Registered Nurse Salary Guide: South Dakota
Average Registered Nurse Salary
$40.81/hour
The average salary for a Registered Nurse in South Dakota is $40.81 per hour. This is 11% lower than the US average of $45.37.
Last updated on November 11, 2026. Based on active jobs on Vivian.com.
Registered Nurse salaries in South Dakota compared to National Averages
$40.81/hour
South Dakota
11% lower than the US average.
$45.37/hour
United States
What cities in South Dakota pay the most for Registered Nurses?
Rapid City, South Dakota pays Registered Nurses the most, averaging $38 per hour, followed by Sioux Falls, South Dakota ($29). Rapid City, South Dakota also has the highest ceiling, with max hourly pay reaching $44. For comparison, the South Dakota average for Registered Nurses is $41 per hour — Rapid City, South Dakota pays 6% less.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Rapid City, South Dakota | $38 | $44 |
| Sioux Falls, South Dakota | $29 | $38 |
What type of Registered Nurses make the most money in South Dakota?
Case Management earns the most among Nursing specialties in South Dakota, averaging $43 per hour, followed by CNO - Chief Nursing Officer ($43) and Nursing Home ($42). Case Management also has the highest ceiling, with max hourly pay reaching $43. For comparison, the South Dakota average for Registered Nurses is $41 per hour — Case Management earns 5% more.
| Specialty | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Case Management | $43 | $43 |
| CNO - Chief Nursing Officer | $43 | $43 |
| Nursing Home | $42 | $43 |
| Long Term Care | $42 | $43 |
| Rehabilitation | $42 | $43 |
| Skilled Nursing | $42 | $43 |
| Med Surg | $41 | $43 |
How does the pay for Registered Nurses in South Dakota compare to nearby states?
Minnesota pays Registered Nurses the most, averaging $61 per hour, followed by Colorado ($56) and Kansas ($54). Minnesota also has the highest ceiling, with max hourly pay reaching $70. For comparison, the South Dakota average for Registered Nurses is $41 per hour — Minnesota pays 49% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Minnesota | $61 | $70 |
| Colorado | $56 | $63 |
| Kansas | $54 | $59 |
| Missouri | $50 | $62 |
| Nebraska | $49 | $51 |
| Iowa | $46 | $50 |
| Utah | $44 | $50 |
| Montana | $33 | $44 |
| Wyoming | $33 | $43 |
| North Dakota | $32 | $40 |
What are the highest paying Employers and Agencies for Registered Nurse jobs in South Dakota?
Medical Solutions Direct Hire pays Registered Nurses the most, averaging $42 per hour, followed by Perm Staff Jobs ($36) and Patterns Hiring - Perm ($35). Medical Solutions Direct Hire also has the highest ceiling, with max hourly pay reaching $44. For comparison, the South Dakota average for Registered Nurses is $41 per hour — Medical Solutions Direct Hire pays 3% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Medical Solutions Direct Hire | $42 | $44 |
| Perm Staff Jobs | $36 | $41 |
| Patterns Hiring - Perm | $35 | $40 |
Last updated on November 11, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.
Top Registered Nurse Jobs
Director of Nursing, Long-Term Care
- Medical Solutions Direct Hire
- Tyndall, SD
- 5x8 hrs, Days
$38-51/hour
Registered Nurse (RN) - Case Management
- Encompass Health Rehabilitation Hospital of Sioux Falls
- Centerville, SD
$43-43/hour
Registered Nurse (RN) - Case Management
- Encompass Health Rehabilitation Hospital of Sioux Falls
- Worthing, SD
$43-43/hour
Registered Nurse (RN) - Case Management
- Encompass Health Rehabilitation Hospital of Sioux Falls
- Parker, SD
$43-43/hour
Registered Nurse (RN) - Case Management
- Encompass Health Rehabilitation Hospital of Sioux Falls
- Bridgewater, SD
$43-43/hour
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