Best Cities for Home Health and Personal Care Aidess

Cities ranked by purchasing power — where home health and personal care aidess get the most value from their salary after accounting for cost of living. A score above 1.00 means better than national average.

How we calculate this: City Score = (Local Salary ÷ National Median) ÷ (Local Cost ÷ National Avg Cost). A score of 1.20 means 20% better purchasing power than average.

#	Location	Score	Raw Salary	Adjusted Salary	Rent/Income
1	WashingtonState	1.24	$47,730	$44,483	48%
2	Rhode IslandState	1.21	$43,680	$43,463	41%
3	OregonState	1.20	$44,410	$43,117	43%
4	North DakotaState	1.19	$39,440	$42,592	30%
5	Portland-Vancouver-Hillsboro, OR-WAMetro	1.18	$45,570	$42,273	47%
6	Seattle-Tacoma-Bellevue, WAMetro	1.18	$48,210	$42,178	55%
7	South DakotaState	1.16	$37,740	$41,564	30%
8	KentuckyState	1.15	$36,440	$41,175	32%
9	IowaState	1.13	$36,080	$40,448	32%
10	VermontState	1.13	$41,600	$40,585	41%
11	NebraskaState	1.10	$36,150	$39,508	35%
12	WisconsinState	1.10	$36,340	$39,372	36%
13	IllinoisState	1.09	$38,060	$39,076	41%
14	MinnesotaState	1.09	$38,370	$39,153	40%
15	Minneapolis-St. Paul-Bloomington, MN-WIMetro	1.09	$38,860	$39,055	46%
16	IndianaState	1.08	$35,060	$38,740	36%
17	MaineState	1.08	$38,580	$38,657	40%
18	Detroit-Warren-Dearborn, MIMetro	1.08	$35,120	$38,509	42%
19	AlaskaState	1.06	$39,740	$38,102	41%
20	MichiganState	1.06	$35,000	$37,920	38%
21	MontanaState	1.06	$36,630	$37,998	37%
22	OhioState	1.06	$34,460	$38,119	36%
23	MassachusettsState	1.05	$40,910	$37,705	66%
24	District of ColumbiaState	1.04	$42,700	$37,358	59%
25	MissouriState	1.04	$33,080	$37,336	38%
26	Columbus, OHMetro	1.04	$34,880	$37,305	45%
27	ColoradoState	1.02	$38,540	$36,565	57%
28	New HampshireState	1.02	$38,760	$36,566	49%
29	ArizonaState	1.01	$36,420	$36,095	49%
30	ConnecticutState	1.01	$38,990	$36,236	48%
31	IdahoState	1.01	$34,790	$36,052	41%
32	Boston-Cambridge-Newton, MA-NHMetro	1.01	$40,910	$36,044	75%
33	UtahState	1.00	$35,880	$35,808	50%
34	WyomingState	1.00	$33,190	$35,688	36%
35	Nashville-Davidson--Murfreesboro--Franklin, TNMetro	1.00	$34,380	$35,738	54%
36	Baltimore-Columbia-Towson, MDMetro	0.99	$37,640	$35,577	54%
37	Kansas City, MO-KSMetro	0.99	$32,780	$35,323	47%
38	New YorkState	0.98	$39,620	$35,218	56%
39	TennesseeState	0.98	$32,130	$35,115	47%
40	Charlotte-Concord-Gastonia, NC-SCMetro	0.98	$33,680	$35,157	53%
41	HawaiiState	0.97	$38,110	$34,645	75%
42	KansasState	0.97	$31,260	$34,733	40%
43	MarylandState	0.97	$38,040	$34,835	53%
44	Tampa-St. Petersburg-Clearwater, FLMetro	0.97	$34,210	$34,731	60%
45	DelawareState	0.95	$34,320	$33,980	47%
46	New JerseyState	0.95	$37,090	$34,090	58%
47	Washington-Arlington-Alexandria, DC-VA-MD-WVMetro	0.95	$38,530	$34,158	62%
48	NevadaState	0.94	$33,670	$33,603	52%
49	FloridaState	0.93	$33,800	$33,300	61%
50	West VirginiaState	0.93	$28,010	$33,266	36%
51	North CarolinaState	0.92	$31,240	$33,093	50%
52	South CarolinaState	0.91	$30,110	$32,728	50%
53	ArkansasState	0.90	$27,660	$32,051	38%
54	AlabamaState	0.89	$27,840	$31,963	41%
55	GeorgiaState	0.88	$29,270	$31,338	58%
56	Pittsburgh, PAMetro	0.88	$29,250	$31,622	48%
57	CaliforniaState	0.87	$34,320	$31,003	79%
58	New MexicoState	0.87	$28,520	$31,000	44%
59	OklahomaState	0.87	$27,710	$31,311	42%
60	San Jose-Sunnyvale-Santa Clara, CAMetro	0.87	$37,640	$31,314	100%
61	Atlanta-Sandy Springs-Roswell, GAMetro	0.86	$29,920	$30,909	65%
62	PennsylvaniaState	0.85	$29,420	$30,330	53%
63	Miami-Fort Lauderdale-West Palm Beach, FLMetro	0.85	$32,890	$30,313	74%
64	VirginiaState	0.82	$30,300	$29,275	62%
65	Los Angeles-Long Beach-Anaheim, CAMetro	0.82	$34,320	$29,459	79%
66	Philadelphia-Camden-Wilmington, PA-NJ-DE-MDMetro	0.80	$29,800	$28,792	64%
67	MississippiState	0.79	$23,860	$28,137	45%
68	San Antonio-New Braunfels, TXMetro	0.79	$25,960	$28,217	60%
69	Dallas-Fort Worth-Arlington, TXMetro	0.77	$26,900	$27,675	71%
70	TexasState	0.71	$24,230	$25,345	69%
71	LouisianaState	0.70	$22,520	$24,994	56%

Data Sources: Salary: U.S. Bureau of Labor Statistics (OEWS). Cost of Living: BEA Regional Price Parities (2024). Rent: HUD Fair Market Rents (FY2025).