The national average hourly rate for Home Care Aide III/CNAs in home health agencies increased 4.93% in 2025, according to the 2025-2026 Home Care Salary & Benefits Report, just published by Hospital & Healthcare Compensation Service (HCS). The Report is supported by LeadingAge + VNAA, as well as the National Alliance for Care at Home.

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The national average hourly rate for HCA III/CNAs increased 4.93% in 2025, up from the 2024 increase of 4.86% (hourly increase represent the percent increase from the same group of participants who submitted data for both the prior/current years’ study). The average sign-on bonus for HCAs increased to $2,304 in 2025, up from $2,129 in 2024. These continued pay increases for Home Care Aides/CNAs, along with increased sign-on bonuses for new hires, are helping agencies reduce turnover rates, with turnover rates for Home Care Aides/CNAs decreasing from 36.31% in 2024 to 34.17% in 2025.

1,111 home health agencies participated in the study. The complete 180+ page Report contains 59 jobs and covers salaries, bonuses, and hourly & per visit rates. Data include the 10^th, 25^th, 50^th, 75^th, 90^th average, total number of employees, and total number of agencies. Data are reported by state, CBSA, region, agency type, and revenue size. Also included are 20 fringe benefits, actual/planned percent increases, turnover/vacancy rates, shift differentials, caseload/productivity, and hourly vs per visit pay modes.