LPN Salary

Alexandria vs Roanoke: Licensed Practical Nurse Salary (2026)

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

Alexandria, VA
$79,508
$38.22/hr
Roanoke, VA
$64,699
$31.11/hr

Side-by-Side Comparison

MetricAlexandria, VARoanoke, VA
Median Salary$79,508$64,699
Hourly Rate$38.22$31.11
Entry Level (P10)$62,474$53,949
25th Percentile$73,314$62,648
75th Percentile$95,690$71,802
Top Earner (P90)$105,665$76,664
Total Employed26950
Side-by-side bar chart comparing Alexandria ($79,508) and Roanoke ($64,699) licensed practical nurse salaries.AlexandriaRoanokeMedian Salary$79,508$64,699Entry Level (P10)$62,474$53,949Top Earner (P90)$105,665$76,664US Median $68,071

Verdict

Alexandria, VA offers better overall compensation for licensed practical nurses, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Alexandria and Roanoke is $14,809 (22.89%). Alexandria's median is +16.80% compared to the US national median of $68,071.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $43,191,Roanoke spans $22,715. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$62,474
P25$73,314
Median$79,508
P75$95,690
P90 (Top)$105,665
Roanoke
P10 (Entry)$53,949
P25$62,648
Median$64,699
P75$71,802
P90 (Top)$76,664

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Alexandria ($77,043 effective) pays 11.48% more than Roanoke ($69,110 effective).

Alexandria
Nominal: $79,508
CoL Index: 103.2
Adjusted: $77,043
Roanoke
Nominal: $64,699
CoL Index: 93.618
Adjusted: $69,110

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

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($79,508/year)
  • Better top-earner potential ($105,665)
  • Better purchasing power (CoL-adjusted: $77,043)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (950 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, licensed practical nurse salaries in Alexandria grew 32.3% from 2024 to 2025, compared to 37.4% growth in Roanoke over the same period.

Alexandria, VA

+32.3%

$56,844 (2024) → $75,220 (2025)

Roanoke, VA

+37.4%

$44,540 (2019) → $61,210 (2025)

View Full Salary Data

Frequently Asked Questions

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

Alexandria has a higher median licensed practical nurse salary at $79,508/year, compared to Roanoke at $64,699/year — a difference of $14,809 (22.89%).

What is the hourly rate difference between Alexandria and Roanoke?

Alexandria licensed practical nurses earn $38.22/hr while Roanoke hygienists earn $31.11/hr (2026 est.).

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

Consider more than just salary when comparing Alexandria and Roanoke. Factor in cost of living (CoL-adjusted: Alexandria = $77,043, Roanoke = $69,110), job availability (26 vs 950 employed), commute, and career growth potential.

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

Entry-level (10th percentile) licensed practical nurses earn $62,474 in Alexandria and $53,949 in Roanoke. The Alexandria area offers higher starting salaries.

Related Comparisons

AM

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