CNA Salary

Kansas City vs St. Louis: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Kansas City, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Kansas City, MO
$42,291
$20.33/hr
St. Louis, MO
$41,652
$20.03/hr

Side-by-Side Comparison

MetricKansas City, MOSt. Louis, MO
Median Salary$42,291$41,652
Hourly Rate$20.33$20.03
Entry Level (P10)$38,883$37,595
25th Percentile$40,182$39,597
75th Percentile$48,596$47,531
Top Earner (P90)$51,258$49,938
Total Employed13,37014,620
Side-by-side bar chart comparing Kansas City ($42,291) and St. Louis ($41,652) certified nursing assistant salaries.Kansas CitySt. LouisMedian Salary$42,291$41,652Entry Level (P10)$38,883$37,595Top Earner (P90)$51,258$49,938US Median $45,007

Verdict

Kansas City, MO offers better overall compensation for certified nursing assistants, winning 3 out of 4 metrics compared to St. Louis.

The salary gap between Kansas City and St. Louis is $639 (1.53%). Kansas City's median is -6.03% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kansas City spans $12,375,St. Louis spans $12,343. Kansas City has a wider pay range, meaning more potential for high earners but also more variation.

Kansas City
P10 (Entry)$38,883
P25$40,182
Median$42,291
P75$48,596
P90 (Top)$51,258
St. Louis
P10 (Entry)$37,595
P25$39,597
Median$41,652
P75$47,531
P90 (Top)$49,938

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Kansas City ($45,699 effective) pays 4.33% more than St. Louis ($43,804 effective).

Kansas City
Nominal: $42,291
CoL Index: 92.543
Adjusted: $45,699
St. Louis
Nominal: $41,652
CoL Index: 95.088
Adjusted: $43,804

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

Which City Is Right for You?

Choose Kansas City if…

  • Higher median salary ($42,291/year)
  • Better top-earner potential ($51,258)
  • Better purchasing power (CoL-adjusted: $45,699)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Larger job market (14,620 employed)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Kansas City grew 41.8% from 2019 to 2025, compared to 52.0% growth in St. Louis over the same period.

Kansas City, MO

+41.8%

$28,000 (2019) → $39,710 (2025)

St. Louis, MO

+52.0%

$25,730 (2019) → $39,110 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Kansas City or St. Louis?

Kansas City has a higher median certified nursing assistant salary at $42,291/year, compared to St. Louis at $41,652/year — a difference of $639 (1.53%).

What is the hourly rate difference between Kansas City and St. Louis?

Kansas City certified nursing assistants earn $20.33/hr while St. Louis hygienists earn $20.03/hr (2026 est.).

Should I relocate from Kansas City to St. Louis as a certified nursing assistant?

Consider more than just salary when comparing Kansas City and St. Louis. Factor in cost of living (CoL-adjusted: Kansas City = $45,699, St. Louis = $43,804), job availability (13,370 vs 14,620 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Kansas City vs St. Louis?

Entry-level (10th percentile) certified nursing assistants earn $38,883 in Kansas City and $37,595 in St. Louis. The Kansas City 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