CNA Salary

Roanoke vs Winchester: Certified Nursing Assistant Salary (2026)

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

Roanoke, VA
$41,492
$19.95/hr
Winchester, VA
$42,568
$20.47/hr

Side-by-Side Comparison

MetricRoanoke, VAWinchester, VA
Median Salary$41,492$42,568
Hourly Rate$19.95$20.47
Entry Level (P10)$37,573$32,025
25th Percentile$38,766$37,435
75th Percentile$47,073$47,882
Top Earner (P90)$49,384$53,697
Total Employed2,430810
Side-by-side bar chart comparing Roanoke ($41,492) and Winchester ($42,568) certified nursing assistant salaries.RoanokeWinchesterMedian Salary$41,492$42,568Entry Level (P10)$37,573$32,025Top Earner (P90)$49,384$53,697US Median $45,007

Verdict

Winchester, VA offers better overall compensation for certified nursing assistants, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Roanoke and Winchester is $1,076 (2.59%). Winchester's median is -5.42% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $11,811,Winchester spans $21,672. Winchester has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

Roanoke
P10 (Entry)$37,573
P25$38,766
Median$41,492
P75$47,073
P90 (Top)$49,384
Winchester
P10 (Entry)$32,025
P25$37,435
Median$42,568
P75$47,882
P90 (Top)$53,697

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($44,321 effective) pays 0.42% more than Winchester ($44,135 effective).

Roanoke
Nominal: $41,492
CoL Index: 93.618
Adjusted: $44,321
Winchester
Nominal: $42,568
CoL Index: 96.45
Adjusted: $44,135

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

Which City Is Right for You?

Choose Roanoke if…

  • Larger job market (2,430 employed)
  • Better purchasing power (CoL-adjusted: $44,321)
  • You prefer the Virginia area and lifestyle

Choose Winchester if…

  • Higher median salary ($42,568/year)
  • Better top-earner potential ($53,697)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Roanoke grew 52.1% from 2019 to 2025, compared to 37.3% growth in Winchester over the same period.

Roanoke, VA

+52.1%

$25,620 (2019) → $38,960 (2025)

Winchester, VA

+37.3%

$29,120 (2019) → $39,970 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Roanoke or Winchester?

Winchester has a higher median certified nursing assistant salary at $42,568/year, compared to Roanoke at $41,492/year — a difference of $1,076 (2.59%).

What is the hourly rate difference between Roanoke and Winchester?

Roanoke certified nursing assistants earn $19.95/hr while Winchester hygienists earn $20.47/hr (2026 est.).

Should I relocate from Roanoke to Winchester as a certified nursing assistant?

Consider more than just salary when comparing Roanoke and Winchester. Factor in cost of living (CoL-adjusted: Roanoke = $44,321, Winchester = $44,135), job availability (2,430 vs 810 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Roanoke vs Winchester?

Entry-level (10th percentile) certified nursing assistants earn $37,573 in Roanoke and $32,025 in Winchester. The Roanoke 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