
Highest Paying States for ER Travel Nurses
If you're an ER travel nurse considering your next assignment, you're probably curious about where you can find the best pay. While passion often fuels a career in emergency nursing, there’s no denying the importance of compensation in making your assignments worthwhile. The good news is that travel nursing offers incredible opportunities to explore new places while earning competitive rates.
This guide will explore the highest-paying travel nursing states for ER travel nurses, breaking down why these states are at the top, what factors influence pay rates, and how you can maximize your earning potential.
Why Are Travel Nurses in High Demand?
Emergency rooms across the country continue to face significant challenges, from seasonal patient surges to long-term staffing shortages. With the ongoing need for skilled, experienced nurses, healthcare facilities frequently turn to travel nurses to fill gaps. ER travel nurses are particularly in demand due to their adaptability and ability to handle high-pressure situations.
But what influences pay rates for travel nurses?

Factors Affecting Pay for ER Travel Nurses
1. Demand – States with high patient loads or critical staffing shortages tend to offer higher pay.
2. Cost of Living – Higher wages often correlate with the cost of living in a given state or city.
3. Specializations and Certifications – Nurses with certifications like TNCC, ACLS, and ENPC typically command higher pay.
4. Location desirability – Some states pay more to attract nurses to rural or areas with greater challenges.
Now, let's look at which states top the charts.
Highest-Paying States for ER Travel Nurses
1. California
Average Weekly Pay: $3,000–$4,500
Why It Pays Well: With one of the nation’s strictest nurse-to-patient ratio laws and a consistently high demand for healthcare workers, California tops the list for ER travel nurse pay. Cities like Los Angeles, San Francisco, and San Diego dominate weekly pay charts, offering lucrative benefits and stipends.
What to Know: California’s cost of living is steep, particularly in coastal cities. However, with careful budgeting and housing stipends, travel nurses can maximize their income.
2. New York
Average Weekly Pay: $2,800–$4,200
Why It Pays Well: From the fast-paced emergency departments in Manhattan to the rural hospitals upstate, New York travel nursing offers excellent earning opportunities. Seasonal surges exacerbate staffing demands, especially during winter flu seasons.
What to Know: Housing in New York City can be a challenge, but many travel nurses find affordable options in surrounding boroughs or make use of provided housing stipends.
3. Texas
Average Weekly Pay: $2,500–$3,800
Why It Pays Well: Texas has a booming healthcare system with large metro areas like Houston, Dallas, and Austin. Its lack of state income tax further sweetens the deal for travel nurses looking to maximize their take-home pay.
What to Know: Hot summers and challenging rural placements in west Texas can sometimes lead to higher-paying contracts for those willing to go off the beaten path.
4. Massachusetts
Average Weekly Pay: $2,700–$3,800
Why It Pays Well: Home to world-class hospitals and teaching facilities, Massachusetts provides excellent pay for experienced ER travel nurses. Boston, in particular, is a hub of activity, with institutions like Massachusetts General consistently hiring.
What to Know: Winters can be challenging, particularly outside major metro areas. Still, many nurses find the academic and professional opportunities here to be second to none.
5. Oregon
Average Weekly Pay: $2,500–$3,700
Why It Pays Well: Similar to its neighbor Washington, Oregon boasts an increasing demand for healthcare professionals. Facilities often incentivize nurses to take on contracts in more rural areas.
What to Know: Nurses based in Portland will enjoy the vibrant city life, while those in more remote areas can enjoy natural beauty paired with additional stipends.
6. Iowa
Average Weekly Pay: $2,200–$3,400
Why It Pays Well: Iowa offers competitive pay for travel nurses, particularly in specialized areas like ICU and ER nursing. The demand for healthcare professionals is steady, especially in smaller towns and rural communities where access to medical care is limited.
What to Know: Travel nurses in Iowa can look forward to a lower cost of living compared to many other states. Additionally, the state is known for its warm hospitality and scenic landscapes, from rolling hills to quaint small towns, making it an appealing choice for both work and leisure.
7. Illinois
Average Weekly Pay: $2,400–$3,500
Why It Pays Well: Illinois is home to some of the best-ranked healthcare systems in the country, with a consistent need for skilled travel nurses. Major urban centers like Chicago often offer higher pay rates due to the demand for expertise in fast-paced environments.
What to Know: Nurses working in Chicago will benefit from a bustling metropolis, renowned for its architecture, food, and cultural institutions. For those seeking a quieter pace, smaller towns throughout Illinois provide a balance of affordability and charm, often coupled with attractive contract perks.
How to Maximize Your Earnings as an ER Travel Nurse
Knowing the top-paying states is one thing, but here’s how you can further enhance your income potential as an ER travel nurse.
1. Work Overtime
Many contracts offer lucrative overtime pay. Be strategic about accepting overtime shifts to boost your earnings while keeping your work-life balance intact.
2. Expand Certifications
Certifications like TNCC, ENPC, and PALS not only make you a more competitive applicant but often trigger higher pay rates.
3. Negotiate Perks
Don’t just focus on base pay! Negotiating housing stipends, travel reimbursements, and meal allowances can significantly increase your overall compensation.
4. Partner with the Right Staffing Agency
Work with a trusted staffing partner that specializes in travel nursing. They can connect you to high-paying assignments and help ensure your benefits and stipends are optimized.
Building a Rewarding Career in ER Travel Nursing
Choosing assignments in the highest-paying states can be an excellent way to grow your career, explore new regions, and achieve financial goals. But remember, compensation is just one piece of the puzzle. Matching opportunities to your personal and professional priorities will ultimately bring the most fulfillment.
Whether it’s bustling ERs in California, the fast pace of New York, or the outdoor escapes of Oregon, there’s a thriving market that aligns with your skills and career ambitions.
Start Your Next Assignment Today
Interested in exploring travel nursing opportunities in these high-paying states? Partner with AMN Healthcare to find your ideal assignment. With our vast network of facilities nationwide and customizable contracts, we’ll help you take the next step in your travel nursing career with ease.