CNA Salary

Sacramento vs Visalia: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Sacramento, CA and Visalia, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$50,598
$24.32/hr
Visalia, CA
$49,853
$23.97/hr

Side-by-Side Comparison

MetricSacramento, CAVisalia, CA
Median Salary$50,598$49,853
Hourly Rate$24.32$23.97
Entry Level (P10)$42,036$41,258
25th Percentile$49,278$46,754
75th Percentile$53,293$52,270
Top Earner (P90)$65,221$58,703
Total Employed5,6501,530
Side-by-side bar chart comparing Sacramento ($50,598) and Visalia ($49,853) certified nursing assistant salaries.SacramentoVisaliaMedian Salary$50,598$49,853Entry Level (P10)$42,036$41,258Top Earner (P90)$65,221$58,703US Median $45,007

Verdict

Sacramento, CA offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Visalia.

The salary gap between Sacramento and Visalia is $745 (1.49%). Sacramento's median is +12.42% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $23,185,Visalia spans $17,445. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.

Sacramento
P10 (Entry)$42,036
P25$49,278
Median$50,598
P75$53,293
P90 (Top)$65,221
Visalia
P10 (Entry)$41,258
P25$46,754
Median$49,853
P75$52,270
P90 (Top)$58,703

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Visalia ($49,940 effective) pays 5.28% more than Sacramento ($47,434 effective).

Sacramento
Nominal: $50,598
CoL Index: 106.67
Adjusted: $47,434
Visalia
Nominal: $49,853
CoL Index: 99.825
Adjusted: $49,940

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($50,598/year)
  • Better top-earner potential ($65,221)
  • Larger job market (5,650 employed)
  • You prefer the California area and lifestyle

Choose Visalia if…

  • Better purchasing power (CoL-adjusted: $49,940)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Sacramento grew 31.8% from 2019 to 2025, compared to 62.0% growth in Visalia over the same period.

Sacramento, CA

+31.8%

$36,060 (2019) → $47,510 (2025)

Visalia, CA

+62.0%

$28,890 (2019) → $46,810 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Sacramento or Visalia?

Sacramento has a higher median certified nursing assistant salary at $50,598/year, compared to Visalia at $49,853/year — a difference of $745 (1.49%).

What is the hourly rate difference between Sacramento and Visalia?

Sacramento certified nursing assistants earn $24.32/hr while Visalia hygienists earn $23.97/hr (2026 est.).

Should I relocate from Sacramento to Visalia as a certified nursing assistant?

Consider more than just salary when comparing Sacramento and Visalia. Factor in cost of living (CoL-adjusted: Sacramento = $47,434, Visalia = $49,940), job availability (5,650 vs 1,530 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Sacramento vs Visalia?

Entry-level (10th percentile) certified nursing assistants earn $42,036 in Sacramento and $41,258 in Visalia. The Sacramento 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