Nursing assistants: Salary, Job Outlook, Education and Career Path

Provide or assist with basic care or support under the direction of onsite licensed nursing staff. Perform duties such as monitoring of health status, feeding, bathing, dressing, grooming, toileting, or ambulation of patients in a health or nursing facility. May include medication administration and other health-related tasks. Includes nursing care attendants, nursing aides, and nursing attendants.

Short answer: Nursing assistants earn a national median annual wage of $42,260 (BLS, May 2025). Employment is projected to change +2.6% from 2025 to 2035 (all occupations: +3.5%), with about 196,200 openings per year. The typical entry credential is postsecondary nondegree award.

Median annual wage
$42,260
May 2025 Verified data
Projected change
+2.6%
2025 to 2035 Official projection
Openings per year
196,200
Average, 2025 to 2035 Official projection
Employment
1,448,910
OEWS, May 2025 Verified data

Nursing assistants salary

$0$20K$40KUnited States$42,260
National annual wages for nursing assistants, May 2025: 10th percentile $33,940, 25th $37,260, median $42,260, 75th $47,220, 90th $51,980. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$33,940$16.32
Median (50th percentile)$42,260$20.32
Mean (average)$42,700$20.53
90th percentile$51,980$24.99

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Nursing assistants pay by state and metro area

$22.9K$49.8K
Median annual wage for nursing assistants by state, May 2025. Highest: Oregon at $49,830. States in gray have no published estimate.
Table: median wage and employment for all 53 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$34,140$28,330$38,68025,2501.28
Alaska$46,370$39,450$58,4302,0600.68
Arizona$44,780$37,100$57,82020,3200.67
Arkansas$34,430$28,840$39,02017,2601.42
California$47,630$40,110$61,100110,0600.65
Colorado$47,380$38,690$56,07022,2400.83
Connecticut$44,790$38,660$53,87021,3801.35
Delaware$42,030$36,530$48,0805,5301.22
District of Columbia$47,700$38,900$57,5003,4900.53
Florida$37,510$34,350$46,79096,9601.05
Georgia$37,680$30,300$47,31043,4400.95
Hawaii$45,350$36,000$52,6605,0500.86
Idaho$38,650$28,380$47,4307,9100.99
Illinois$45,960$37,590$54,05068,6401.21
Indiana$38,330$35,390$46,89033,6401.13
Iowa$39,350$35,620$47,98022,6701.56
Kansas$38,010$32,180$46,98024,6101.84
Kentucky$38,370$30,390$46,45023,4101.26
Louisiana$30,510$27,980$37,39020,6901.15
Maine$47,070$39,100$58,1208,5401.43
Maryland$43,240$36,060$49,33027,7201.08
Massachusetts$46,680$39,380$57,88038,1301.13
Michigan$39,570$36,830$46,74043,2901.05
Minnesota$46,680$38,010$55,41029,1201.06
Mississippi$31,520$27,050$38,29014,2001.31
Missouri$37,680$31,350$45,26034,0501.24
Montana$40,900$36,780$49,7004,3900.92
Nebraska$40,000$37,090$48,98016,4501.72
Nevada$45,490$36,940$50,6808,1000.56
New Hampshire$47,870$39,140$59,6607,8101.23
New Jersey$46,830$38,900$55,14032,4000.81
New Mexico$39,390$34,110$48,3404,7500.59
New York$48,590$38,450$59,89087,9900.97
North Carolina$38,460$30,260$47,08064,0101.39
North Dakota$45,820$35,130$51,3806,8401.71
Ohio$39,010$35,060$46,57063,2801.22
Oklahoma$35,930$29,630$42,87019,4101.22
Oregon$49,830$43,210$61,31014,8000.81
Pennsylvania$44,590$37,760$49,36067,7401.2
Puerto Rico$22,850$21,840$45,4504300.05
Rhode Island$46,440$39,220$54,95010,2202.19
South Carolina$37,220$30,460$44,76021,7601.01
South Dakota$38,800$31,110$46,1006,8601.61
Tennessee$37,990$31,110$44,66027,0400.89
Texas$37,500$30,620$47,50088,6800.68
Utah$39,840$34,870$47,08012,2600.76
Vermont$47,130$37,620$59,6003,0301.07
Virgin Islands$37,240$32,560$44,9201100.38
Virginia$43,200$31,560$50,98040,5801.06
Washington$49,180$42,500$62,66030,2700.91
West Virginia$36,720$31,060$45,2909,3901.44
Wisconsin$45,130$37,900$50,65028,3701.04
Wyoming$39,160$33,390$49,6102,8301.08

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ79,480
Chicago-Naperville-Elgin, IL-IN45,850
Los Angeles-Long Beach-Anaheim, CA43,090
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD30,680
Boston-Cambridge-Newton, MA-NH26,130
Washington-Arlington-Alexandria, DC-VA-MD-WV25,520
Miami-Fort Lauderdale-West Palm Beach, FL23,490
Dallas-Fort Worth-Arlington, TX23,420
Atlanta-Sandy Springs-Roswell, GA23,260
Houston-Pasadena-The Woodlands, TX19,230

Highest paying metro areas

San Jose-Sunnyvale-Santa Clara, CA$56,840
San Francisco-Oakland-Fremont, CA$56,080
Seattle-Tacoma-Bellevue, WA$51,990
Napa, CA$50,370
Portland-Vancouver-Hillsboro, OR-WA$50,350
Bend, OR$50,080
Boulder, CO$49,860
Grants Pass, OR$49,770
New York-Newark-Jersey City, NY-NJ$49,270
Santa Rosa-Petaluma, CA$49,240
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for nursing assistants

2025 (actual)1,505,9002035 (projected)1,544,900
BLS projects employment of nursing assistants to go from 1,505,900 in 2025 to 1,544,900 in 2035, a change of +2.6% (+39,000 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 196,200. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 1.8%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for nursing assistants

Typical entry education
Postsecondary nondegree award
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school9.5%
High school diploma36.5%
Some college, no degree30.4%
Associate's degree11.4%
Bachelor's degree9.5%
Master's degree1.9%
Doctoral or professional0.8%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a high school diploma (36.5%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Active Listening3.6
Monitoring3.3
Reading Comprehension3.1
Speaking3.1
Critical Thinking3.1
Active Learning2.9
Writing2.8
Learning Strategies2.4
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Customer and Personal Service3.9
Administration and Management3.3
English Language3.3
Public Safety and Security3.2
Medicine and Dentistry3.1
Education and Training3.1
Therapy and Counseling3.0
Psychology3.0
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Turn or reposition bedridden patients.
  • Answer patient call signals, signal lights, bells, or intercom systems to determine patients' needs.
  • Feed patients or assist patients to eat or drink.
  • Measure and record food and liquid intake or urinary and fecal output, reporting changes to medical or nursing staff.
  • Provide physical support to assist patients to perform daily living activities, such as getting out of bed, bathing, dressing, using the toilet, standing, walking, or exercising.
  • Document or otherwise report observations of patient behavior, complaints, or physical symptoms to nurses.
  • Remind patients to take medications or nutritional supplements.
  • Review patients' dietary restrictions, food allergies, and preferences to ensure patient receives appropriate diet.

Technology skills

  • Apache Spark (hot technology)
  • Epic Systems (hot technology)
  • MEDITECH software (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft Outlook (hot technology)
  • Microsoft Word (hot technology)
  • Billing software
  • FaceTime
  • GE Healthcare Centricity EMR
  • Health information database software
  • Medical condition coding software
  • Medical procedure coding software
  • Medical record charting software
  • PointClickCare healthcare software
  • Telemetry software

Transferable skills for career changers: Service Orientation, Social Perceptiveness, Coordination, Judgment and Decision Making, Time Management, Complex Problem Solving.

Common job titles: Certified Medication Aide (CMA), Certified Nurse Aide (CNA), Certified Nurses Aide (CNA), Certified Nursing Assistant (CNA), Licensed Nursing Assistant (LNA), Nurses' Aide, Nursing Aide, Nursing Assistant, Patient Care Assistant (PCA), State Tested Nursing Assistant (STNA).

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do nursing assistants make?

The national median annual wage for nursing assistants was $42,260 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $33,940 and the highest paid 10 percent earned more than $51,980. These figures cover all workers in the occupation, not only new entrants.

What education do nursing assistants need?

BLS lists postsecondary nondegree award as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is nursing assistants a growing career?

BLS projects employment of nursing assistants to change +2.6% from 2025 to 2035, compared with +3.5% for all occupations. About 196,200 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay nursing assistants the most?

By median annual wage in May 2025, the highest paying states were Oregon ($49,830), Washington ($49,180), New York ($48,590). Pay differences partly reflect differences in living costs.

Get help planning a path to nursing assistants

No research tool on this site requires your contact details. Share them only if you would like a ConnectPrep advisor to follow up. We never ask for financial information here.