You may see a nursing assistant job advertised at $18 an hour and another offering $24, even though the duties appear similar. So, how much do nurse assistants make, and what explains the difference? In the United States, nursing assistants earned a median wage of $42,260 per year, or $20.32 per hour, in May 2025. Actual earnings vary considerably based on location, experience, certification, work setting, schedule and employer.
Average nursing assistant pay in the United States
The median annual wage represents the midpoint: half of nursing assistants earn more, while half earn less. According to the U.S. Bureau of Labor Statistics nursing assistant career profile, the lowest-paid 10% earned less than $33,940 annually in May 2025, while the highest-paid 10% earned more than $51,980.
At the national median, a full-time nursing assistant’s gross income is approximately:
- $20.32 per hour
- $813 for a 40-hour week
- $3,522 per month
- $42,260 per year
These figures are before federal and state taxes, health insurance premiums, retirement contributions and other deductions. Part-time employees will generally earn less annually, even if their hourly rate is similar.
How much do certified nursing assistants make?
People frequently ask how much certified nursing assistants make compared with workers whose title is simply “nursing assistant” or “nurse aide.” There is no separate national wage category covering every CNA position. Federal wage data generally group certified and other qualifying nursing assistants within the same occupation.
Certification does not automatically guarantee higher pay, but it may make a worker eligible for more jobs. Requirements and job titles differ by state. Nursing assistants commonly complete an approved training program, pass a competency examination and join a state registry. Nursing homes that participate in Medicare or Medicaid must follow specific nurse aide training and competency requirements.
Some employers hire candidates before certification and provide or reimburse training. When comparing offers, ask whether the employer pays for classes, examination fees, background checks, uniforms or continuing education. Those benefits can make a lower starting wage more competitive.
Where nursing assistants tend to earn more
The workplace can noticeably affect compensation. In May 2025, median annual nursing assistant wages in several major employment settings were:
- Government employers, excluding state and local schools and hospitals: $47,050
- Skilled nursing facilities: $43,000
- Hospitals: $42,310
- Continuing care and assisted living communities: $39,490
- Home healthcare services: $38,040
These are national medians, not guaranteed starting salaries. Government positions may pay more but can have competitive hiring processes. Hospitals may offer stronger benefit packages or opportunities to work specialized units. Long-term care facilities employ many CNAs and may offer frequent openings, overtime or hiring incentives. Home healthcare can provide a more independent work environment, although travel time and mileage policies deserve careful attention.
Why CNA salaries vary so widely
Location and cost of living
States and metropolitan areas with higher living costs often offer higher hourly wages. However, a larger paycheck does not necessarily provide greater purchasing power. Compare housing, transportation, taxes and insurance costs before relocating for a better rate.
Experience and additional credentials
Experienced CNAs may qualify for senior aide, preceptor or team-lead positions. Depending on state rules, additional training may lead to work as a medication aide or restorative aide. Specialized experience in rehabilitation, dementia care, hospice or hospital-based care may also strengthen a candidate’s negotiating position.
Shift differentials and overtime
Healthcare facilities operate around the clock, so employers may offer extra pay for evenings, nights, weekends or holidays. These premiums are known as shift differentials. Eligible hourly employees may also receive overtime pay when they work beyond the applicable threshold. Ask for the base rate and each differential separately instead of relying only on an employer’s advertised “up to” rate.
Full-time, part-time or temporary status
Temporary or per-diem jobs sometimes offer higher hourly rates because hours are less predictable or benefits are limited. Full-time jobs may provide a lower hourly rate but include insurance, paid leave and retirement contributions. Evaluate total compensation rather than comparing wages alone.
Benefits that add value beyond hourly pay
A nursing assistant’s benefits can be worth thousands of dollars over time. Packages differ by employer and may include:
- Medical, dental and vision insurance
- Paid vacation, sick leave and holidays
- Retirement plans with employer contributions
- Life or disability insurance
- Tuition assistance or reimbursement
- Paid certification renewal and continuing education
- Employee wellness or counseling programs
- Uniform, meal, parking or transportation assistance
Before accepting a position, find out when benefits begin, how much insurance costs per paycheck and whether paid leave increases with seniority. Also ask whether tuition assistance requires you to remain with the employer for a certain period.
What nursing assistants do for their pay
Nursing assistants provide hands-on support under the direction of licensed nursing staff. Typical responsibilities include helping patients bathe, dress, eat and use the bathroom; measuring vital signs; repositioning or transferring patients; and reporting health concerns to nurses.
The work can be physically and emotionally demanding. Nursing assistants spend substantial time standing and may help move people between beds and wheelchairs. Proper equipment, staffing and safe-transfer training are important because nursing assistants have a relatively high rate of work-related injuries and illnesses. Schedules may also include nights, weekends and holidays.
At the same time, nursing assistants often have more regular contact with patients than many other team members. The role can be meaningful for people who value practical caregiving and personal interaction.
Job outlook and opportunities for advancement
Employment of nursing assistants is projected to grow 3% from 2025 through 2035. Growth is modest, but many openings are expected as workers retire, change occupations or advance to other healthcare roles. An aging population and the ongoing need for long-term care also support demand.
CNA experience can provide a foundation for becoming a licensed practical or vocational nurse, registered nurse or another healthcare professional. Moving forward requires additional education, clinical training and licensing, but prior patient-care experience can help students understand healthcare routines and communication. If you are considering nursing school, compare the responsibilities and education described in this guide to nurse practitioner and registered nurse career paths.
How to evaluate a nursing assistant job offer
Do not focus only on the posted hourly wage. Ask about guaranteed hours, typical patient assignments, staffing support, scheduling requirements, shift premiums, overtime, benefits and training expenses. A slightly lower rate may be the better choice if the job provides dependable hours, affordable insurance, safer working conditions and tuition support.
Ultimately, how much nurse assistants make depends on the complete employment package. National pay data provide a useful benchmark, but local job postings and direct questions to employers will give you the clearest picture of what you can realistically earn.
