CNA Salary by State (2026 Data)

Compare hourly wages and annual earnings across the United States. Data is based on BLS Occupational Employment Statistics.

National Avg Hourly $19.68
National Avg Annual $40,930
Top 10% Earners $54,200+

What Factors Influence a CNA's Salary?

Experience & Longevity

Entry-level CNAs typically start at the lower end of the pay scale. However, CNAs with 5+ years of experience in specialized units like ICU or ER often command significantly higher wages.

Type of Facility

Government agencies and private hospitals generally pay higher salaries compared to nursing homes or residential care facilities, which often have tighter budgets.

Shift Differentials

Working the "night shift" or weekends often includes a differential of $1.50 to $3.00 more per hour, allowing CNAs to boost their take-home pay substantially.

Special Certifications

Obtaining additional certifications in Phlebotomy, EKG, or specialized Dementia care makes you more valuable to employers and can lead to immediate pay increases.

State Directory

Search below to find your specific state

↓ Scroll for All 50 States
StateHourlyAnnual
Alabama$15.82$32,910
Alaska$22.45$46,700
Arizona$18.90$39,310
Arkansas$15.15$31,510
California$24.10$50,120
Colorado$19.85$41,290
Connecticut$20.15$41,910
Delaware$18.50$38,480
Florida$18.25$37,960
Georgia$17.10$35,570
Hawaii$21.80$45,340
Idaho$16.95$35,260
Illinois$19.15$39,830
Indiana$17.45$36,300
Iowa$17.80$37,020
Kansas$17.20$35,780
Kentucky$16.40$34,110
Louisiana$14.95$31,100
Maine$18.75$39,000
Maryland$19.40$40,350
Massachusetts$22.15$46,070
Michigan$18.60$38,690
Minnesota$20.40$42,430
Mississippi$14.40$29,950
Missouri$16.85$35,050
Montana$17.50$36,400
Nebraska$18.10$37,650
Nevada$20.25$42,120
New Hampshire$19.95$41,500
New Jersey$21.15$43,990
New Mexico$17.25$35,880
New York$23.10$48,050
North Carolina$17.35$36,090
North Dakota$18.95$39,420
Ohio$17.90$37,230
Oklahoma$15.60$32,450
Oregon$22.30$46,380
Pennsylvania$18.85$39,210
Rhode Island$20.05$41,700
South Carolina$16.90$35,150
South Dakota$17.15$35,670
Tennessee$16.70$34,740
Texas$17.65$36,710
Utah$17.85$37,130
Vermont$19.80$41,180
Virginia$18.40$38,270
Washington$22.65$47,110
West Virginia$16.20$33,700
Wisconsin$19.25$40,040
Wyoming$18.15$37,750

Use the search bar above to instantly filter 50 states.

Salary vs. Cost of Living

A high salary doesn't always mean more money in your pocket. Always look at the "Real Wage"—the salary adjusted for local price of housing and groceries.

"CNAs in states like Texas often have more disposable income than those in California despite lower base pay."

Highest "Real" Value States

  • 1. Minnesota Excellent
  • 2. North Dakota Very High
  • 3. Iowa Strong
  • 4. Wisconsin Solid

Understanding Total Compensation

Your hourly rate is only part of your financial package. When evaluating a CNA job offer, consider these essential benefits that add thousands in value annually.

Health & Dental

Full-time roles in hospitals often include premium health plans that can save you $400+ per month compared to private insurance.

Retirement Match

Many healthcare facilities offer 401(k) or 403(b) matching, providing a guaranteed return on your retirement savings.

Tuition Help

Some employers will pay for your LPN or RN bridge program if you commit to working for them after graduation.

CNA Community Insights: The "Real" Talk

We've summarized the most common advice and discussions from nursing forums and CNA communities about pay and career satisfaction.

"Agency vs. Staff: Is the extra money worth it?"

On forums like Reddit, many CNAs debate whether to join a staffing agency for higher pay (often $25-$35/hr). The consensus? Agency pay is great for short-term goals, but seasoned aides warn about the lack of benefits and the constant "floating" between unfamiliar facilities. If you need stability and health insurance, stay staff; if you need cash fast, go agency.

"Don't leave money on the table during the interview."

Experienced nursing assistants often suggest asking about pickup bonuses. Many facilities are so short-staffed they will pay a $50-$100 bonus just for showing up to an extra shift on top of your overtime pay. Always ask about the "Crisis Rate" or "Shortage Pay" during your orientation.

"The burnout is real—budget for rest."

A common thread in community discussions is that the high-paying 12-hour shifts can lead to rapid burnout. Users recommend taking the higher-paying "weekend option" (working Fri-Sun for a premium rate) to allow for 4 full days of recovery during the week.

CNA Salary Frequently Asked Questions

Do CNAs get paid more for overtime?

Yes. Under federal law, CNAs are non-exempt employees entitled to 1.5x their base rate for any hours worked over 40 in a single week. High-demand facilities may offer even higher "double-time" rates for holiday shifts.

How often can I expect a raise?

Most clinical facilities conduct annual performance reviews. Pay increases typically range from 2% to 5% based on merit, though many unions negotiate guaranteed annual cost-of-living adjustments (COLAs).

Does working in a hospital pay more than a nursing home?

Generally, yes. Hospital CNAs often earn 10-15% more than their counterparts in long-term care facilities. Hospitals also tend to offer superior benefits, including better health insurance and tuition reimbursement programs.

Are there sign-on bonuses for CNAs?

Due to the national shortage, sign-on bonuses are very common. They typically range from $1,000 to $5,000. Just be aware that these usually require a 6-month or 1-year commitment and are paid out in installments.

How much is a typical shift differential?

Shift differentials can add significant value. Most facilities pay an extra $1.50 to $3.50 per hour for "second shift" (evenings) or "third shift" (nights), and weekend differentials are often even higher.

Can I negotiate my CNA salary?

Yes, especially if you have experience or specialized certifications (like Dementia Care or Med Tech). If an employer cannot meet your hourly rate, you can often negotiate for a higher sign-on bonus or more paid time off (PTO).

Which states pay the most for entry-level CNAs?

California, New York, and Washington lead the nation in starting wages. However, states like Minnesota and North Dakota often offer the best "real value" because their high wages are paired with a lower cost of living.

Does my pay increase if I work for an agency?

Agency CNAs often earn 30-50% more per hour than regular staff. The trade-off is that agency roles usually do not include benefits, and you may be required to travel to different facilities on short notice.

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