CNA Salary

Certified Nursing Assistant Salary in North Dakota: $45,388 (2026)

Quick Answer:Across North Dakota's 8 metropolitan areas, the average median certified nursing assistant pay sits at $45,388/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 31-1131. Because North Dakota sits at BEA RPP 92.0 (8% below the U.S. baseline), that statewide median translates to roughly $49,335 in nationally-comparable purchasing power. Highest-paying metros: Bismarck ($46,720), Grand Forks ($45,740), Fargo ($39,940).

Certified Nursing Assistant Salary in North Dakota - 2025 BLS Data Infographic
North Dakota certified nursing assistant salary overview (2026)
$45,388
Avg Median Salary
$21.82
Avg Hourly Rate
5,057
Metro Employed
8
Cities

In North Dakota, salaries for certified nursing assistants (CNAs) are slightly above the national average, with a projected average median salary of $45,388 in 2026, compared to the national median of $45,007, marking an increase of 0.8%. The highest paying city for CNAs is Bismarck, where salary projections reach $49,757, while Mandan presents the lowest projected earnings at $38,699, resulting in a salary gap of $11,058. This difference can be attributed to local demand, the cost of living, and specific healthcare facility requirements in each city. State licensing requirements in North Dakota necessitate CNAs to complete a state-approved training program and pass a certification exam. The demand for CNAs is expected to grow at an annual rate of 6.50%, reflecting a consistent increase in the need for healthcare services driven by an aging population and an expanding healthcare sector. The job market for CNAs is strong, with a total of 5,057 employed in the state across eight metro areas. Other cities of note include Grand Forks at $48,713, Fargo at $42,536, West Fargo at $40,693, and Dickinson at $40,487. These projections indicate a favorable outlook for individuals entering this profession in North Dakota.

North Dakota Certified Nursing Assistant Salary Range

Entry Level (10th %ile)
$36,724
avg across 8 cities
Median
$45,388
state average
Top Earners (90th %ile)
$52,880
avg across 8 cities

Overall salary range in North Dakota: $32,498 (lowest entry-level) to $54,102 (highest top earner)

North Dakota vs National Average

North Dakota
$45,388
National Median
$45,007

North Dakota certified nursing assistants earn 0.85% more than the national median (+$381/year difference).

North Dakota Certified Nursing Assistant Salary Distribution (2026)

Vertical bar chart showing North Dakota certified nursing assistant salary percentiles: 10th percentile $36,724, 25th $38,951, Median $45,388, 75th $51,027, 90th $52,880. US national median is $45,007.$14.8K$29.6K$44.4K$59.2K$36.7K10thEntry Level$39.0K25thEarly Career$45.4KMedianMid Career$51.0K75thExperienced$52.9K90thTop EarnerUS Median $45.0K

Certified Nursing Assistant salaries in North Dakota range from $36,724 (entry-level, 10th percentile) to $52,880 (top earners, 90th percentile), with a median of $45,388. The North Dakota median is $381 above the US national median of $45,007. The average hourly rate is $21.82/hr. Approximately 5,057 certified nursing assistants are employed across 8 cities.

2019 BLS Actual

$33,726

2025 BLS Actual

$42,618

2026 Current Est.

$45,388

2019–2027 Growth

+43.3%

Salary Trajectory for Certified Nursing Assistants in North Dakota (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.

BLS Actual Estimated Projected
Salary trajectory chart for certified nursing assistants in North Dakota. Baseline $33,726 in 2025, projected to $48,339 by 2027.$30.8K$35.9K$41.0K$46.1K$51.3K2019202020212022202320242025202620272025 BLS$33.7K$35.0K$36.8K$37.9K$41.1K$41.8K$42.6K$45.4K$48.3K
YearAnnual SalaryStatus
2019$33,726Actual
2020$35,019Actual
2021$36,777Actual
2022$37,939Actual
2023$41,142Actual
2024$41,750Actual
2025$42,618Actual
2026(current)$45,388Estimated
2027$48,339Projected

Based on 7 years of BLS OEWS data for the North Dakota metropolitan area, the median certified nursing assistant salary grew 26.4% from $33,726 (2019) to $42,618 (2025). At a 6.50% compound annual growth rate, salaries are projected to reach $48,339 by 2027 — a total increase of $14,613 (43.33%) from 2019.

Note: Historical values (20192025) are actual BLS OEWS figures for the North Dakota metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Top 5 Highest Paying Cities in North Dakota

#1
Bismarck
1,430 employed · $23.92/hr
$49,757
+9.63% vs avg
#2
Grand Forks
930 employed · $23.42/hr
$48,713
+7.33% vs avg
#3
Fargo
2,240 employed · $20.45/hr
$42,536
-6.28% vs avg
#4
West Fargo
10 employed · $19.56/hr
$40,693
-10.34% vs avg
#5
Dickinson
4 employed · $19.47/hr
$40,487
-10.80% vs avg

Lowest Paying Cities in North Dakota

CityMedian Salary
Mandan$38,699
Minot$38,873
Williston$39,510
Dickinson$40,487
West Fargo$40,693

Best Value Cities for Certified Nursing Assistants in North Dakota

When adjusted for local cost of living, these North Dakota cities offer the most purchasing power for certified nursing assistants.

CityNominal SalaryCoL IndexAdjusted Salary
Grand Forks$48,71386.663$56,210
Bismarck$49,75791.024$54,664
Fargo$42,53690.871$46,809
Minot$38,87387.028$44,667
West Fargo$40,69392$44,232

Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.

Salary by Experience Level in North Dakota

Experience LevelEstimated Annual
Entry Level (0-2 years)$36,724
Mid Career (3-7 years)$45,388
Experienced (7+ years)$52,880

Estimates based on BLS percentile data averaged across North Dakota metro areas. Individual pay varies by employer, certifications, and specialization.

All 8 Cities in North Dakota

#CityMedian Salary
1Bismarck$49,757
2Grand Forks$48,713
3Fargo$42,536
4West Fargo$40,693
5Dickinson$40,487
6Williston$39,510
7Minot$38,873
8Mandan$38,699

More North Dakota Salary Data

Hourly Rates

Explore certified nursing assistant hourly pay in North Dakota cities.

Entry Level

Starting salaries for new certified nursing assistants.

Senior / Experienced

Top earner salaries for experienced certified nursing assistants.

Explore More Certified Nursing Assistant Salary Data

Frequently Asked Questions

How much do certified nursing assistants make in North Dakota in 2026?

The average median certified nursing assistant salary in North Dakota is $45,388/year across 8 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $38,699 in Mandan to $49,757 in Bismarck. This makes North Dakota one of the higher-paying states, at 0.85% above the national median of $45,007. The state employs approximately 5,057 certified nursing assistants.

What is the highest paying city for certified nursing assistants in North Dakota?

Bismarck offers the highest certified nursing assistant salary in North Dakota at $49,757/year ($23.92/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Bismarck ($49,757), Grand Forks ($48,713), Fargo ($42,536). Higher pay in these metros is typically driven by cost of living, demand for nursing services, and competition among employers for licensed certified nursing assistants.

How does North Dakota certified nursing assistant pay compare to the national average?

North Dakota's average certified nursing assistant salary of $45,388 is 0.85% above the national median of $45,007 in 2026. The state employs approximately 5,057 certified nursing assistants across 8 metropolitan areas. When comparing salaries, consider cost-of-living differences — a lower nominal salary in an affordable area may provide better purchasing power than a higher salary in an expensive metro.

What is the entry-level certified nursing assistant salary in North Dakota?

Entry-level certified nursing assistants (10th percentile) in North Dakota earn approximately $36,724/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $32,498 in lower-paying areas to $38,383 in the highest-paying metros. New graduates should expect salaries at the lower end and can typically reach the area median within 3–5 years of clinical experience.

How many certified nursing assistants are employed in North Dakota?

North Dakota employs approximately 5,057 certified nursing assistants across 8 metropolitan areas, based on the latest BLS data. This makes North Dakota one of the larger employers of certified nursing assistants nationally. Demand continues to grow as the nursing field expands and the population ages.

Which North Dakota city offers the best value for certified nursing assistants?

When adjusted for cost of living, Grand Forks offers the highest purchasing power for certified nursing assistants in North Dakota, with an adjusted salary of $56,210 (nominal: $48,713, CoL index: 86.663). This means your dollar goes 15% further compared to the national average, making it an attractive option for maximizing real income.
EC

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

Statewide salary 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 each metro area's reported salary to estimate current 2026 certified nursing assistant compensation across North Dakota. State averages are employment-weighted across 8 metro areas — larger metro areas with more certified nursing assistantscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.

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

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