Nursing Assistants, Orderlies, and Psychiatric Aides earn $41,970 median salary in 2025
The median annual salary for Nursing Assistants, Orderlies, and Psychiatric Aides in the U.S. is $41,970, according to the Bureau of Labor Statistics. That works out to roughly $20 per hour. The typical pay range runs from $33,820 at the 10th percentile to $52,230 at the 90th. With over 1.5 million people employed in these roles, it's one of the largest healthcare support occupations.
How much Nursing Assistants, Orderlies, and Psychiatric Aides earn
The national mean salary for the occupation is $42,700, meaning half earn more and half less. The bottom 10% make about $33,820 or less; the top 10% earn $52,230 or more. These figures are from the BLS Occupational Employment and Wage Statistics (OEWS) and reflect base pay, not overtime or benefits.
Pay varies by setting. Nursing assistants in hospitals may earn more than those in nursing care facilities, though the BLS does not provide precise breakdowns for this specific occupation group. Experience and shift differentials also boost earnings.
- Median: $41,970 per year
- Mean: $42,700
- 10th percentile: $33,820
- 90th percentile: $52,230
- Employment: 1,536,870
Pay by state
The BLS does not publish specific highest- and lowest-paying states for this occupation in the most recent data. However, in general, states with higher costs of living (like California, New York, and Massachusetts) tend to pay nursing assistants more, while Southern and Plains states often pay less. To see current state-level data, check the BLS OEWS interactive map.
How to become a Nursing Assistant, Orderly, or Psychiatric Aide
The path varies by title. Nursing assistants typically need a state-approved training program and must pass a competency exam to obtain certification (CNA). Most programs take 4–12 weeks and are offered at community colleges, technical schools, and some healthcare facilities. Orderlies usually need a high school diploma and receive on-the-job training. Psychiatric aides often require a high school diploma, but some employers prefer a certificate or associate degree in psychiatric or mental health technology. All roles require passing a background check and may require CPR certification.
Key steps: complete a state-approved CNA program (if that's your target), pass the certification exam, get added to the state nurse aide registry. For orderlies or psychiatric aides, apply directly with a high school diploma and be prepared for on-the-job training.
- Nursing Assistant: state-approved CNA program (4-12 weeks) + certification exam + registry
- Orderly: high school diploma + on-the-job training
- Psychiatric Aide: high school diploma (or certificate/associate degree) + on-the-job training
- All: background check, CPR certification often required
Job outlook
Projected growth for Nursing Assistants, Orderlies, and Psychiatric Aides from 2024 to 2034 is not available from the BLS. However, the broader category of nursing assistants and orderlies is typically projected to grow about as fast as average due to an aging population and increased demand for healthcare services. Actual job prospects should be favorable, especially for those with certification and experience.
Frequently asked questions
What is the hourly wage for Nursing Assistants, Orderlies, and Psychiatric Aides?
The mean hourly wage is about $20 per hour, based on the BLS mean annual salary of $42,700. Wages vary by location and experience.
Do you need a degree to become a nursing assistant?
No. Nursing assistants need a state-approved training program (not a degree) and must pass a certification exam. Programs typically last 4-12 weeks. Orderlies and psychiatric aides usually need only a high school diploma.
How long does it take to get certified as a CNA?
Most CNA programs take between 4 and 12 weeks, depending on whether they are full- or part-time. After completing the course, you must pass the state certification exam.
Salary figures are U.S. Bureau of Labor Statistics estimates (OEWS / Employment Projections). For informational purposes only; not career or financial advice. See the full Nursing Assistants, Orderlies, and Psychiatric Aides data.