Certified Nursing Assistant Hourly Pay in Sioux City, IA: $19.94 (2026)
Quick Answer:Hourly pay for a certified nursing assistant working in Sioux City, IA runs $19.94 at the median for 2026 — annualizing to $41,471 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-1131). Weighted against Sioux City's regional price level (BEA RPP 86.5, 14% below national), each hour of work buys what $23.06 nationally would. A 24-hour part-time schedule grosses $24,881 per year.
Official BLS data · View source
In Sioux City, Iowa, certified nursing assistants command a median hourly rate of $19.94, which is notably lower than the national median of $21.64. This discrepancy reflects the local job market and cost of living, opening up various opportunities for employment in settings such as skilled nursing facilities, hospitals, and assisted living communities. For those considering part-time work—typically three days a week—this hourly rate translates to approximately $1,166 each month before taxes. Entry-level positions can start around $18.65, while more experienced CNAs may earn as much as $24.62 per hour. For per-diem certified nursing assistants, the pay can vary widely, but being flexible with shift availability often results in better compensation rates, particularly in high-demand environments. This data is derived from projections based on 2025 BLS OEWS data.
Certified Nursing Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $18.65 | $149.19 |
| Lower Range (P25) | $19.13 | $153.02 |
| Median (P50) | $19.94 | $159.49 |
| Upper Range (P75) | $23.97 | $191.79 |
| Top Earners (P90) | $24.62 | $196.98 |
Estimated Annual Income by Work Schedule in Sioux City
Based on $19.94/hr median hourly rate · 2026 est.
At $19.94/hr, a certified nursing assistant working full-time (40 hr/wk) in Sioux City, IA can expect to earn approximately $41,469 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $23,924. With a cost-of-living index of 86.45 (below the national average), these earnings stretch further in Sioux City.
Hourly Rate Calculator
Schedule Comparison in Sioux City
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $797.47 | $3,456 | $41,469 |
| Part-Time (24 hrs) | $478.48 | $2,073 | $24,881 |
| Per Diem (16 hrs) | $318.99 | $1,382 | $16,587 |
Compare CNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Certified Nursing Assistant (Sioux City) | $19.94 |
| 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 Sioux City, IA earn a median of $41,471 per year (2026 est.), which is 7.86% lower than the national median of $45,007 and 0.70% below the Iowa state average of $41,763.
Certified Nursing Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $19.94/hr = $24,881/year (purchasing power: $28,780).
Working 40h/week (full-time) = $41,469/year (purchasing power: $47,966).
CoL index: 86.454 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$14.08/hr
2025 BLS Actual
$18.72/hr
2026 Current Est.
$19.94/hr
2019–2027 Growth
+50.8%
Hourly Rate Trajectory for Certified Nursing Assistants in Sioux City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $14.08/hr | Actual |
| 2020 | $14.73/hr | Actual |
| 2021 | $14.53/hr | Actual |
| 2022 | $16.86/hr | Actual |
| 2023 | $18.67/hr | Actual |
| 2024 | $18.42/hr | Actual |
| 2025 | $18.72/hr | Actual |
| 2026(current) | $19.94/hr | Estimated |
| 2027 | $21.23/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for certified nursing assistants in Sioux City grew 33.0% from $14.08/hr (2019) to $18.72/hr (2025). At a 6.50% projected growth rate, hourly pay is expected to reach $21.23/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 Sioux City 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 Sioux City
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For certified nursing assistants in Sioux City, part-time employment can yield variable earnings based on available shifts. A CNA working 24 hours a week brings home roughly $23,664 annually, which is an attractive option for those balancing work with other commitments. However, many CNAs are turning to per diem positions to enhance their income potential. Agency CNAs typically see billing rates between $22 and $32 per hour, and in shortage markets, weekend-only contracts can push earnings to $30-$45 per hour. Although opportunities for travel CNA contracts emerged following the pandemic, they are still less common compared to more traditional roles. The type of employer also plays a significant role in determining pay; skilled nursing facilities may offer lower hourly rates than hospitals or hospice care, which generally comes with additional benefits. As such, CNAs often weigh the appeal of higher hourly wages against the stability of employer-provided health insurance. Negotiating for better pay is essential in this landscape; emphasizing experience and availability for challenging shifts can help secure more favorable compensation.
More salary data for Sioux City, IA:
Frequently Asked Questions
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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 Sioux City. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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