Neonicotinoid insecticides are widely applied in farmland, with high detection rates in soils and surface waters, posing potential risks to biodiversity and human health. As a nonpoint emission, surface runoff is widely regarded as the major source of neonicotinoid pollution in surface waters, but few studies have determined the point source contribution to rivers that may be primarily from wastewater treatment plants (WWTPs). Here, we collected the surface water from eight river basins in Zhejiang Province of China and quantified residual concentrations of eight widely commercialized neonicotinoids. Four of these were detected in all samples, with concentrations of dinotefuran and nitenpyram of 119 ± 166 and 87.6 ± 25.3 ng/L, respectively, representing more than 90 % of the total (282 ± 174 ng/L). Neonicotinoid residues were higher in tributaries due to nearby farmland and more dilution effects in the mainstream, and the residues were higher in lower reaches which can be explained by the water flow direction. Significant spatial differences in neonicotinoid distribution between surface water and agricultural soils result from environmental factors (e.g., water turbidity, precipitation, temperature) impacting migration and transport processes. Neonicotinoid residues in surface water showed a significant positive correlation with total WWTP emissions after adjusting for environmental factors. Conversely, no significant association was observed with cropland density (a nonpoint emission source), indicating that point emission source (contributing 20.6 %) predominantly influenced neonicotinoid residue spatial variation in river basin-scale surface water.