CNA Salary

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

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

St. Louis, MO
$41,652
$20.03/hr
Columbia, MO
$43,974
$21.14/hr

Side-by-Side Comparison

MetricSt. Louis, MOColumbia, MO
Median Salary$41,652$43,974
Hourly Rate$20.03$21.14
Entry Level (P10)$37,595$34,357
25th Percentile$39,597$38,265
75th Percentile$47,531$43,974
Top Earner (P90)$49,938$50,619
Total Employed14,6202,040
Side-by-side bar chart comparing St. Louis ($41,652) and Columbia ($43,974) certified nursing assistant salaries.St. LouisColumbiaMedian Salary$41,652$43,974Entry Level (P10)$37,595$34,357Top Earner (P90)$49,938$50,619US Median $45,007

Verdict

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

The salary gap between St. Louis and Columbia is $2,322 (5.57%). Columbia's median is -2.30% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in St. Louis spans $12,343,Columbia spans $16,262. Columbia has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

St. Louis
P10 (Entry)$37,595
P25$39,597
Median$41,652
P75$47,531
P90 (Top)$49,938
Columbia
P10 (Entry)$34,357
P25$38,265
Median$43,974
P75$43,974
P90 (Top)$50,619

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Columbia ($49,167 effective) pays 12.24% more than St. Louis ($43,804 effective).

St. Louis
Nominal: $41,652
CoL Index: 95.088
Adjusted: $43,804
Columbia
Nominal: $43,974
CoL Index: 89.438
Adjusted: $49,167

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

Which City Is Right for You?

Choose St. Louis if…

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

Choose Columbia if…

  • Higher median salary ($43,974/year)
  • Better top-earner potential ($50,619)
  • Better purchasing power (CoL-adjusted: $49,167)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in St. Louis grew 52.0% from 2019 to 2025, compared to 74.7% growth in Columbia over the same period.

St. Louis, MO

+52.0%

$25,730 (2019) → $39,110 (2025)

Columbia, MO

+74.7%

$23,640 (2019) → $41,290 (2025)

View Full Salary Data

Frequently Asked Questions

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

Columbia has a higher median certified nursing assistant salary at $43,974/year, compared to St. Louis at $41,652/year — a difference of $2,322 (5.57%).

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

St. Louis certified nursing assistants earn $20.03/hr while Columbia hygienists earn $21.14/hr (2026 est.).

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

Consider more than just salary when comparing St. Louis and Columbia. Factor in cost of living (CoL-adjusted: St. Louis = $43,804, Columbia = $49,167), job availability (14,620 vs 2,040 employed), commute, and career growth potential.

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

Entry-level (10th percentile) certified nursing assistants earn $37,595 in St. Louis and $34,357 in Columbia. The St. Louis 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