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Salary comparison

Home Health and Personal Care Aides vs. Nursing Assistants: Who Earns More?

Nursing Assistants out-earn Home Health and Personal Care Aides by $6K a year at the national median, per BLS OEWS May 2025. Home Health and Personal Care Aides land at $35,800 and Nursing Assistants at $42,260. The education gap is real: home health and personal care aide programs typically require high school diploma or equivalent, while nursing assistant programs require postsecondary nondegree award. Top-paying state for Home Health and Personal Care Aides is Washington ($47,730); for Nursing Assistants it's Oregon ($49,830).

Home Health and Personal Care Aides
Nursing Assistants
Median salary
$35,800
$42,260
Hourly rate
$17.21/hr
$20.32/hr
Entry level (10th %)
$27,040
$33,940
Senior level (90th %)
$45,040
$51,980
Education required
High school diploma or equivalent
Postsecondary nondegree award
U.S. employment
4,305,810
1,448,910
Job growth (10-year)
17%
2.3%
Category
Healthcare Support
Healthcare Support
Top-paying state
Washington
Oregon

Pay by state

States where both occupations have BLS data, sorted by Home Health and Personal Care Aides median pay.

State
Home Health and Personal Care Aides
Nursing Assistants
Washington
$47,730
$49,180
Oregon
$44,410
$49,830
Rhode Island
$43,680
$46,440
District of Columbia
$42,700
$47,700
Vermont
$41,600
$47,130
Massachusetts
$40,910
$46,680
Alaska
$39,740
$46,370
New York
$39,620
$48,590
New Hampshire
$38,760
$47,870
Maine
$38,580
$47,070
Colorado
$38,540
$47,380
Minnesota
$38,370
$46,680
Illinois
$38,060
$45,960
New Jersey
$37,090
$46,830
California
$34,320
$47,630

Source: BLS OEWS May 2025. Highlighted value is higher in each row.

Common questions

Who earns more, Home Health and Personal Care Aides or Nursing Assistants?

Nursing Assistants earn more nationally. The median is $35,800 for Home Health and Personal Care Aides versus $42,260 for Nursing Assistants, a difference of $6K. Per BLS OEWS May 2025.

Which has better job growth, Home Health and Personal Care Aides or Nursing Assistants?

Home Health and Personal Care Aides has the better 10-year outlook at 17% projected growth, compared to 2.3% for the other field. Both are from BLS Employment Projections.

Which requires more education, Home Health and Personal Care Aides or Nursing Assistants?

Home Health and Personal Care Aides typically requires high school diploma or equivalent. Nursing Assistants requires postsecondary nondegree award. Education requirements vary by employer and state licensing board.

Where do Home Health and Personal Care Aides get paid the most?

Washington is the top-paying state for Home Health and Personal Care Aides at $47,730/year, per BLS OEWS May 2025. Major metro areas within that state typically pay even more than the state average.

How does Home Health and Personal Care Aides vs. Nursing Assistants pay differ by state?

The gap varies significantly by state. In Washington, Home Health and Personal Care Aides earn $47,730 vs. $49,180 for Nursing Assistants. See the state comparison table on this page for the full picture.

Full Home Health and Personal Care Aides salary breakdownView →Full Nursing Assistants salary breakdownView →Best cities for Home Health and Personal Care Aides by take-home payExplore →Best cities for Nursing Assistants by take-home payExplore →How to become a home health and personal care aidesGuide →How to become a nursing assistantsGuide →