How Much Does a Home Health Aide Make in North Dakota in 2026?

A typical Home Health Aide in North Dakota earns about $18.96 per hour ($39,440 per year), per the latest government wage data (May 2025). Broken down into shorter pay intervals calculated from the annual figure, this represents roughly $3,287 per month or $758 per week. These earnings reflect steady full-time compensation across residential and home care settings throughout the state.

Statewide pay sits 10% above the national typical figure of $35,800 annually, or $17.21 hourly. North Dakota ranks 9th among all 51 states and territories for caregiver compensation. The state supports an overall workforce of 7,730 aides providing personal care and routine medical assistance.

Entry-level positions in North Dakota typically offer around $17.41 per hour, which equals approximately $36,220 annually. Workers in the early stages often see base wages rise toward $17.84 hourly and $37,110 annually as they master daily care routines. Most caregivers move toward the typical state figure within a few years of continuous service.

Experienced aides often earn upwards of $22.02 hourly or $45,800 annually, while the top 10% make over $23.65 per hour ($49,190 per year). This progression creates an overall entry-to-top spread of $12,970. Varied work settings, specialized client certifications, and local living costs create these wage separations over time.

The record shows that typical compensation stood at $33,140 in 2019 before rising to $39,440 by 2025. This progression generated a dollar gain of $6,300 over that multi-year span. That change represents an overall increase of 19% across the six-year tracking window.

By comparison, the national typical figure rose 42% over the same broader decade span. For individuals entering the field today, local historical trends confirm that baseline wages have steadily moved upward. Wage adjustments remain subject to agency budgets and broader economic conditions.

Pay runs highest in Grand Forks, where aides see typical compensation of $19.75 per hour ($41,080 annually). That rate sits 4% above the overall state benchmark. Bismarck follows closely behind with typical annual pay of $38,850, corresponding to an hourly rate of $18.68 across 1,680 local positions.

The lowest-paying market is Minot, where aides earn $17.72 hourly or $36,860 annually across 880 positions, producing a statewide city spread of $4,220. Fargo employs the largest caregiver workforce with 3,130 positions at $18.23 hourly ($37,910 annually). Government city figures cover each city's full metro area, where lower pay often tracks lower local living costs.

North Dakota delivers higher typical caregiver earnings than all three bordering states. Minnesota offers typical annual compensation of $38,370, which sits 3% lower than North Dakota. South Dakota pays 4% lower at $37,740 per year, while Montana records typical earnings of $36,630 annually, trailing North Dakota by 7%. Caregivers considering regional career mobility should note that credentials in one jurisdiction can often be transferred or endorsed into an adjacent state.

North Dakota Home Health Aides currently earn a typical annual salary of $39,440, reflecting a 19% rise since 2019. Prospective caregivers can review the state licensing or registry page for exact training requirements. In addition, consulting individual city pages helps clarify specific local earnings and employer needs across the region.