CNA Salary

Rapid City vs Spearfish: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Rapid City, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.

Rapid City, SD
$41,003
$19.71/hr
Spearfish, SD
$40,047
$19.26/hr

Side-by-Side Comparison

MetricRapid City, SDSpearfish, SD
Median Salary$41,003$40,047
Hourly Rate$19.71$19.26
Entry Level (P10)$38,649$32,790
25th Percentile$41,003$37,551
75th Percentile$46,711$42,782
Top Earner (P90)$49,097$45,053
Total Employed1,2805
Side-by-side bar chart comparing Rapid City ($41,003) and Spearfish ($40,047) certified nursing assistant salaries.Rapid CitySpearfishMedian Salary$41,003$40,047Entry Level (P10)$38,649$32,790Top Earner (P90)$49,097$45,053US Median $45,007

Verdict

Rapid City, SD offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Spearfish.

The salary gap between Rapid City and Spearfish is $956 (2.39%). Rapid City's median is -8.90% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rapid City spans $10,448,Spearfish spans $12,263. Spearfish has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

Rapid City
P10 (Entry)$38,649
P25$41,003
Median$41,003
P75$46,711
P90 (Top)$49,097
Spearfish
P10 (Entry)$32,790
P25$37,551
Median$40,047
P75$42,782
P90 (Top)$45,053

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($45,988 effective) pays 6.57% more than Spearfish ($43,154 effective).

Rapid City
Nominal: $41,003
CoL Index: 89.16
Adjusted: $45,988
Spearfish
Nominal: $40,047
CoL Index: 92.8
Adjusted: $43,154

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

Which City Is Right for You?

Choose Rapid City if…

  • Higher median salary ($41,003/year)
  • Better top-earner potential ($49,097)
  • Larger job market (1,280 employed)
  • Better purchasing power (CoL-adjusted: $45,988)
  • You prefer the South Dakota area and lifestyle

Choose Spearfish if…

  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Rapid City grew 32.2% from 2019 to 2025, compared to 28.1% growth in Spearfish over the same period.

Rapid City, SD

+32.2%

$29,120 (2019) → $38,500 (2025)

Spearfish, SD

+28.1%

$29,363 (2024) → $37,603 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Rapid City or Spearfish?

Rapid City has a higher median certified nursing assistant salary at $41,003/year, compared to Spearfish at $40,047/year — a difference of $956 (2.39%).

What is the hourly rate difference between Rapid City and Spearfish?

Rapid City certified nursing assistants earn $19.71/hr while Spearfish hygienists earn $19.26/hr (2026 est.).

Should I relocate from Rapid City to Spearfish as a certified nursing assistant?

Consider more than just salary when comparing Rapid City and Spearfish. Factor in cost of living (CoL-adjusted: Rapid City = $45,988, Spearfish = $43,154), job availability (1,280 vs 5 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Rapid City vs Spearfish?

Entry-level (10th percentile) certified nursing assistants earn $38,649 in Rapid City and $32,790 in Spearfish. The Rapid City area offers higher starting salaries.
EC

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