CNA Salary

Certified Nursing Assistant Salary in South Dakota: $41,492 (2026)

Quick Answer:Across South Dakota's 11 metropolitan areas, the average median certified nursing assistant pay sits at $41,492/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 31-1131. Because South Dakota sits at BEA RPP 92.8 (7% below the U.S. baseline), that statewide median translates to roughly $44,711 in nationally-comparable purchasing power. Highest-paying metros: Sioux Falls ($39,190), Rapid City ($38,500), Watertown ($37,709).

Certified Nursing Assistant Salary in South Dakota - 2025 BLS Data Infographic
South Dakota certified nursing assistant salary overview (2026)
$41,492
Avg Median Salary
$19.95
Avg Hourly Rate
4,255
Metro Employed
11
Cities

The average median salary for certified nursing assistants in South Dakota is projected at $41,491 in 2026, which is approximately 7.8% lower than the national median of $45,007. Among various cities, Sioux Falls offers the highest salary at $41,737, while Huron has the lowest at $38,518, creating a salary gap of $3,219. This difference often arises from local cost of living, demand for healthcare services, and the presence of larger healthcare facilities in metro areas. In South Dakota, certified nursing assistants are required to complete a state-approved training program and pass a competency exam to obtain licensure. Their scope of practice may vary, but generally includes providing basic care to patients, assisting with daily activities, and supporting nursing staff. The state currently employs 4,255 certified nursing assistants, and the job market outlook remains positive with an anticipated growth rate of 6.50% annually. Key factors driving demand in South Dakota include an aging population and increased emphasis on healthcare access, particularly in rural areas. As the workforce continues to evolve, certified nursing assistants will play a crucial role in meeting the healthcare needs of the community.

South Dakota Certified Nursing Assistant Salary Range

Entry Level (10th %ile)
$34,795
avg across 11 cities
Median
$41,492
state average
Top Earners (90th %ile)
$48,874
avg across 11 cities

Overall salary range in South Dakota: $31,973 (lowest entry-level) to $49,097 (highest top earner)

South Dakota vs National Average

South Dakota
$41,492
National Median
$45,007

South Dakota certified nursing assistants earn 7.81% less than the national median ($-3,515/year difference).

South Dakota Certified Nursing Assistant Salary Distribution (2026)

Vertical bar chart showing South Dakota certified nursing assistant salary percentiles: 10th percentile $34,795, 25th $39,372, Median $41,492, 75th $46,570, 90th $48,874. US national median is $45,007.$13.7K$27.4K$41.1K$54.7K$34.8K10thEntry Level$39.4K25thEarly Career$41.5KMedianMid Career$46.6K75thExperienced$48.9K90thTop EarnerUS Median $45.0K

Certified Nursing Assistant salaries in South Dakota range from $34,795 (entry-level, 10th percentile) to $48,874 (top earners, 90th percentile), with a median of $41,492. The South Dakota median is $3,515 below the US national median of $45,007. The average hourly rate is $19.95/hr. Approximately 4,255 certified nursing assistants are employed across 11 cities.

2019 BLS Actual

$28,393

2025 BLS Actual

$38,959

2026 Current Est.

$41,492

2019–2027 Growth

+55.6%

Salary Trajectory for Certified Nursing Assistants in South 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 South Dakota. Baseline $28,393 in 2025, projected to $44,189 by 2027.$25.2K$30.8K$36.3K$41.8K$47.3K2019202020212022202320242025202620272025 BLS$28.4K$29.2K$29.1K$31.0K$34.7K$37.8K$39.0K$41.5K$44.2K
YearAnnual SalaryStatus
2019$28,393Actual
2020$29,243Actual
2021$29,131Actual
2022$30,963Actual
2023$34,691Actual
2024$37,769Actual
2025$38,959Actual
2026(current)$41,492Estimated
2027$44,189Projected

Based on 7 years of BLS OEWS data for the South Dakota metropolitan area, the median certified nursing assistant salary grew 37.2% from $28,393 (2019) to $38,959 (2025). At a 6.50% compound annual growth rate, salaries are projected to reach $44,189 by 2027 — a total increase of $15,796 (55.63%) from 2019.

Note: Historical values (20192025) are actual BLS OEWS figures for the South 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 South Dakota

#1
Sioux Falls
2,930 employed · $20.06/hr
$41,737
+0.59% vs avg
#2
Rapid City
1,280 employed · $19.71/hr
$41,003
-1.18% vs avg
#3
Watertown
6 employed · $19.31/hr
$40,160
-3.21% vs avg
#4
Yankton
4 employed · $19.30/hr
$40,147
-3.24% vs avg
#5
Spearfish
5 employed · $19.26/hr
$40,047
-3.48% vs avg

Lowest Paying Cities in South Dakota

CityMedian Salary
Huron$38,518
Vermillion$38,577
Brookings$38,586
Pierre$39,240
Aberdeen$39,691

Best Value Cities for Certified Nursing Assistants in South Dakota

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

CityNominal SalaryCoL IndexAdjusted Salary
Sioux Falls$41,73790.631$46,052
Rapid City$41,00389.16$45,988
Watertown$40,16092.8$43,276
Yankton$40,14792.8$43,262
Spearfish$40,04792.8$43,154

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

Salary by Experience Level in South Dakota

Experience LevelEstimated Annual
Entry Level (0-2 years)$34,795
Mid Career (3-7 years)$41,492
Experienced (7+ years)$48,874

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

All 11 Cities in South Dakota

#CityMedian Salary
1Sioux Falls$41,737
2Rapid City$41,003
3Watertown$40,160
4Yankton$40,147
5Spearfish$40,047
6Mitchell$39,758
7Aberdeen$39,691
8Pierre$39,240
9Brookings$38,586
10Vermillion$38,577
11Huron$38,518

More South Dakota Salary Data

Hourly Rates

Explore certified nursing assistant hourly pay in South 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 South Dakota in 2026?

The average median certified nursing assistant salary in South Dakota is $41,492/year across 11 metro areas, based on estimated 2026 (projected from 2025 BLS data). Salaries range from $38,518 in Huron to $41,737 in Sioux Falls. This makes South Dakota 7.81% below the national median of $45,007. The state employs approximately 4,255 certified nursing assistants.

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

Sioux Falls offers the highest certified nursing assistant salary in South Dakota at $41,737/year ($20.06/hr), based on estimated 2026 (projected from 2025 BLS data). The top 3 highest-paying cities are Sioux Falls ($41,737), Rapid City ($41,003), Watertown ($40,160). 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 South Dakota certified nursing assistant pay compare to the national average?

South Dakota's average certified nursing assistant salary of $41,492 is 7.81% below the national median of $45,007 in 2026. The state employs approximately 4,255 certified nursing assistants across 11 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 South Dakota?

Entry-level certified nursing assistants (10th percentile) in South Dakota earn approximately $34,795/year on average, based on estimated 2026 (projected from 2025 BLS data). Starting salaries range from $31,973 in lower-paying areas to $38,649 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 South Dakota?

South Dakota employs approximately 4,255 certified nursing assistants across 11 metropolitan areas, based on the latest BLS data. Job availability varies by metro area, with larger cities offering more opportunities. Demand continues to grow as the nursing field expands and the population ages.

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

When adjusted for cost of living, Sioux Falls offers the highest purchasing power for certified nursing assistants in South Dakota, with an adjusted salary of $46,052 (nominal: $41,737, CoL index: 90.631). This means your dollar goes 10% 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 South Dakota. State averages are employment-weighted across 11 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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