Nursing Assistant salary in Roanoke, VA
Nursing Assistants in the Roanoke, VA metro area earn a median of $38,960 a year ($18.73 an hour), based on BLS data for 2,430 workers.
Pay ranges from $35,280 for the lowest-paid 10% to $46,370 for the top 10%. That is 8% lower than the national median of $42,260. Pay here is 10% lower than the Virginia statewide median of $43,200. There are 16 nursing assistants per 1,000 jobs here — the job is 1.7× more common than nationally. The average (mean) salary is $40,190, above the median because a few high earners pull it up.
Pay range for nursing assistants in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $35,280 | $16.96 |
| 25th percentile | $36,400 | $17.50 |
| Median | $38,960 | $18.73 |
| 75th percentile | $44,200 | $21.25 |
| 90th percentile (top earners) | $46,370 | $22.29 |
| Average (mean) | $40,190 | $19.32 |
Half of nursing assistants earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $3,246.67 |
| Semi-monthly (24 a year) | $1,623.33 |
| Biweekly (26 a year) | $1,498.46 |
| Weekly | $749.23 |
| Hourly | $18.73 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Nursing Assistant salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $45,730 | 25,520 |
| Charlottesville, VA | $44,140 | 1,610 |
| Lynchburg, VA | $43,660 | 1,300 |
| Richmond, VA | $42,720 | 6,660 |
| Staunton-Stuarts Draft, VA | $42,490 | 640 |
| Winchester, VA-WV | $39,970 | 810 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $38,990 | 8,110 |
| Harrisonburg, VA | $38,830 | 540 |
| Blacksburg-Christiansburg-Radford, VA | $37,850 | 760 |
| Kingsport-Bristol, TN-VA | $37,550 | 1,400 |
Highest-paying states for nursing assistants
| State | Median salary |
|---|---|
| Oregon | $49,830 |
| Washington | $49,180 |
| New York | $48,590 |
| New Hampshire | $47,870 |
| District of Columbia | $47,700 |
| California | $47,630 |
| Colorado | $47,380 |
| Vermont | $47,130 |
| Maine | $47,070 |
| New Jersey | $46,830 |
See Nursing Assistant pay in every state or the Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Home Health and Personal Care Aides | $27,540 | $13.24 |
| Medical Assistant | $37,780 | $18.16 |
| Dental Assistant | $45,170 | $21.72 |
| Veterinary Assistants and Laboratory Animal Caretakers | $35,410 | $17.02 |
| Phlebotomist | $46,380 | $22.30 |
| Physical Therapist Assistant | $67,140 | $32.28 |
| Healthcare Support Workers, All Other | $46,020 | $22.13 |
| Massage Therapist | $63,070 | $30.32 |
| Occupational Therapy Assistant | $72,870 | $35.03 |
| Medical Transcriptionist | $29,870 | $14.36 |
More: Healthcare Support Occupations · all salaries in Roanoke, VA
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 31-1131. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a nursing assistant make in Roanoke, VA?
The median salary for nursing assistants in the Roanoke, VA metro area is $38,960 a year, or $18.73 an hour. Pay ranges from $35,280 for the lowest-paid 10% to $46,370 for the top 10%.
How much do the highest-paid nursing assistants make in Roanoke, VA?
The top 10% of nursing assistants in the Roanoke, VA metro area earn at least $46,370 a year. The top 25% earn $44,200 or more.
What is the starting pay for nursing assistants in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $35,280 a year, and a quarter of nursing assistants earn $36,400 or less.
How many nursing assistants work in Roanoke, VA?
About 2,430 nursing assistants are employed in the Roanoke, VA metro area, not counting the self-employed.