 metrics compared to Salem.

The salary gap between Roanoke and Salem is $1,804 (2.87%). Roanoke's median is -4.95% compared to the US national median of $68,071.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $22,715,Salem spans $28,980. Salem has a wider pay range, suggesting more variation in pay between entry-level and experienced licensed practical nurses.

Roanoke
P10 (Entry)$53,949
P25$62,648
Median$64,699
P75$71,802
P90 (Top)$76,664
Salem
P10 (Entry)$47,610
P25$60,096
Median$62,895
P75$72,051
P90 (Top)$76,590

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($69,110 effective) pays 13.40% more than Salem ($60,945 effective).

Roanoke
Nominal: $64,699
CoL Index: 93.618
Adjusted: $69,110
Salem
Nominal: $62,895
CoL Index: 103.2
Adjusted: $60,945

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Roanoke if…

  • Higher median salary ($64,699/year)
  • Better top-earner potential ($76,664)
  • Larger job market (950 employed)
  • Better purchasing power (CoL-adjusted: $69,110)
  • You prefer the Virginia area and lifestyle

Choose Salem if…

  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, licensed practical nurse salaries in Roanoke grew 37.4% from 2019 to 2025, compared to 8.1% growth in Salem over the same period.

Roanoke, VA

+37.4%

$44,540 (2019) → $61,210 (2025)

Salem, VA

+8.1%

$55,033 (2024) → $59,503 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays licensed practical nurses more: Roanoke or Salem?

Roanoke has a higher median licensed practical nurse salary at $64,699/year, compared to Salem at $62,895/year — a difference of $1,804 (2.87%).

What is the hourly rate difference between Roanoke and Salem?

Roanoke licensed practical nurses earn $31.11/hr while Salem hygienists earn $30.24/hr (2026 est.).

Should I relocate from Roanoke to Salem as a licensed practical nurse?

Consider more than just salary when comparing Roanoke and Salem. Factor in cost of living (CoL-adjusted: Roanoke = $69,110, Salem = $60,945), job availability (950 vs 6 employed), commute, and career growth potential.

What do entry-level licensed practical nurses earn in Roanoke vs Salem?

Entry-level (10th percentile) licensed practical nurses earn $53,949 in Roanoke and $47,610 in Salem. The Roanoke area offers higher starting salaries.

Related Comparisons

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Written by Aisha Malik, LPN

Career Analyst

Aisha has 10 years of experience as a licensed practical nurse. She specializes in pediatric nursing. Aisha has worked in various outpatient clinics.

Clinically reviewed by Daniel Thompson, LPNData verified by Maria Gonzalez, LPN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.70% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Malik, LPN, a licensed licensed practical nurse with 10+ years of clinical experience. · View source data at BLS.gov