Orthopedic Nurse Practitioners (ONPs) are advanced practice registered nurses who specialize in musculoskeletal health. With increasing demand for orthopedic care due to aging populations and sports-related injuries, ONPs play a vital role in the healthcare system. As we move into 2025, understanding salary trends, influencing factors, and career opportunities is essential for both aspiring and current ONPs.
Average Orthopedic Nurse Practitioner Salary in 2025
As of 2025, the average annual salary for an orthopedic nurse practitioner in the United States is approximately $119,000. This figure can vary depending on multiple factors such as experience, geographic location, certifications, and type of employer.
Salary Breakdown:
Hourly Rate: ~$57.21/hour
Monthly Income: ~$9,916
Top 10% Earners: Over $145,000 annually
Bottom 10%: Around $90,000 annually
Key Factors That Influence Salary
1. Experience
Entry-Level (0–2 years): $95,000 – $105,000
Mid-Career (3–6 years): $110,000 – $125,000
Experienced (7–15 years): $125,000 – $140,000
Senior-Level (15+ years): $140,000 – $150,000+
2. Education and Certifications
Holding a Doctor of Nursing Practice (DNP) or post-master’s orthopedic certificate can significantly increase earning potential.
Certification from organizations such as the Orthopaedic Nurses Certification Board (ONCB) boosts credibility and salary.
3. Location
High-paying states: California, New York, Massachusetts, Washington, and Alaska
Rural vs. Urban: Urban areas typically offer higher salaries, but rural areas may offer bonuses and loan forgiveness programs.
4. Type of Employer
Hospitals and surgical centers: Generally higher pay
Private orthopedic practices: Competitive salaries with potential bonuses
Outpatient rehab centers and clinics: May offer slightly lower pay but with better work-life balance
Salary Comparisons: Related Roles
To offer perspective, here’s how the ONP salary compares to other medical roles:
Peloton Instructor: Varies widely, but elite instructors can make $500,000+
SAP Consultant: Average ~$130,000
Pen Test (Cybersecurity Tester): ~$110,000–$140,000
Senior Lead Navigator (Healthcare): ~$90,000–$120,000
Auxano Roles (Corporate/Religious Sector): Varies, typically $80,000–$115,000
These figures show that ONPs remain highly competitive in specialized healthcare earnings.
Take-Home Pay on a $103,000 Salary
For an ONP earning $103,000 annually, here’s a rough breakdown:
Federal Taxes: ~$14,000
State Taxes (varies): ~$3,000–$7,000
Social Security & Medicare: ~$7,900
Estimated Take-Home:
$75,000 annually ($6,250/month)
Of course, individual deductions, benefits, and location will affect net pay.
Job Market Trends in 2025
The orthopedic nurse practitioner role is experiencing steady job growth, thanks to:
Rising demand for joint replacement and orthopedic interventions
A growing elderly population with musculoskeletal needs
A nationwide push for advanced practice providers in specialty care
In-Demand Settings:
Orthopedic surgery units
Sports medicine clinics
Physical rehabilitation centers
Telemedicine services specializing in musculoskeletal care
Benefits of the Role
High earning potential
Autonomy in patient care
Specialized skillset with job security
Opportunities for leadership and teaching
Flexible work settings
Many ONPs also receive comprehensive benefits, including:
Health and dental insurance
Paid time off
Continuing education stipends
Retirement plan contributions
Education & Certification Pathway
To become an orthopedic nurse practitioner, follow these steps:
1. Earn an RN License
Bachelor of Science in Nursing (BSN) is typically required.
2. Advance to NP Level
Pursue a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) with a focus on family or adult-gerontology NP.
3. Specialize in Orthopedics
Complete post-master’s orthopedic coursework and clinical hours.
4. Get Certified
Earn Orthopaedic Nurse Practitioner–Certified (ONP-C) credential from the ONCB.
Final Thoughts
The orthopedic nurse practitioner field offers a rewarding career path with excellent compensation, growing job opportunities, and meaningful patient care impact. With average salaries pushing well into six figures in 2025, ONPs are well-positioned for financial stability and professional growth.
For nurses considering a specialty that combines hands-on care with specialized knowledge, orthopedics is a promising direction.