CNA Salary

Bristol vs Richmond: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Bristol, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Bristol, VA
$40,911
$19.67/hr
Richmond, VA
$45,497
$21.88/hr

Side-by-Side Comparison

MetricBristol, VARichmond, VA
Median Salary$40,911$45,497
Hourly Rate$19.67$21.88
Entry Level (P10)$34,974$36,114
25th Percentile$36,902$38,936
75th Percentile$44,775$49,437
Top Earner (P90)$47,557$51,535
Total Employed66,660
Side-by-side bar chart comparing Bristol ($40,911) and Richmond ($45,497) certified nursing assistant salaries.BristolRichmondMedian Salary$40,911$45,497Entry Level (P10)$34,974$36,114Top Earner (P90)$47,557$51,535US Median $45,007

Verdict

Richmond, VA offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Bristol.

The salary gap between Bristol and Richmond is $4,586 (11.21%). Richmond's median is +1.09% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bristol spans $12,583,Richmond spans $15,421. Richmond has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

Bristol
P10 (Entry)$34,974
P25$36,902
Median$40,911
P75$44,775
P90 (Top)$47,557
Richmond
P10 (Entry)$36,114
P25$38,936
Median$45,497
P75$49,437
P90 (Top)$51,535

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($46,493 effective) pays 17.28% more than Bristol ($39,642 effective).

Bristol
Nominal: $40,911
CoL Index: 103.2
Adjusted: $39,642
Richmond
Nominal: $45,497
CoL Index: 97.858
Adjusted: $46,493

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Bristol if…

  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($45,497/year)
  • Better top-earner potential ($51,535)
  • Larger job market (6,660 employed)
  • Better purchasing power (CoL-adjusted: $46,493)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Bristol grew 10.6% from 2024 to 2025, compared to 51.5% growth in Richmond over the same period.

Bristol, VA

+10.6%

$34,734 (2024) → $38,414 (2025)

Richmond, VA

+51.5%

$28,190 (2019) → $42,720 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Bristol or Richmond?

Richmond has a higher median certified nursing assistant salary at $45,497/year, compared to Bristol at $40,911/year — a difference of $4,586 (11.21%).

What is the hourly rate difference between Bristol and Richmond?

Bristol certified nursing assistants earn $19.67/hr while Richmond hygienists earn $21.88/hr (2026 est.).

Should I relocate from Bristol to Richmond as a certified nursing assistant?

Consider more than just salary when comparing Bristol and Richmond. Factor in cost of living (CoL-adjusted: Bristol = $39,642, Richmond = $46,493), job availability (6 vs 6,660 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Bristol vs Richmond?

Entry-level (10th percentile) certified nursing assistants earn $34,974 in Bristol and $36,114 in Richmond. The Richmond area offers higher starting salaries.

Related Comparisons

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Written by Emily Chen, BSN, RN

Career Analyst

Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov