Registered Nurse Salary

Birmingham vs Madison: Registered Nurse Salary (2026)

Compare registered nurse salaries between Birmingham, AL and Madison, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$82,858
$39.84/hr
Madison, AL
$79,523
$38.23/hr

Side-by-Side Comparison

MetricBirmingham, ALMadison, AL
Median Salary$82,858$79,523
Hourly Rate$39.84$38.23
Entry Level (P10)$65,534$57,741
25th Percentile$66,988$66,046
75th Percentile$89,682$91,767
Top Earner (P90)$108,427$111,779
Total Employed17,8509
Side-by-side bar chart comparing Birmingham ($82,858) and Madison ($79,523) registered nurse salaries.BirminghamMadisonMedian Salary$82,858$79,523Entry Level (P10)$65,534$57,741Top Earner (P90)$108,427$111,779US Median $102,730

Verdict

Birmingham, AL offers better overall compensation for registered nurses, winning 3 out of 4 metrics compared to Madison.

The salary gap between Birmingham and Madison is $3,335 (4.19%). Birmingham's median is -19.34% compared to the US national median of $102,730.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $42,893,Madison spans $54,038. Madison has a wider pay range, suggesting more variation in pay between entry-level and experienced registered nurses.

Birmingham
P10 (Entry)$65,534
P25$66,988
Median$82,858
P75$89,682
P90 (Top)$108,427
Madison
P10 (Entry)$57,741
P25$66,046
Median$79,523
P75$91,767
P90 (Top)$111,779

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Madison ($90,470 effective) pays 0.06% more than Birmingham ($90,413 effective).

Birmingham
Nominal: $82,858
CoL Index: 91.644
Adjusted: $90,413
Madison
Nominal: $79,523
CoL Index: 87.9
Adjusted: $90,470

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

Which City Is Right for You?

Choose Birmingham if…

  • Higher median salary ($82,858/year)
  • Larger job market (17,850 employed)
  • You prefer the Alabama area and lifestyle

Choose Madison if…

  • Better top-earner potential ($111,779)
  • Better purchasing power (CoL-adjusted: $90,470)
  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, registered nurse salaries in Birmingham grew 28.5% from 2019 to 2025, compared to 33.5% growth in Madison over the same period.

Birmingham, AL

+28.5%

$61,220 (2019) → $78,680 (2025)

Madison, AL

+33.5%

$56,563 (2024) → $75,513 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays registered nurses more: Birmingham or Madison?

Birmingham has a higher median registered nurse salary at $82,858/year, compared to Madison at $79,523/year — a difference of $3,335 (4.19%).

What is the hourly rate difference between Birmingham and Madison?

Birmingham registered nurses earn $39.84/hr while Madison hygienists earn $38.23/hr (2026 est.).

Should I relocate from Birmingham to Madison as a registered nurse?

Consider more than just salary when comparing Birmingham and Madison. Factor in cost of living (CoL-adjusted: Birmingham = $90,413, Madison = $90,470), job availability (17,850 vs 9 employed), commute, and career growth potential.

What do entry-level registered nurses earn in Birmingham vs Madison?

Entry-level (10th percentile) registered nurses earn $65,534 in Birmingham and $57,741 in Madison. The Birmingham area offers higher starting salaries.
JL

Written by Jordan Lee, RN, BSN

Career Analyst

Jordan Lee has 10 years of experience as a registered nurse. Their specialty is pediatric nursing in a community hospital. They analyze nursing workforce trends and salary data.

Clinically reviewed by Amina Patel, RN, MSNData verified by Carlos Gomez, RN, DNP

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.31% 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 Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov