This document discusses factors that affect the pay for certified nursing assistants (CNAs), including location, education, experience, and employer. Location has a significant impact, as the average salary for a CNA in New York is $33,400 compared to $26,400 in Iowa due to differences in cost of living. Education level and training can increase pay up to $30,000 for a CNA with more education. Experience also leads to higher earnings over time. Employers such as hospitals generally pay more at $11-15 per hour compared to $10-13 at nursing homes and private care centers. On average nationally, the annual wage for CNAs is $26,820 or $12.90 per