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.
Based on BLS state-level estimates · View source

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
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.
Top DN Salary Comparison
| Level | Des Moines | National |
|---|---|---|
| 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
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.
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.
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.
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.
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 yearsSenior/Lead Dietitian and Nutritionist
5-10 yearsDietitian and Nutritionist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedDes 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 (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.90% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $87,098 | Actual |
| 2020 | $89,730 | Actual |
| 2021 | $93,359 | Actual |
| 2022 | $94,845 | Actual |
| 2023 | $98,534 | Actual |
| 2024 | $114,274 | Actual |
| 2025 | $103,409 | Actual |
| 2026(current) | $107,442 | Estimated |
| 2027 | $111,632 | Projected |
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 (2019–2025) are actual BLS OEWS figures for the Des Moines metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 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.
More salary data for Des Moines, WA:
Frequently Asked Questions
How much do experienced dietitians and nutritionists make in Des Moines in 2026?
What drives higher dietitian and nutritionist pay in Des Moines?
What certifications boost dietitian and nutritionist salary in Des Moines?
Can experienced dietitians and nutritionists make six figures in Des Moines?
How much does dietitian and nutritionist salary increase over time in Des Moines?
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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.
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).
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