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COL-adjusted ranking

Best Cities for Nursing Assistantss by Take-Home Pay

The cities that pay Nursing Assistantss the most on paper aren't usually the best deals once rent and prices are factored in. Grand Forks ranks first with a COL-adjusted equivalent of $52,781/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $56,840. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$56,840
#2 San Francisco-Oakland-Fremont$56,080
#3 Seattle-Tacoma-Bellevue$51,990

Best purchasing power

#1 Grand Forks$52,781
#2 Rochester$51,575
#3 San Jose-Sunnyvale-Santa Clara$51,476

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed nursing assistantss excluded.

Rank
Metro
Nominal
COL-adj.
#1
Grand Forks
29% rent burden
$45,740
$52,781
#2
Rochester
36% rent burden
$46,840
$51,575
#3
$56,840
$51,476
#4
Bismarck
30% rent burden
$46,720
$51,329
#5
Lewiston-Auburn
39% rent burden
$48,570
$51,267
#6
Mankato
30% rent burden
$46,430
$51,050
#7
Vineland
41% rent burden
$48,890
$50,943
#8
Grants Pass
33% rent burden
$49,770
$50,910
#9
Battle Creek
31% rent burden
$45,470
$50,221
#10
Sheboygan
28% rent burden
$47,050
$50,048
#11
Duluth
33% rent burden
$44,250
$49,848
#12
Barnstable Town
60% rent burden
$48,520
$49,334
#13
Yakima
35% rent burden
$47,080
$49,273
#14
Longview-Kelso
36% rent burden
$47,830
$49,031
#15
Pittsfield
44% rent burden
$46,620
$49,017
#16
Ames
32% rent burden
$43,540
$49,015
#17
Lynchburg
33% rent burden
$43,660
$48,859
#18
Walla Walla
39% rent burden
$47,990
$48,711
#19
Bangor
36% rent burden
$46,970
$48,669
#20
Lebanon
37% rent burden
$45,340
$48,643
#21
Fond du Lac
32% rent burden
$44,490
$48,549
#22
$56,080
$48,508
#23
Appleton
33% rent burden
$44,760
$48,431
#24
Bend
43% rent burden
$50,080
$48,335
#25
Kennewick-Richland
38% rent burden
$48,060
$48,022

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Nursing Assistantss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $56,840 in a city with RPP 120 has the same purchasing power as $47,367 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A nursing assistants in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Nursing Assistantss?

Sheboygan has one of the lowest rent burdens for Nursing Assistantss in this dataset. HUD FMR for a 2-bedroom is $1,116/month, with a median salary of $47,050.

Where do Nursing Assistantss get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $56,840/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Nursing AssistantssView →How to become a nursing assistantsGuide →Compare two cities side by sideCompare →