CNA Salary

Council Bluffs vs Des Moines: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Council Bluffs, IA and Des Moines, IA. All figures are 2026 estimates projected from BLS 2025 data.

Council Bluffs, IA
$40,338
$19.39/hr
Des Moines, IA
$46,796
$22.50/hr

Side-by-Side Comparison

MetricCouncil Bluffs, IADes Moines, IA
Median Salary$40,338$46,796
Hourly Rate$19.39$22.50
Entry Level (P10)$32,409$37,722
25th Percentile$35,397$39,703
75th Percentile$45,594$49,310
Top Earner (P90)$48,715$53,921
Total Employed124,660
Side-by-side bar chart comparing Council Bluffs ($40,338) and Des Moines ($46,796) certified nursing assistant salaries.Council BluffsDes MoinesMedian Salary$40,338$46,796Entry Level (P10)$32,409$37,722Top Earner (P90)$48,715$53,921US Median $45,007

Verdict

Des Moines, IA offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Council Bluffs.

The salary gap between Council Bluffs and Des Moines is $6,458 (16.01%). Des Moines's median is +3.97% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Council Bluffs spans $16,306,Des Moines spans $16,199. Council Bluffs has a wider pay range, meaning more potential for high earners but also more variation.

Council Bluffs
P10 (Entry)$32,409
P25$35,397
Median$40,338
P75$45,594
P90 (Top)$48,715
Des Moines
P10 (Entry)$37,722
P25$39,703
Median$46,796
P75$49,310
P90 (Top)$53,921

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($51,031 effective) pays 14.36% more than Council Bluffs ($44,622 effective).

Council Bluffs
Nominal: $40,338
CoL Index: 90.4
Adjusted: $44,622
Des Moines
Nominal: $46,796
CoL Index: 91.701
Adjusted: $51,031

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Council Bluffs if…

  • You prefer the Iowa area and lifestyle

Choose Des Moines if…

  • Higher median salary ($46,796/year)
  • Better top-earner potential ($53,921)
  • Larger job market (4,660 employed)
  • Better purchasing power (CoL-adjusted: $51,031)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Council Bluffs grew 20.5% from 2024 to 2025, compared to 41.6% growth in Des Moines over the same period.

Council Bluffs, IA

+20.5%

$31,429 (2024) → $37,876 (2025)

Des Moines, IA

+41.6%

$31,030 (2019) → $43,940 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Council Bluffs or Des Moines?

Des Moines has a higher median certified nursing assistant salary at $46,796/year, compared to Council Bluffs at $40,338/year — a difference of $6,458 (16.01%).

What is the hourly rate difference between Council Bluffs and Des Moines?

Council Bluffs certified nursing assistants earn $19.39/hr while Des Moines hygienists earn $22.50/hr (2026 est.).

Should I relocate from Council Bluffs to Des Moines as a certified nursing assistant?

Consider more than just salary when comparing Council Bluffs and Des Moines. Factor in cost of living (CoL-adjusted: Council Bluffs = $44,622, Des Moines = $51,031), job availability (12 vs 4,660 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Council Bluffs vs Des Moines?

Entry-level (10th percentile) certified nursing assistants earn $32,409 in Council Bluffs and $37,722 in Des Moines. The Des Moines area offers higher starting salaries.
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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.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

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