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Nursing Assistants Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Nursing Assistants salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$38,460
Median annual (2025)
+6.2%
Real Purchasing Power
$40,828
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Nursing Assistants earning $38,460 in North Carolina has the equivalent purchasing power of $40,828 in an average-cost US state.

NC: 94.2
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $30,260 $32,123 +$1,863
25th Percentile (P25) $35,950 $38,163 +$2,213
Median (P50) $38,460 $40,828 +$2,368
75th Percentile (P75) $43,850 $46,549 +$2,699
90th Percentile (P90) $47,080 $49,978 +$2,898
Key Insight

A Nursing Assistants in North Carolina earns $38,460 on paper, but low living costs mean your money goes 6% further — like earning $40,828 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Nursing Assistants is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $38,460 median salary translates to $40,828 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Nursing Assistants.

Bottom-Quartile COL-Adjusted Pay

#42 / 51

North Carolina ranks #42 of 51 — bottom quartile for Nursing Assistants real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Nursing Assistants (After Cost of Living)

Where does Nursing Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$51,657
RPP 88.7
$48,894
RPP 92.3
$47,778
RPP 97.7
4. Nevada
$47,188
RPP 96.4
5. Oregon
$46,744
RPP 106.6
6. Maine
$46,696
RPP 100.8
7. Vermont
$46,617
RPP 101.1
$46,351
RPP 96.2
$46,314
RPP 102.3
10. Alaska
$45,460
RPP 102.0

North Carolina ranks #42 out of 51 states for Nursing Assistants after cost-of-living adjustment.

How much do you actually take home? See Nursing Assistants take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Nursing Assistants in North Carolina after cost of living?

A Nursing Assistants in North Carolina earns a median salary of $38,460 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $40,828 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Nursing Assistants in North Carolina: $38,460 x (100 / 94.2) = $40,828. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Nursing Assistants in North Carolina financially?

From a purchasing power perspective, yes. A Nursing Assistants in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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