Home Health Aide Salary.
Across 83 U.S. cities.
$33,000
national median salary
$28,000 to $40,000. Last updated April 2026.
Highest Paying
$46,000
San Francisco, CA
Best Purchasing Power
$35,000
Providence, RI
Lowest Paying
$25,000
Charleston, WV
Salary data sourced from SEC filings, H-1B Labor Condition Applications (DOL), Bureau of Labor Statistics Occupational Employment and Wage Statistics, and aggregated job postings across 50+ platforms. Ranges reflect 25th to 75th percentile for full-time positions. Cost-of-living adjustments use Bureau of Economic Analysis Regional Price Parities (2025 index). Last updated April 2026.
The average Home Health Aide salary in the United States is $33,000 in 2026, with the full range spanning $28,000 at the 25th percentile to $40,000 at the 75th. San Francisco pays the most at $46,000, while Providence offers the best purchasing power after cost-of-living adjustments. State minimum wage laws and Medicaid reimbursement rates are the primary salary drivers.
Home Health Aide salary by city
Skills that increase Home Health Aide pay
The skills below command measurable salary premiums for Home Health Aides based on job posting data. Learning the top skill here could add $4,620 to your annual compensation.
≈ +$4,620 per year
≈ +$4,290 per year
≈ +$3,960 per year
≈ +$3,630 per year
≈ +$3,630 per year
≈ +$3,300 per year
≈ +$3,300 per year
≈ +$2,970 per year
What you should know
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.
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.