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BLS OEWS May 2025 Β· SOC 31-1120 Β· 4,305,810 workers tracked Β· Updated annually

Home Health Aide Salary 2026,
What Home Health Aides Actually Earn

BLS OEWS pay data for the home health and personal care aide workforce, the full P10 to P90 range, and the reason this pay band is so tight: Medicaid reimbursement, not employer choice, sets most of it.

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
$35,800
$17.21/hr
P10 (Bottom 10%)
$27,040
$13.00/hr Β· entry
P90 (Top 10%)
$45,040
$21.65/hr Β· top earners
Top-Paying State
$41,170
California Β· #1
Job Growth
+17%
2024–2034 Β· BLS
Direct Answer

How much do home health aides make in 2026?

Home health aides are counted in the BLS home health and personal care aide series: OEWS May 2025 reports the SOC 31-1120 national median at $35,800 a year ($17.21 an hour), with the bottom 10% at about $27,040 and the top 10% at $45,040. The series pools two related jobs β€” the Medicare-certified home health aide, who works under a nursing plan of care, and the personal care aide, who provides non-medical support β€” so it does not isolate the certified role. What the pooled figure does capture accurately is the economics: most of this work is funded by state Medicaid home and community-based service programmes, whose reimbursement rates cap what agencies can pay, which is why the band is narrow and why raises tend to follow legislated rate increases rather than negotiation. Employment is projected to grow 17% through 2034 with roughly 765,800 openings a year, the largest replacement flow of any healthcare occupation. Nothing about that growth changes the rate ceiling. β†’ Full home health aide career guide, career path, credentials & placement β†’

Note: $35,800 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.

Key takeaways
  • Home Health Aides earn a national median $35,800/yr ($17.21/hr) (BLS OEWS May 2025, SOC 31-1120); the P10 to P90 range is $27,040 to $45,040.
  • BLS pools Medicare-certified home health aides with personal care aides, so the $27,040 to $45,040 band covers both clinical and non-medical home support work.
  • State Medicaid home and community-based service rates fund most of this work and effectively cap wages, which is why the band is narrow and raises follow policy rather than performance.
  • Private-pay clients, live-in and overnight assignments, and specialised training in dementia, hospice support or ventilator care are the realistic routes toward the top of the range.

US Home Health Aide Pay Distribution Β· BLS OEWS May 2025

$27,040
P10
$31,920
P25
$35,800
Median
$39,470
P75
$45,040
P90
Home Health Aide salary distribution in the United States: 10th percentile $27,040, 25th percentile $31,920, median $35,800, 75th percentile $39,470, 90th percentile $45,040 per year (BLS OEWS May 2025).Home Health Aide annual pay percentiles Β· the United States10th to 90th percentile of annual base wage$27,040P10$31,920P25$35,800Median$39,470P75$45,040P90Entry levelTop earners
Source: BLS OEWS May 2025

Pay by Level Β· BLS OEWS May 2025

How much do home health aides 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 aide in agency orientation$27,040
Certified home health aide$35,800
Specialised or private-pay aide$39,470
Live-in / overnight or lead aide$45,040

Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 31-1120; 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 31-1120, 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 home health aide earn at each career stage?

Aide pay follows funding source, training and assignment type rather than a licence ladder. Each median is anchored to the BLS OEWS distribution for SOC 31-1120.

Entry01
New Aide in Agency Orientation
$25K–$32K Β· range
$27,040/yr median

Completed the required training hours and competency evaluation, working supervised visits on personal care and homemaking tasks. Pay sits at the BLS 10th percentile.

Mid02
Certified Home Health Aide
$32K–$39K Β· range
$35,800/yr median

Independent visits under a nursing plan of care: personal care, mobility, vital signs, medication reminders and reporting changes to the agency nurse. This is the blended national median.

Senior03
Specialised or Private-Pay Aide
$37K–$45K Β· range
$39,470/yr median

Dementia, hospice-support, ventilator or complex-care assignments, or private-pay clients who set rates outside Medicaid schedules. Pay tracks the BLS 75th percentile.

Leadership04
Live-In / Overnight or Lead Aide
$43K–$56K Β· range
$45,040/yr median

Live-in and overnight assignments with premium rates, or a lead aide role mentoring new staff and covering hard-to-fill cases. Pay sits at the BLS 90th percentile.

By State

Which states pay home health aides 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. This occupation is more exposed to state policy than almost any other in healthcare: Medicaid home and community-based service reimbursement rates, wage pass-through rules that require agencies to direct rate increases to workers, and state minimum wage levels together determine local aide pay, often more than the labour market does.

StateModeled State Estimatevs Top State
California$41,170
Top tier
New York$40,100
Top tier
Washington$39,380
Top tier
Colorado$37,590
Top tier
Texas$34,190
Mid
Mississippi$30,790
Value

6 of 51 state guides shown, ranked by median. Bar is relative to California ($41,170), the highest-paying state shown. See all role salary guides β†’

By Metro

Which cities pay home health aides the most?

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

City / MSAModeled Metro Estimate
San Francisco Bay Area, CA$49,400
New York City, NY$47,310
Chicago, IL$42,410
Houston, TX$37,610

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 home health aide’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
Medicare home health aide training and competency evaluation$31,000$35,800+$4,800/yr
Dementia and Alzheimer's care certification$35,800$38,500+$2,700/yr
Hospice and palliative aide certification$35,800$39,470+$3,670/yr
Ventilator or complex-care client training$35,800$41,500+$5,700/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. Home Health Aides 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
Nursing Assistants31-1131$42,260
Home Health AideThis role31-1120$35,800

BLS OEWS May 2025. Verify home health aide wages on BLS.gov β†’

Take-Home Pay

What does a home health aide 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

Home Health Aide Salary, Frequently Asked Questions

How much do home health aides make in 2026?

The national median is $35,800 a year, or $17.21 an hour, per BLS OEWS May 2025 (SOC 31-1120), with the bottom 10% near $27,040 and the top 10% at $45,040. The band is narrow because most of the work is funded at fixed programme rates.

Why is home health aide pay so low given the demand?

Because demand and funding are separate things. Most hours are billed to state Medicaid programmes at set rates, so an agency cannot raise wages beyond what the rate supports regardless of how many clients are waiting.

Do private agencies pay more than Medicaid-funded work?

Private-pay clients usually do, since the rate is negotiated rather than legislated. The trade-off is less predictable hours, so many aides mix private-pay clients with agency work to stabilise income.

How can a home health aide earn more?

Take overnight, live-in or complex-care assignments, add dementia, hospice or ventilator training, work private-pay clients directly where regulations allow, or use the role as a funded route into a certified nursing assistant or practical nursing programme.

Is travel time and mileage paid?

It varies and it matters. Some agencies pay only for time in the home, so unpaid travel between short visits can cut effective hourly pay substantially. Always ask how between-visit time and mileage are treated.

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Data Sources
BLS ReferenceOEWS May 2025
SOC Code31-1120
US Workers4,305,810
Job Growth+17% (2024–2034)
Reviewed byK. Osei, RN BSN
Verify on BLS.gov β†’Full methodology β†’
$35,800
US BLS median Β· 2026
$41,170
California, top-paying state
4,305,810
Home Health Aides tracked (BLS)
+17%
Job growth 2024–2034

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