Certified Nursing Assistant Hourly Pay in Palo Alto, CA: $23.37 (2026)
Quick Answer:Hourly pay for a certified nursing assistant working in Palo Alto, CA runs $23.37 at the median for 2026 — annualizing to $48,606 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-1131). Weighted against Palo Alto's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $20.66 nationally would. A 24-hour part-time schedule grosses $29,161 per year.
Based on BLS state-level estimates · View source

Certified nursing assistants in Palo Alto, California can expect to earn a median hourly rate of $23.37 in 2026, which is notably higher than the national median of $21.64. This difference in pay reflects the competitive demand for CNAs in various healthcare settings such as skilled nursing facilities, hospitals, and home health care. For part-time workers, such as those who may only be available three days a week, this rate can translate to a substantial income while allowing flexibility in their schedules. Entry-level earners can anticipate rates starting around $19.22, while the highest-paid professionals, typically with several years of experience, may see hourly wages increase to $29.51. These figures set a strong precedent for anyone looking to enter the field or negotiate their pay as they gain more experience and certifications.
About the Palo Alto Market
Salary estimated from California average ($44,000) adjusted for local cost of living.
Certified Nursing Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $19.22 | $153.79 |
| Lower Range (P25) | $20.77 | $166.14 |
| Median (P50) | $23.37 | $186.93 |
| Upper Range (P75) | $26.68 | $213.43 |
| Top Earners (P90) | $29.51 | $236.09 |
Estimated Annual Income by Work Schedule in Palo Alto
Based on $23.37/hr median hourly rate · 2026 est.
At $23.37/hr, a certified nursing assistant working full-time (40 hr/wk) in Palo Alto, CA can expect to earn approximately $48,601 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $28,039. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in Palo Alto.
Hourly Rate Calculator
Schedule Comparison in Palo Alto
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $934.64 | $4,050 | $48,601 |
| Part-Time (24 hrs) | $560.79 | $2,430 | $29,161 |
| Per Diem (16 hrs) | $373.86 | $1,620 | $19,441 |
Compare CNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Certified Nursing Assistant (Palo Alto) | $23.37 |
| Licensed Practical Nurse (National Avg) | $29.34 |
| Home Health / Personal Care Aide (National Avg) | $16.80 |
| Medical Assistant (National Avg) | $19.70 |
| Psychiatric Aide (National Avg) | $18.50 |
Certified Nursing Assistants in Palo Alto, CA earn a median of $48,606 per year (2026 est.), which is 8.00% higher than the national median of $45,007 and 2.50% below the California state average of $49,852.
Certified Nursing Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $23.37/hr = $29,161/year (purchasing power: $25,783).
Working 40h/week (full-time) = $48,601/year (purchasing power: $42,972).
CoL index: 113.1 (100 = national average).
2019 BLS Actual
$15.40/hr
2025 BLS Actual
$21.94/hr
2026 Current Est.
$23.37/hr
2019–2027 Growth
+61.6%
Hourly Rate Trajectory for Certified Nursing Assistants in Palo Alto (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $15.40/hr | Actual |
| 2020 | $16.02/hr | Actual |
| 2021 | $15.74/hr | Actual |
| 2022 | $18.57/hr | Actual |
| 2023 | $19.83/hr | Actual |
| 2024 | $23.33/hr | Actual |
| 2025 | $21.94/hr | Actual |
| 2026(current) | $23.37/hr | Estimated |
| 2027 | $24.88/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for certified nursing assistants in Palo Alto grew 42.5% from $15.40/hr (2019) to $21.94/hr (2025). At a 6.50% projected growth rate, hourly pay is expected to reach $24.88/hr by 2027. Part-time and per-diem certified nursing assistants can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Palo Alto metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 6.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Certified Nursing Assistant in Palo Alto
For certified nursing assistants working part-time, the actual take-home pay can vary significantly based on hours worked compared to full-time counterparts. A typical schedule of 24 hours per week yields approximately $29,207 annually, making part-time work an appealing option for those balancing other responsibilities or interests. The per diem certified nursing assistant pay in Palo Alto can also be lucrative, with agency positions billing rates anywhere from $22 to $32 per hour; additionally, weekend shifts offer premium rates that can reach up to $45 in shortage markets. The type of employer impacts compensation as well, with hospitals often providing higher wages compared to assisted living facilities or home health agencies. Workers should also weigh the benefits of hourly pay against potential health insurance offerings from full-time positions, as some may prefer higher hourly rates without benefits. Negotiation tactics are essential, and the local market context, especially post-COVID, should inform any discussions about pay structure to ensure values align with current industry standards.
More salary data for Palo Alto, CA:
Frequently Asked Questions
What is the hourly rate for certified nursing assistants in Palo Alto in 2026?
How much do part-time certified nursing assistants make in Palo Alto?
Are certified nursing assistants in Palo Alto paid hourly or salary?
How much does a full-time certified nursing assistant make per year in Palo Alto?
Do certified nursing assistants earn more per hour working part-time in Palo Alto?
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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.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 6.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for certified nursing assistants in Palo Alto. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Palo Alto is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 6.50%, derived from historical BLS wage trends for certified nursing assistants (SOC 31-1131).
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