The national average hourly rate for HCA III/CNAs increased 4.93% in 2025, up from the 2024 increase of 4.86% (these hourly increases represent the percent increase from the same group of participants who submitted data for both the prior/current years’ study). The average sign-on bonus for HCAs increased to $2,304 in 2025, up from $2,129 in 2024. These continued pay increases for Home Care Aides/CNAs, along with increased sign-on bonuses for new hires, are helping agencies reduce turnover rates, with turnover rates for Home Care Aides/CNAs decreasing from 36.31% in 2024 to 34.17% in 2025.

In a comparison of hourly rates by state, HCA III/CNAs in Oklahoma and Alabama received the lowest rates of $16.52 and $17.37, while HCA III/CNAs in Massachusetts and New Hampshire ranked the highest in pay at $23.00 and $23.55. (All rates represent the national 50^th percentile.)

In a comparison of national hourly rates by agency type, HCA III/CNAs in visiting nurse associations received the highest pay of $22.29/hour. The national hourly rates at hospital-based agencies was $21.19; not-for-profit agency pay was $20.22; and for-profit agency pay was $18.75. (All rates represent the national 50^th percentile.)

36.52% of participants indicated that turnover had decreased in the past 12 months; only 20.87% of participants indicated that turnover had increased in the past 12 months.

1,111 home health agencies participated in the study. The complete 180+ page Report contains 59 jobs and covers salaries, bonuses, and hourly & per visit rates. Data include the 10^th, 25^th, 50^th, 75^th, 90^th average, total number of employees, and total number of agencies. Data are reported by state, CBSA, region, agency type, and revenue size. Also included are 20 fringe benefits, actual/planned percent increases, turnover/vacancy rates, shift differentials, caseload/productivity, and hourly vs per visit pay modes.

The latest Home Care Salary & Benefits Report is available to purchase at $400.

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Visit the HCS website at www.hhcsinc.com or call (201) 405-0075.