CNA Salary

Middletown vs Rochester: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Middletown, NY and Rochester, NY. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, NY
$44,520
$21.41/hr
Rochester, NY
$42,653
$20.51/hr

Side-by-Side Comparison

MetricMiddletown, NYRochester, NY
Median Salary$44,520$42,653
Hourly Rate$21.41$20.51
Entry Level (P10)$38,603$40,545
25th Percentile$39,814$41,897
75th Percentile$49,702$48,000
Top Earner (P90)$53,964$50,907
Total Employed75,130
Side-by-side bar chart comparing Middletown ($44,520) and Rochester ($42,653) certified nursing assistant salaries.MiddletownRochesterMedian Salary$44,520$42,653Entry Level (P10)$38,603$40,545Top Earner (P90)$53,964$50,907US Median $45,007

Verdict

Middletown, NY offers better overall compensation for certified nursing assistants, winning 3 out of 4 metrics compared to Rochester.

The salary gap between Middletown and Rochester is $1,867 (4.38%). Middletown's median is -1.08% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $15,361,Rochester spans $10,362. Middletown has a wider pay range, meaning more potential for high earners but also more variation.

Middletown
P10 (Entry)$38,603
P25$39,814
Median$44,520
P75$49,702
P90 (Top)$53,964
Rochester
P10 (Entry)$40,545
P25$41,897
Median$42,653
P75$48,000
P90 (Top)$50,907

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rochester ($43,956 effective) pays 14.43% more than Middletown ($38,412 effective).

Middletown
Nominal: $44,520
CoL Index: 115.9
Adjusted: $38,412
Rochester
Nominal: $42,653
CoL Index: 97.035
Adjusted: $43,956

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

Which City Is Right for You?

Choose Middletown if…

  • Higher median salary ($44,520/year)
  • Better top-earner potential ($53,964)
  • You prefer the New York area and lifestyle

Choose Rochester if…

  • Larger job market (5,130 employed)
  • Better purchasing power (CoL-adjusted: $43,956)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Middletown grew -15.2% from 2024 to 2025, compared to 32.4% growth in Rochester over the same period.

Middletown, NY

+-15.2%

$49,290 (2024) → $41,803 (2025)

Rochester, NY

+32.4%

$30,240 (2019) → $40,050 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Middletown or Rochester?

Middletown has a higher median certified nursing assistant salary at $44,520/year, compared to Rochester at $42,653/year — a difference of $1,867 (4.38%).

What is the hourly rate difference between Middletown and Rochester?

Middletown certified nursing assistants earn $21.41/hr while Rochester hygienists earn $20.51/hr (2026 est.).

Should I relocate from Middletown to Rochester as a certified nursing assistant?

Consider more than just salary when comparing Middletown and Rochester. Factor in cost of living (CoL-adjusted: Middletown = $38,412, Rochester = $43,956), job availability (7 vs 5,130 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Middletown vs Rochester?

Entry-level (10th percentile) certified nursing assistants earn $38,603 in Middletown and $40,545 in Rochester. The Rochester area offers higher starting salaries.

Related Comparisons

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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