Healthcare Support

Orderly Salary (2026), outlook and how to become one

Transport patients to areas such as operating rooms or x-ray rooms using wheelchairs, stretchers, or moveable beds.

Median pay
$38,290
Growth to 2035
+4.0%
Openings a year
7,200
Typical entry
High school

The median pay for Orderlies is $38,290 a year ($18.41/hr), according to BLS OEWS, May 2025. Employment is projected to grow 4.0% through 2035, with about 7,200 openings a year (BLS EP, 2025–2035). Typical entry-level education: High school diploma or equivalent.

  • SOC 31-1132
  • Healthcare Support
  • Last updated October 9, 2026

At a glance

Orderly in four numbers

Median pay
$38,290a year, or $18.41/hr
Lowest 10% $32KTop 10% $51K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+4.0%About as fast as average
This career
+4%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+4%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
7,20052,800 jobs today
  • Jobs in 202552.8K
  • Projected 203554.9K
Employment, 2025–2035
ItemValue
Jobs in 202552.8K
Projected 203554.9K
BLS EP, 2025–2035
Typical education
High schoolneeded to enter
  • Less than high school6.6%
  • High school89.3%
  • Certificate4.1%
Highest education held by orderlies
SegmentValue
Less than high school6.6%
High school89.3%
Certificate4.1%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Attendant, Operating Room Assistant, Orderly, Patient Care Assistant (PCA), Patient Care Technician (PCT), Patient Escort.

Pay

How much do Orderlies make?

Annual pay, lowest-paid to highest-paid

Every orderly in the US, by percentile of annual wage

Median

$38,290

Middle half earn $35,570 to $44,560

10th
$32,240
25th
$35,570
75th
$44,560
90th
$50,600

All US occupations: $50,980

Orderly annual wages
PercentileValue
10th$32,240
25th$35,570
Median$38,290
75th$44,560
90th$50,600
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$38,290
Median hourly wage
$18.41/hr
Mean annual wage
$40,660
People employed
52,440

Versus all US occupations

At $38,290, Orderlies earn 25% below the $50,980 median across all US occupations, a difference of $12,690 a year.

Versus healthcare support occupations

Inside the Healthcare Support group, where the middle occupation pays $42,260, this is 9% below the group median.

Pay range

The top 10% earn $50,600 or more while the bottom 10% earn $32,240, a gap of 1.6×. That is a narrow spread, so experience and employer move pay less than in most occupations.

Rank in the bank

This median pays more than 6% of the 1,741 occupations in the NueCareer career bank.

Cost of living

California posts the highest raw median ($49,920), but once local prices are taken into account Vermont leads at $49,123 in national-average dollars.

Pay by state

Which states pay Orderlies the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Orderlies
StateMedianCOL-adjustedEmployed
1California$49,920$45,0874,870
2Washington$48,690$45,499200
3Vermont$48,120$49,12370
4Hawaii$47,130$42,86580
5New York$46,600$43,1804,680
6Oregon$45,120$43,653500
7Minnesota$44,550$45,173430
8Delaware$43,800$43,884190
9Colorado$43,570$42,280540
10Maine$42,530$43,823150
See all 48 states, sortable, with cost-of-living adjustments

Job outlook

Is Orderly a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Orderlies
+4%
All US occupations
+3.5%

About as fast as average. +4.0% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Orderlies+4%
All US occupations+3.5%

Source: BLS EP, 2025–2035

About as fast as average

BLS projects employment of Orderlies to change 4.0% over 2025–2035, against 3.5% projected for all occupations. That is 2,100 more jobs.

Annual openings

About 7,200 openings are projected each year, 13.6% of the 52,800 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Overall employment of nursing assistants and orderlies is projected to grow 3 percent from 2025 to 2035, about as fast as the average for all occupations.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

As the population ages, nursing assistants and orderlies will be needed to help care for an increasing number of older people who have chronic or progressive diseases, such as heart disease and diabetes.

Demand for nursing assistants may be constrained by financial pressures on nursing homes, which might lead some facilities to close or reduce staff. However, increased opportunities are expected in home- and community-based settings as patient preferences and shifts in policy generate demand for care in these settings.

Getting in

How to become an Orderly

Nursing assistants typically must complete a state-approved education program and pass their state’s competency exam. Orderlies typically have at least a high school diploma or equivalent.

  1. 1

    Typical entry-level education

    High school diploma or equivalent

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    Short-term on-the-job training

  4. 4

    Preparation needed (O*NET job zone)

    Little or no preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as orderlies.

  • High School Diploma or the equivalent (such as a GED)89.3%
  • Less than a High School Diploma6.6%
  • Post-Secondary Certificate4.1%
Highest education held by orderlies
ItemValue
High School Diploma or the equivalent (such as a GED)89.3%
Less than a High School Diploma6.6%
Post-Secondary Certificate4.1%

Source: O*NET 31.0 Database

Full BLS Occupational Outlook Handbook entry

The work

What does an Orderly do?

Transport patients to areas such as operating rooms or x-ray rooms using wheelchairs, stretchers, or moveable beds. May maintain stocks of supplies or clean and transport equipment. Psychiatric orderlies are included in Psychiatric Aides.

Nursing assistants, sometimes called nursing aides, provide basic care and help patients with activities of daily living. Orderlies transport patients and clean treatment areas.

Day-to-day tasks

  1. Transport patients to treatment units, testing units, operating rooms, or other areas, using wheelchairs, stretchers, or moveable beds.
  2. Lift or assist others to lift patients to move them on or off beds, examination tables, surgical tables, or stretchers.
  3. Disinfect or sterilize equipment or supplies, using germicides or sterilizing equipment.
  4. Clean equipment, such as wheelchairs, hospital beds, or portable medical equipment, documenting needed repairs or maintenance.
  5. Carry messages or documents between departments.
  6. Transport portable medical equipment or medical supplies between rooms or departments.
  7. Respond to emergency situations, such as emergency medical calls, security calls, or fire alarms.
  8. Change soiled linens, such as bed linens, drapes, or cubicle curtains.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Although most nursing assistants and orderlies work full time, some work part time. Because nursing and residential care facilities and hospitals provide care at all hours, nursing assistants and orderlies may need to work nights, weekends, and holidays.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time

    On their feet more than half the working day.

  • Bending or twisting

    NeverAlmost all the time

    Regular bending or twisting.

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day
  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day

    Meeting strict deadlines at least weekly.

  • Conflict situations

    NeverEvery day

    Handling conflict situations at least monthly.

  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Where orderlies work

Share of jobs by employer type

  • Nursing care facilities (skilled nursing facilities)36%
  • Hospitals; state, local, and private32%
  • Continuing care retirement communities and assisted living facilities for the elderly11%
  • Home healthcare services5%
  • Government, excluding state and local education and hospitals3%
Largest employers of Orderlies
ItemValue
Nursing care facilities (skilled nursing facilities)36%
Hospitals; state, local, and private32%
Continuing care retirement communities and assisted living facilities for the elderly11%
Home healthcare services5%
Government, excluding state and local education and hospitals3%

Source: BLS Occupational Outlook Handbook, 2025–2035 edition

Core skills

O*NET importance, 1 to 5

  • Active Listening3.1
  • Speaking3.0
  • Critical Thinking2.8
  • Writing2.6
  • Monitoring2.6
  • Reading Comprehension2.5
  • Active Learning2.1
  • Learning Strategies2.1
Core skills for Orderlies
ItemValue
Active Listening3.1
Speaking3.0
Critical Thinking2.8
Writing2.6
Monitoring2.6
Reading Comprehension2.5
Active Learning2.1
Learning Strategies2.1

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Social Perceptiveness3.4
  • Service Orientation3.4
  • Coordination2.9
  • Judgment and Decision Making2.6
  • Time Management2.5
  • Negotiation2.4
  • Persuasion2.3
  • Complex Problem Solving2.3
Transferable skills for Orderlies
ItemValue
Social Perceptiveness3.4
Service Orientation3.4
Coordination2.9
Judgment and Decision Making2.6
Time Management2.5
Negotiation2.4
Persuasion2.3
Complex Problem Solving2.3

Source: O*NET 31.0 Database

Tools and software

  • Electronic mail software · in demand
  • Office suite software · in demand
  • Operating system software · in demand
  • Spreadsheet software · in demand
  • Medical software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits an Orderly?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Orderly · Realistic: 5Orderly · Investigative: 2Orderly · Artistic: 1Orderly · Social: 4Orderly · Enterprising: 1Orderly · Conventional: 5
Orderly interest profile
AxisOrderly
Realistic5
Investigative2
Artistic1
Social4
Enterprising1
Conventional5

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around hands-on, practical work with tools, machines or the outdoors, combined with organising, following procedures and working precisely with data.

  • Realistic5.4
  • Conventional4.8
  • Social4.2
  • Investigative2.0
  • Enterprising1.2
  • Artistic1.0

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Orderly: frequently asked questions

How much do Orderlies make?

Orderlies earn a median of $38,290 a year (BLS OEWS, May 2025), 25% below the $50,980 median for all US occupations. That works out at $18.41/hr. The middle half earn between $35,570 and $44,560. The top 10% earn $50,600 or more.

Do you need a degree to become an Orderly?

No. A bachelor's degree is not the norm: BLS reports a high school diploma or equivalent as the typical entry-level education for Orderlies. BLS also lists short-term on-the-job training as typical on-the-job training. In O*NET's survey of people already doing the job, 89.3% hold high school diploma or the equivalent (such as a ged).

Is Orderly a growing career?

It is stable rather than fast-growing: employment is projected to change 4.0% over 2025–2035, about the same as the 3.5% projected across all occupations (BLS EP, 2025–2035). BLS still projects about 7,200 openings a year, mostly from workers retiring or moving to other work.

What does an Orderly do?

Nursing assistants, sometimes called nursing aides, provide basic care and help patients with activities of daily living. A core O*NET task: transport patients to treatment units, testing units, operating rooms, or other areas, using wheelchairs, stretchers, or moveable beds. Employers most often ask for Electronic mail software, Office suite software, Operating system software.

Which states pay Orderlies the most?

The highest state medians for Orderlies are California ($49,920), Washington ($48,690), Vermont ($48,120) (BLS OEWS, May 2025). Adjusted for local prices using BEA Regional Price Parities, Vermont moves to the top at $49,123.

What personality type suits an Orderly?

O*NET scores Orderlies highest on the Realistic, Conventional and Social interest areas, so the work mixes hands-on, practical work with tools, machines or the outdoors with organising, following procedures and working precisely with data. On NueCareer's MBTI-to-interest mapping that lines up most closely with ISFJ personalities. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.