CNA Salary

San Francisco vs Visalia: Certified Nursing Assistant Salary (2026)

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

San Francisco, CA
$59,725
$28.71/hr
Visalia, CA
$49,853
$23.97/hr

Side-by-Side Comparison

MetricSan Francisco, CAVisalia, CA
Median Salary$59,725$49,853
Hourly Rate$28.71$23.97
Entry Level (P10)$49,736$41,258
25th Percentile$53,261$46,754
75th Percentile$62,760$52,270
Top Earner (P90)$75,125$58,703
Total Employed11,7901,530
Side-by-side bar chart comparing San Francisco ($59,725) and Visalia ($49,853) certified nursing assistant salaries.San FranciscoVisaliaMedian Salary$59,725$49,853Entry Level (P10)$49,736$41,258Top Earner (P90)$75,125$58,703US Median $45,007

Verdict

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

The salary gap between San Francisco and Visalia is $9,872 (19.80%). San Francisco's median is +32.70% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $25,389,Visalia spans $17,445. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$49,736
P25$53,261
Median$59,725
P75$62,760
P90 (Top)$75,125
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, San Francisco ($51,659 effective) pays 3.44% more than Visalia ($49,940 effective).

San Francisco
Nominal: $59,725
CoL Index: 115.613
Adjusted: $51,659
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 San Francisco if…

  • Higher median salary ($59,725/year)
  • Better top-earner potential ($75,125)
  • Larger job market (11,790 employed)
  • Better purchasing power (CoL-adjusted: $51,659)
  • You prefer the California area and lifestyle

Choose Visalia if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in San Francisco grew 35.4% from 2019 to 2025, compared to 62.0% growth in Visalia over the same period.

San Francisco, CA

+35.4%

$41,410 (2019) → $56,080 (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: San Francisco or Visalia?

San Francisco has a higher median certified nursing assistant salary at $59,725/year, compared to Visalia at $49,853/year — a difference of $9,872 (19.80%).

What is the hourly rate difference between San Francisco and Visalia?

San Francisco certified nursing assistants earn $28.71/hr while Visalia hygienists earn $23.97/hr (2026 est.).

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

Consider more than just salary when comparing San Francisco and Visalia. Factor in cost of living (CoL-adjusted: San Francisco = $51,659, Visalia = $49,940), job availability (11,790 vs 1,530 employed), commute, and career growth potential.

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

Entry-level (10th percentile) certified nursing assistants earn $49,736 in San Francisco and $41,258 in Visalia. The San Francisco 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