Home Health Aide.
Sioux Falls.
$29,000
median salary, 12% below the national average
$25,000 to $35,000. Last updated April 2026.
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Data points to own the conversation.
Sioux Falls is 15% cheaper than the national average. For Home Health Aides, that shakes out to a median of $29,000, with the full range spanning $25,000 to $35,000. State minimum wage laws and Medicaid reimbursement rates are the primary salary drivers. Know the range before you walk in.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $26,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$19,000
to $23,000
Mid (3-5 yrs)
$25,000
to $30,000
Senior (6-9 yrs)
$32,000
to $38,000
Lead (10+ yrs)
$36,000
to $45,000
Salary trend
+7% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $6,000 to the total package.
Base
$29,000
Equity
$3,000
Bonus
$2,000
Signing
$1,000
Estimated total: $35,000
How Sioux Falls compares
Sioux Falls, SD
$29,000
Cost of living: 15% below average
National Average
$33,000
Sioux Falls is $4,000 below
Home Health Aide salary by city
Salary by role in Sioux Falls
What you should know
The Home Health Aide landscape in Sioux Falls is not what most salary sites will tell you. Sioux Falls is South Dakota's largest city and a growing financial services hub, home to major credit card operations for Citibank and Wells Fargo. The city's no state income tax and very low cost of living create exceptional take home pay ratios. Healthcare and agriculture round out the economy. State minimum wage laws and Medicaid reimbursement rates are the primary salary drivers. Aides with specialized training in dementia care or wound care earn higher rates. Urban areas with higher cost of living pay more, and agencies offering benefits packages tend to attract experienced aides at premium hourly rates.
New home health aides start at $27,000 to $30,000 with basic certification. Experienced aides with specialty skills earn $33,000 to $38,000 after three to five years. Senior aides who advance to CNA or LPN roles can reach $42,000 to $55,000 with additional licensure. In Sioux Falls, your dollars stretch further. Cost of living runs 15% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. Benefits vary widely by employer, with agency-employed aides more likely to receive health insurance, paid time off, and mileage reimbursement. Some states mandate paid sick leave and overtime protections that effectively increase total compensation. And on the tax side: south Dakota has no state income tax. Sioux Falls has no city income tax. This zero income tax environment is a major draw for high earners seeking maximum take home pay. When someone quotes you $29,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Use the zero income tax advantage in negotiations. Sioux Falls employers know this is a major recruiting tool and will frame compensation accordingly. The range for Home Health Aides in Sioux Falls runs from $25,000 to $35,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
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Common questions.
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