Last Updated: May 2026

CNA Salary 2026: How Much Do CNAs Make Per Hour and Per Year?

Quick Answer

CNAs earn $38,200/year ($18.37/hr) based on the latest BLS data nationally. Hospital CNAs earn more ($42,500/yr) than nursing home CNAs ($34,200/yr). California tops the state rankings at $51,000/year. The jump to LPN adds $16,800/year; the jump to RN adds $39,800/year.

CNAs are the backbone of bedside care — but CNA pay varies by $10,000–$25,000 depending on state, employer type, and shift. Here's exactly what CNAs earn in 2026, where pay is highest, and how the career ladder stacks up financially.

CNA Salary by State (2026)

California CNAs earn 33% more than the national average — driven by the state's minimum wage laws, strong union contracts, and mandatory staffing ratios that increase demand for all bedside staff.

CNA Average Salary by State

StateAvg Annual SalaryAvg Hourly Rate
California$51,000$24.52/hr
Washington$48,000$23.08/hr
Alaska$47,000$22.60/hr
New York$45,000$21.63/hr
Massachusetts$44,000$21.15/hr
Oregon$42,000$20.19/hr
National Average$38,200$18.37/hr
Texas$33,000$15.87/hr
Florida$32,500$15.63/hr
Mississippi$28,000$13.46/hr

Source: BLS OEWS 2025

CNA Salary by Work Setting

Bar chart showing 2026 CNA salary progression from entry-level through the nursing credential ladder to RN and NP

Hospital CNAs consistently out-earn their counterparts in nursing homes and assisted living. If maximizing CNA pay is the goal, targeting inpatient hospital positions — especially ICU step-down, emergency department, or labor & delivery — yields the best hourly rates.

CNA Pay by Employer Type (2026)

Work SettingAvg Annual SalaryAvg Hourly Rate
Hospital (inpatient)$42,500$20.43/hr
Home Health / Hospice$38,800$18.65/hr
Skilled Nursing Facility (SNF)$37,500$18.03/hr
Assisted Living$35,000$16.83/hr
Nursing Home / LTC$34,200$16.44/hr

Source: BLS OEWS 2025

CNA vs. LPN vs. RN: The Career Ladder

Certified nursing assistant in scrubs providing compassionate bedside care to a patient in a hospital room, patient-centered care

The most impactful financial decision a CNA can make is pursuing the LPN or RN credential. The salary jump is immediate and dramatic — an LPN earns $16,800/year more than a CNA, and an RN earns nearly $40,000–$48,000/year more. Both credentials can be earned while working as a CNA.

Nursing Career Ladder — Salary by Credential

CredentialAvg Annual SalaryHourly Rate & Premium
CNA$38,200/yr$18.37/hr
LPN/LVN$55,000/yr$26.44/hr — +$16,800/yr
RN (ADN)$78,000/yr$37.50/hr — +$39,800/yr vs CNA
RN (BSN)$86,000/yr$41.35/hr — +$47,800/yr vs CNA
Nurse Practitioner (NP)$126,000/yr$60.58/hr — +$87,800/yr vs CNA

Source: BLS OEWS 2025 + NurseSalaryIntel 2026 data

See the full comparison: LPN salary 2026 and entry-level RN salary 2026.

How to Increase Your CNA Pay

  • Target hospital employers. The $4,300/year gap between hospital and nursing home CNA pay is significant. Applying to inpatient hospital positions is the fastest way to raise CNA earnings without additional credentials.
  • Pursue specialty certifications. CCRN-certified nursing assistants, geriatric care certifications (CNA-G), and medication aide certifications (where permitted) add $1–$3/hr at many facilities.
  • Work nights and weekends. Night differentials ($1–$3/hr) and weekend premiums apply to CNAs at most hospitals, adding $2,000–$5,000/year.
  • Negotiate at offer stage. CNA pay bands have more range than most new hires realize — asking for the top of the posted range is reasonable, especially with 2+ years of experience.
  • Start an LPN bridge program. Most LPN programs run 12–18 months. The $16,800/year salary jump means the program pays for itself within the first year of LPN employment.

Related Salary Guides

📊 Data Methodology

Salary figures on this page are 2026 estimates derived from the most recent available U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) data, based on the May 2024 survey and published in March 2025. Estimated ranges may also incorporate publicly available 2025 job postings, hospital pay schedules, regional market conditions, and reported compensation trends.

Official 2026 OEWS wage data has not yet been released. All salary figures on this page should be treated as informational estimates rather than official government statistics or guaranteed compensation rates.

Frequently Asked Questions

How much do CNAs make per hour in 2026?
CNAs earn an average of $18.37/hour ($38,200/year) nationally in 2026, according to BLS data. Hourly rates range from $14/hr in the lowest-paying states to $24+/hr in California and Washington. Hospital CNAs typically earn $2–$4/hr more than nursing home CNAs.
How much does a CNA make a year?
The average CNA annual salary is $38,200/year nationally in 2026. Top earners in high-cost states like California ($51,000/yr), Washington ($48,000/yr), and Alaska ($47,000/yr) significantly exceed the national average.
How much more does an LPN make than a CNA?
LPNs earn approximately $55,000/year vs. $38,200/year for CNAs — a difference of $16,800/year (44% more). The LPN credential requires 12–18 months of additional schooling but pays for itself in under 1 year of the salary difference.
What state pays CNAs the most?
California pays CNAs the most at an average of $51,000/year ($24.52/hr). Washington ($48,000), Alaska ($47,000), and New York ($45,000) round out the top four highest-paying states for CNAs.
Do hospital CNAs make more than nursing home CNAs?
Yes — hospital CNAs typically earn $2–$5/hr more than CNAs in nursing homes or long-term care facilities. The difference reflects higher acuity, faster pace, and stronger union representation in hospital settings.
Is becoming a CNA worth it financially?
A CNA license is worth it as a starting point or career pivot, but not as a long-term endpoint. The fastest financial move is using CNA experience to enter an LPN or RN bridge program — the salary jump to LPN ($16,800/yr more) or RN ($51,000/yr more) dramatically outpaces any CNA raise.
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