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BLS OEWS May 2025 Β· SOC 31-1131 Β· 1,448,910 workers tracked Β· Updated annually

Certified Nursing Assistant Salary 2026,
What Certified Nursing Assistants Actually Earn

BLS OEWS pay data for all 1,448,910 nursing assistants in the United States, the full P10 to P90 range, why hospitals pay above long-term care, and which credentials and shifts actually raise the rate.

Updated July 2026 Β· BLS OEWS May 2025

Compiled by GlobalCybers Labor Market Research Β· Reviewed by Karen Osei, RN, BSN, Clinical Recruitment Lead Β· See methodology & sources β†’

US Median
$42,260
$20.32/hr
P10 (Bottom 10%)
$33,940
$16.32/hr Β· entry
P90 (Top 10%)
$51,980
$24.99/hr Β· top earners
Top-Paying State
$48,600
California Β· #1
Job Growth
+2.3%
2024–2034 Β· BLS
Direct Answer

How much do certified nursing assistants make in 2026?

Certified nursing assistants earn a national median of $42,260 a year ($20.32 an hour) per BLS OEWS May 2025 (SOC 31-1131). The bottom 10% earn about $33,940 and the top 10% reach $51,980 β€” the tightest band of any large healthcare occupation, because the role is hourly, state-certified to a common standard and staffed to fixed ratios. Setting is the main lever: hospitals and government facilities pay above skilled nursing and residential care, and specialty units such as operating-room support, telemetry and dialysis pay above general floors. Shift differentials and overtime move real annual earnings more than any credential does. Employment is projected to grow 2.3% through 2034, but with roughly 204,100 openings a year, one of the largest replacement pools in the economy. β†’ Full certified nursing assistant career guide, career path, credentials & placement β†’

Note: $42,260 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.

Key takeaways
  • Certified Nursing Assistants earn a national median $42,260/yr ($20.32/hr) (BLS OEWS May 2025, SOC 31-1131); the P10 to P90 range is $33,940 to $51,980.
  • The CNA band is the tightest in large-scale healthcare β€” $33,940 to $51,980 β€” because certification is standardised and staffing is ratio-driven.
  • Hospitals and government employers pay above skilled nursing and residential care, and specialty unit assignments pay above general floors.
  • Growth is only 2.3% through 2034, but roughly 204,100 openings a year make this one of the largest replacement pools anywhere, which is real leverage when changing employers.

US Certified Nursing Assistant Pay Distribution Β· BLS OEWS May 2025

$33,940
P10
$37,260
P25
$42,260
Median
$47,220
P75
$51,980
P90
Certified Nursing Assistant salary distribution in the United States: 10th percentile $33,940, 25th percentile $37,260, median $42,260, 75th percentile $47,220, 90th percentile $51,980 per year (BLS OEWS May 2025).Certified Nursing Assistant annual pay percentiles Β· the United States10th to 90th percentile of annual base wage$33,940P10$37,260P25$42,260Median$47,220P75$51,980P90Entry levelTop earners
Source: BLS OEWS May 2025

Pay by Level Β· BLS OEWS May 2025

How much do certified nursing assistants earn at each level?

BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.

LevelMedian (BLS percentile-aligned)
New CNA, Long-Term Care$33,940
Experienced CNA / Hospital Floor$42,260
Specialty Unit / Telemetry or Dialysis CNA$47,220
Lead / Night-Shift or Float CNA$51,980

Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 31-1131; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.

Methodology & Sources

How the numbers on this page are built

Published (BLS): BLS OEWS May 2025, SOC 31-1131, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection β€” so it reflects wages that are already 1–2 years old by the time you read them.

Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.

State and metro figures: modeled β€” the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.

No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.

Full site methodology & data sources β†’

Pay by Career Level

How much does a certified nursing assistant earn at each career stage?

CNA certification is a single state credential, so the stages below follow setting and specialty assignment rather than a credential ladder. Each median is anchored to the BLS OEWS distribution for SOC 31-1131.

Entry01
New CNA, Long-Term Care
$31K–$37K Β· range
$33,940/yr median

Newly certified, working a residential or skilled nursing floor with a full assignment of residents. Pay sits at the BLS 10th percentile.

Mid02
Experienced CNA / Hospital Floor
$37K–$47K Β· range
$42,260/yr median

Acute-care floor assignment with vitals, mobility, hygiene and documentation for a hospital patient load. This is the blended national median.

Senior03
Specialty Unit / Telemetry or Dialysis CNA
$45K–$52K Β· range
$47,220/yr median

Telemetry monitoring, operating-room support, emergency department or dialysis technician-assistant assignment with extra competencies. Pay tracks the BLS 75th percentile.

Leadership04
Lead / Night-Shift or Float CNA
$50K–$65K Β· range
$51,980/yr median

Charge-shift support, permanent nights and weekends, or float pool across units and facilities. Pay sits at the BLS 90th percentile.

By State

Which states pay certified nursing assistants the most in 2026?

These are modeled state estimates β€” the BLS national median scaled by the GlobalCybers state wage index β€” not BLS state observations. CNA certification is state-specific with its own training-hour minimums and registry, and reciprocity between states is common but not automatic, so a move requires a registry transfer application.

StateModeled State Estimatevs Top State
California$48,600
Top tier
New York$47,330
Top tier
Washington$46,490
Top tier
Colorado$44,370
Top tier
Texas$40,360
Mid
Mississippi$36,340
Value

6 of 51 state guides shown, ranked by median. Bar is relative to California ($48,600), the highest-paying state shown. See all role salary guides β†’

certified nursing assistant pay by state β€” all 3 state guides

By Metro

Which cities pay certified nursing assistants the most?

Modeled metro estimates: the national median scaled by the state wage index and then by the published metro index for that state. They estimate local wage levels and are not BLS metropolitan-area observations.

City / MSAModeled Metro Estimate
San Francisco Bay Area, CA$58,320
New York City, NY$55,850
Chicago, IL$50,060
Houston, TX$44,390

BLS OEWS MSA estimates, May 2025. Nominal pay β€” weigh each metro against its cost of living before relocating.

Certification Impact

Which certifications raise a certified nursing assistant’s pay the most?

Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.

CredentialMedian WithoutMedian WithAnnual Impact
State CNA certification$37,260$42,260+$5,000/yr
Telemetry or monitor technician competency$42,260$46,000+$3,740/yr
Restorative or medication aide certification$42,260$47,220+$4,960/yr
Patient care technician cross-training (phlebotomy / EKG)$42,260$48,500+$6,240/yr

Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications β†’

Trade Comparison

BLS OEWS national median across the closest trades. Certified Nursing Assistants sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.

TradeSOCMedian
Occupational Therapy Assistants31-2011$72,300
Dental Assistants31-9091$48,070
Medical Assistants31-9092$45,690
Certified Nursing AssistantThis role31-1131$42,260
Home Health & Personal Care Aides31-1120$35,800

BLS OEWS May 2025. Verify certified nursing assistant wages on BLS.gov β†’

Take-Home Pay

What does a certified nursing assistant actually take home after taxes?

The medians above are gross base wage.

Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.

FAQ

Certified Nursing Assistant Salary, Frequently Asked Questions

How much do CNAs make in 2026?

The national median is $42,260 a year, or $20.32 an hour, per BLS OEWS May 2025 (SOC 31-1131). The bottom 10% earn about $33,940 and the top 10% reach $51,980 β€” the narrowest range of any large healthcare occupation.

Do hospital CNAs earn more than nursing home CNAs?

Generally yes. Hospitals and government facilities pay above skilled nursing and residential care, and they carry shift differentials that long-term care often does not. The assignment is also usually lighter in resident count and heavier in acuity.

What is a CNA's hourly wage?

The BLS median hourly wage is $20.32. Actual pay varies by setting and shift more than by experience, and permanent nights, weekends and overtime are the most reliable ways to raise annual earnings within the same certification.

How can a CNA earn more without leaving the role?

Three practical routes: move from long-term care to a hospital or government employer, add competencies such as telemetry monitoring, phlebotomy or restorative care, and take permanent night or float assignments that carry differentials.

Is CNA work a route into nursing?

It is the most common one. The role builds direct patient-care hours, comfort with mobility and hygiene care, and familiarity with clinical documentation, and many employers offer tuition assistance for assistants entering practical or registered nursing programmes.

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Data Sources
BLS ReferenceOEWS May 2025
SOC Code31-1131
US Workers1,448,910
Job Growth+2.3% (2024–2034)
Reviewed byK. Osei, RN BSN
Verify on BLS.gov β†’Full methodology β†’
$42,260
US BLS median Β· 2026
$48,600
California, top-paying state
1,448,910
Certified Nursing Assistants tracked (BLS)
+2.3%
Job growth 2024–2034

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