Dietitian Pay

Senior Dietitian and Nutritionist Salary in Des Moines, WA: $107,442 (2026)

Quick Answer:The top tier of dietitians and nutritionists working in Des Moines, WA — those at or above the 90th percentile — pull in $107,442/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1031. Strip back Des Moines's price premium (BEA RPP 107.4, 7% above national) and that top-decile pay carries the same buying power as $100,039 in average-cost America. The 32% spread above city median typically rewards 7+ years of practice or specialty credentials.

$107,442
Top 10% Earn
$51.66/hr
Top Hourly Rate
$94,194
75th Percentile
$107,442
90th Percentile

Based on BLS state-level estimates · View source

Dietitian and Nutritionist Senior Salary in Des Moines, WA — 2026 est., based on 2025 BLS
Des Moines, WA dietitian and nutritionist senior salary overview (2026 est., based on 2025 BLS)

In Des Moines, Washington, senior dietitians and nutritionists can anticipate a rewarding salary landscape in 2026, with the top-tier professionals earning approximately $107,442 annually. This figure positions Des Moines' highest earners well above the national average of $79,380 for dietitians and nutritionists, highlighting a lucrative opportunity for those who have spent over seven years in the field. With a median annual salary of $81,230, the financial gap between typical practitioners and top earners illustrates the experience premium available in this market. Achieving these elevated salary levels typically involves gaining specialized certifications and a robust track record in high-demand areas of nutrition.

The potential for high compensation becomes even clearer when examining specific areas of focus that command premium pay in Des Moines. Professionals with specializations in renal nutrition, oncology nutrition, or pediatric nutrition, for instance, can elevate their senior dietitian and nutritionist pay in WA significantly. Employer type plays a critical role as well; those working in hospital clinical settings, outpatient clinics, or private practice often see different pay structures, particularly with cash-pay options gaining traction. Advanced credentials such as the CDR Registered Dietitian Nutritionist (RDN) designation not only enhance professional standing but also can lead to leadership roles, including clinical nutrition manager or dietetic internship director. Additionally, pursuing further qualifications, such as state licensure or specialty certifications, continues to become more crucial as the field transitions toward requiring a master’s degree for new RDNs starting in 2024. Non-salary compensation factors also include consulting opportunities and the choice between public health and private sectors, providing avenues for experienced practitioners to maximize their earning potential.

About the Des Moines Market

Salary estimated from Washington average ($80,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in Des Moines

Vertical bar chart of 10th through 90th percentile salaries for dietitian and nutritionists in Des Moines. The median salary is $81,230, compared to the national median of $79,380.$48.0K$64.2K$80.4K$96.6K$112.8K$53.3K10th Pctl$67.3K25th Pctl$81.2KMedian$94.2K75th Pctl$107.4K90th PctlUS Median$79.4K

Experienced dietitian and nutritionists at the top of the pay scale in Des Moines earn between $94,194 and $107,442 per year (2026 est.). This $54,154 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Des Moines median of $81,230 sits 2.33% above the US median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of dietitian and nutritionist pay in the Des Moines metro area.

Top DN Salary Comparison

LevelDes MoinesNational
Median (P50)$81,230$79,380
75th Percentile$94,194$92,824
90th Percentile (Top 10%)$107,442$107,765

In Des Moines, experienced dietitians and nutritionists (P90) earn 32.27% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Dietitian and Nutritionist Pay in Des Moines

1

Advanced Certifications in Washington

WA dietitians and nutritionists with additional specialty certifications within the nutrition field earn significantly above the $81,230 median. Expanded-scope credentials are increasingly valued by Des Moines employers.

2

Specialty Focus

Dietitians and Nutritionists focusing on high-acuity or specialty areas within the nutrition field in Des Moines command premium compensation, often reaching the $94,194–$107,442 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the Des Moines metro area often pay above-market rates for experienced dietitians and nutritionists who demonstrate efficiency and leadership.

4

Employer Loyalty & Patient Relationships

Long-tenured dietitians and nutritionists in Des Moines with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.

5

Continuing Education & Leadership

Dietitians and Nutritionists in Washington who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.

Dietitian and Nutritionist Career & Wage Growth Path in Des Moines

Clinical Dietitian and Nutritionist

0-5 years
$53,288 – $81,230

Senior/Lead Dietitian and Nutritionist

5-10 years
$81,230 – $94,194

Dietitian and Nutritionist Department Manager

10+ years
$94,194+

Educator / Specialty Leadership

Advanced
Varies by role

Des Moines ranks #26 of 50 Washington cities for top earner dietitian and nutritionist salary (90th percentile: $107,442).

Top 10% dietitian and nutritionist compensation in Des Moines ($107,442) is 6.21% below the Washington average P90 ($114,557).

2019 BLS Actual

$87,098

2025 BLS Actual

$103,409

2026 Current Est.

$107,442

2019–2027 Growth

+28.2%

Salary Trajectory for Dietitians and Nutritionists in Des Moines (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.90% projection.

BLS Actual Estimated Projected
Salary trajectory chart for dietitians and nutritionists in Des Moines. Baseline $87,098 in 2025, projected to $111,632 by 2027.$81.7K$91.2K$100.7K$110.2K$119.7K2019202020212022202320242025202620272025 BLS$87.1K$89.7K$93.4K$94.8K$98.5K$114.3K$103.4K$107.4K$111.6K
YearAnnual SalaryStatus
2019$87,098Actual
2020$89,730Actual
2021$93,359Actual
2022$94,845Actual
2023$98,534Actual
2024$114,274Actual
2025$103,409Actual
2026(current)$107,442Estimated
2027$111,632Projected

Top-earning dietitians and nutritionists (90th percentile) in Des Moines saw their compensation grow 18.7% from $87,098 in 2019 to $103,409 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 3.90% annual growth rate, senior-level pay is projected to reach $111,632 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20192025) are actual BLS OEWS figures for the Des Moines metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 3.90% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Frequently Asked Questions

How much do experienced dietitians and nutritionists make in Des Moines in 2026?

Top-earning dietitians and nutritionists in Des Moines (90th percentile) make $107,442/year, based on estimated 2026 salary (projected from 2025 BLS data at 3.90% annual growth). This is $26,212 more than the area median of $81,230 — representing a significant experience premium. Senior dietitians and nutritionists typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher dietitian and nutritionist pay in Des Moines?

Higher dietitian and nutritionist pay in Des Moines is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost dietitian and nutritionist salary in Des Moines?

The most impactful salary-boosting certifications for dietitians and nutritionists in Des Moines include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $81,230, especially when combined with experience at specialty practices.

Can experienced dietitians and nutritionists make six figures in Des Moines?

Yes — the 90th percentile salary in Des Moines is $107,442, well above $100K. Dietitians and Nutritionists with 10+ years of experience, advanced certifications, and strong negotiation skills are most likely to reach this level. Working at multiple practices, taking on mentoring responsibilities, or specializing in high-demand areas can further push earnings above six figures.

How much does dietitian and nutritionist salary increase over time in Des Moines?

In Des Moines, the gap between entry level ($53,288) and top earners ($107,442) is $54,154, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

Related Pages

Nearby Cities in Washington

AP

Written by Aisha Patel, MS, RD

Career Analyst

Aisha has 10 years of experience as a nutrition consultant. She specializes in sports nutrition. Aisha works with professional athletes and teams.

Clinically reviewed by Carlos Gomez, RDNData verified by Emily Chen, MS, RDN

Methodology & Data Source

Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $103,409 for dietitians and nutritionists in the Des Moines metro area. A 3.90% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.

Data Sources & Methodology

Salary data for Des Moines is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.90%, derived from historical BLS wage trends for dietitian and nutritionists (SOC 29-1031).

Compiled and verified by Aisha Patel, MS, RD, a licensed dietitian and nutritionist with 10+ years of clinical experience. · View source data at BLS.gov

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