The home health aide hourly rate varies by region and care level; knowing the range helps you budget and compare.
What is the average home health aide hourly rate?
The 2025 national median home health aide rate is about $34 per hour, per Genworth's Cost of Care Survey, with a common range of $25–$40+ per hour. Agency rates run higher than independent caregivers because they include screening, insurance, supervision, payroll, and backup coverage. Companion care often costs a few dollars less per hour, while skilled nursing costs significantly more. Rates have risen steadily in recent years due to caregiver demand and labor shortages, so confirm current local pricing rather than relying on older figures.
What makes the hourly rate higher or lower?
Geography is the biggest factor — coastal and high-cost metro areas often exceed $40 an hour, while parts of the South and Midwest run lower. Other factors include care level (companion vs. personal vs. skilled), agency versus independent hiring, weekend and holiday premiums, shorter visits with minimum-hour requirements, and the local caregiver supply. Long-term contracts or more weekly hours can sometimes lower the effective rate. Call 1-800-MEDIGAP for current rates in your area and help comparing agencies.