Medical aesthetics is now among the most exciting and rapidly expanding subfields in medicine. The demand for qualified experts keeps increasing as more consumers search for non-invasive cosmetic treatments, including Botox, dermal fillers, microneedling, and laser treatments. The aesthetic nurse practitioner (NP) is one position that has become rather important.
But Aesthetic Nurse Practitioners make what exactly? Under what circumstances might their pay change? And is it a profitable career route for medical aestheticians wishing to upskill?
This blog delves further into the earning possibilities of Aesthetic Nurse Practitioners. We will review the impact of average pay, location, and work setting, as well as credentials and experience and the chances of increasing income. To offer a worldwide view, we will also contrast salaries across the United States, the UK, Canada, and Asia.
What Is the Average Aesthetic Nurse Practitioner Salary?
According to new information from Glassdoor and the U.S. Bureau of Labor Statistics, the average salary for an Aesthetic Nurse Practitioner in the U.S. is $130,295 per year. At almost $129,480, this is more than the national average for nurse practitioners in all areas as of May 2023.
The hourly rate for cosmetic nurse practitioners is about $62.64; this can change based on demand, company, and services provided.
Here's how the salary typically ranges:
- 25th Percentile: $108,000
- Median (50th Percentile): $130,000
- 75th Percentile: $150,000
- 90th Percentile: $180,000 or more
Aesthetic nursing has a high ceiling in earning potential, especially for those with experience and advanced skills.

Aesthetic Nurse Practitioner Salary by State
One of the most significant variables affecting an NP's salary is location. States with a higher cost of living or a greater demand for aesthetic services tend to offer higher salaries. Here's a breakdown of estimated average annual salaries in select U.S. states:
- California: $105,815
- Texas: $112,052
- Florida: $98,400
- New York (NYC): $120,300
- Ohio: $95,200
- Los Angeles, CA: $115,000+
- Miami, FL: $102,000
California and New York lead in compensation, but Texas and Florida are not far behind, especially in major cities. These numbers also reflect demand—urban areas with a high concentration of med spas and cosmetic clinics typically pay more.

Work Settings and How They Influence Salary
Where an aesthetic NP works has a significant impact on their income. Here are some of the most common work settings and their typical pay ranges:
Medical Spas
Usually earning between $90,000 and $120,000 yearly, aesthetic NP working in med spas. Many of these positions feature commission systems depending on the volume of operations or items sold, which can significantly raise total pay.
Dermatology Clinics and Cosmetic Surgery Centers
With aesthetically pleasing NPs earning ranging from $120,000 to $160,000 yearly, these settings sometimes provide a more clinical environment. These positions are often accompanied by a larger patient load and the chance to assist with or execute complex operations.
Private Practice or Self-Employment
Depending on the profitability of their company, entrepreneurial NPs who create their own cosmetic or med spa can make $180,000 or more yearly. This road includes greater danger, responsibility, and initial investment, even if it presents the best earning potential.
Experience Matters: Salary Progression Over Time
Experience plays a crucial role in salary advancement. Here's how compensation typically progresses:
- Entry-level (0–2 years): $90,000 to $110,000
- Mid-level (3–5 years): $120,000 to $145,000
- Experienced (5+ years): $150,000 or more
More experienced practitioners are often given more autonomy, handle more complex procedures, and can justify higher fees. Some also take on roles as mentors or trainers, opening up additional income streams.

Certifications and Specialized Training
Certifications and advanced training can significantly impact an aesthetic NP's salary. Those who invest in continuous learning are often able to:
- Command higher hourly rates
- Attract more clients due to their expertise
- Offer a broader range of services
Up to 30% more money can be made by becoming an aesthetic nurse and taking classes in things like injectables, laser treatments, and regenerative aesthetics.
Courses on platforms like HubMedEd are meant to help you improve your skills and stay competitive in a field that is changing quickly.
Commission, Bonuses, and Side Income
In addition to a base salary, aesthetic NPs often earn extra income through:
- Commission-based structures: Especially common in med spas where you're rewarded for the number of services provided or products sold.
- Product sales: Earning a percentage from skincare or cosmetic product sales.
- Teaching and mentorship: Experienced NPs may conduct workshops or training programs.
- Freelance consultations: Some offer freelance services at multiple locations or as traveling injectors.
These income-boosting activities can add $20,000 to $50,000 or more annually.
Global Comparison: U.S. vs. UK, Canada, and Asia
For those considering international work or simply wanting a broader perspective, here’s how aesthetic NP salaries stack up globally:
The U.S. remains one of the most lucrative markets for aesthetic nurse practitioners. Countries like the UK and Australia offer decent salaries but often with more restrictions on the scope of practice.
Career Outlook: Is It Worth Pursuing?
For individuals already working in the medical aesthetics area, becoming an aesthetic nurse practitioner is a wise decision, considering the growing demand for aesthetic treatments and the possibility of good pay. It gives patient-facing roles and financial stability and combines medical expertise with inventiveness.
The BLS projects that, far faster than the average for all professions, nurse practitioner employment will rise 38% from 2022 to 2032. A big part of this expansion is aesthetics.
If you're a medical aesthetician considering career advancement, becoming an aesthetic nurse opens the door to higher income, advanced procedures, and leadership opportunities—especially when supported by the right aesthetic nurse training program.
Final Thoughts
The 2025 pay for an aesthetic nurse practitioner shows how big, complicated, and important this area of healthcare is becoming. The numbers speak for themselves, whether you're interested in the freedom, the chance to make money, or the contact with patients. Starting salaries can be in the six figures, and they can go up a lot with experience, skill, and the desire to start your own business.
You can make a very satisfying and rewarding job as an aesthetic nurse if you get the right training and are dedicated to always learning.
Keep an eye out for our guides on how to become an aesthetic nurse practitioner, including information on training paths, licensing programs, and tips.
Sources
- U.S. Bureau of Labor Statistics. Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners. Retrieved from https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm
- ZipRecruiter. Aesthetic Nurse Practitioner Salary. Retrieved from https://www.ziprecruiter.com/Salaries/Aesthetic-Nurse-Practitioner-Salary
FAQs:
1. How long does one need to become an aesthetic nurse practitioner?
It takes 6–8 years to complete a BSN (4 years), RN experience (1–2 years), and MSN or DNP (2–3 years). Additional aesthetic certifications may take weeks or months.
2. What is the highest-paid nurse practitioner?
Currently paid over $200,000 yearly on average in the United States, nurse anesthetists (CRNAs) are the highest-paid NPs.
3. How might an NP make $200,000?
Concentrate on anesthesia or aesthetics, get advanced qualifications, work in high-paying states, and consider consulting or entrepreneurship.
4. For aesthetics, which kind of NP is ideal?
Given their wide range and adaptability across age groups, Family Nurse Practitioners (FNP) are the most often followed NP route for entering aesthetics.
5. What is the highest-paid aesthetic nurse?
Med spa owners or working in highly sought-after places like Los Angeles or New York City might make $180,000 to $250,000 yearly.
6. Is Botox something Nurse Practitioners can do?
Indeed, if NPs are certified in aesthetic procedures, most U.S. states let them administer Botox and other injectables.