CNA Salary

San Francisco vs San Mateo: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between San Francisco, CA and San Mateo, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$59,725
$28.71/hr
San Mateo, CA
$50,381
$24.22/hr

Side-by-Side Comparison

MetricSan Francisco, CASan Mateo, CA
Median Salary$59,725$50,381
Hourly Rate$28.71$24.22
Entry Level (P10)$49,736$37,870
25th Percentile$53,261$45,277
75th Percentile$62,760$56,031
Top Earner (P90)$75,125$64,511
Total Employed11,79021
Side-by-side bar chart comparing San Francisco ($59,725) and San Mateo ($50,381) certified nursing assistant salaries.San FranciscoSan MateoMedian Salary$59,725$50,381Entry Level (P10)$49,736$37,870Top Earner (P90)$75,125$64,511US Median $45,007

Verdict

San Francisco, CA offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to San Mateo.

The salary gap between San Francisco and San Mateo is $9,344 (18.55%). San Francisco's median is +32.70% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $25,389,San Mateo spans $26,641. San Mateo has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

San Francisco
P10 (Entry)$49,736
P25$53,261
Median$59,725
P75$62,760
P90 (Top)$75,125
San Mateo
P10 (Entry)$37,870
P25$45,277
Median$50,381
P75$56,031
P90 (Top)$64,511

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($51,659 effective) pays 15.97% more than San Mateo ($44,546 effective).

San Francisco
Nominal: $59,725
CoL Index: 115.613
Adjusted: $51,659
San Mateo
Nominal: $50,381
CoL Index: 113.1
Adjusted: $44,546

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

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($59,725/year)
  • Better top-earner potential ($75,125)
  • Larger job market (11,790 employed)
  • Better purchasing power (CoL-adjusted: $51,659)
  • You prefer the California area and lifestyle

Choose San Mateo if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in San Francisco grew 35.4% from 2019 to 2025, compared to -5.9% growth in San Mateo over the same period.

San Francisco, CA

+35.4%

$41,410 (2019) → $56,080 (2025)

San Mateo, CA

+-5.9%

$50,292 (2024) → $47,306 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: San Francisco or San Mateo?

San Francisco has a higher median certified nursing assistant salary at $59,725/year, compared to San Mateo at $50,381/year — a difference of $9,344 (18.55%).

What is the hourly rate difference between San Francisco and San Mateo?

San Francisco certified nursing assistants earn $28.71/hr while San Mateo hygienists earn $24.22/hr (2026 est.).

Should I relocate from San Francisco to San Mateo as a certified nursing assistant?

Consider more than just salary when comparing San Francisco and San Mateo. Factor in cost of living (CoL-adjusted: San Francisco = $51,659, San Mateo = $44,546), job availability (11,790 vs 21 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in San Francisco vs San Mateo?

Entry-level (10th percentile) certified nursing assistants earn $49,736 in San Francisco and $37,870 in San Mateo. The San Francisco 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