Home health aide pay in North Carolina after taxes: what you keep (2026)

The median home health aide in North Carolina earned $30,100 a year in May 2024, which is $14 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 59,880 home health aides the BLS counts in North Carolina earned more than that and half earned less; the middle half of them sat between $27,580 and $34,390. That is the gross figure, before anyone takes anything. What you keep depends on North Carolina's tax, and North Carolina has a flat 4.25% state income tax.

What the median home health aide keeps in North Carolina

For a single filer on the median $30,100, taking the standard deduction and no other adjustments:

The state line is 4.2% of gross at this salary. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where North Carolina ranks for home health aide pay

Of the 50 states, North Carolina ranks 35 of 50 on the gross median for home health aides. The highest-paying state is Washington at $46,140 and the lowest is Louisiana at $21,170. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Across the border

The same job in the states next to North Carolina, gross median and estimated take-home for a single filer:

Tennessee leaves a home health aide with more at the end of the year than North Carolina does. Virginia, South Carolina and Georgia pay less once tax is counted. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.

Where the home health aide jobs are in North Carolina

The BLS count of 59,880 home health aides is statewide. The metros with the most of that work are Charlotte, Raleigh, Greensboro, Durham and Winston-Salem, which is where the median is set and where the upper quartile ($34,390 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the North Carolina openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

What people get wrong about home health aide pay in North Carolina

• Quoting the mean. The BLS mean for North Carolina is $15 an hour, pulled up by the top earners. The median ($14) is what the typical home health aide makes.
• Comparing gross across states. A $30,100 offer in North Carolina is $24,890 in hand; the same number in a no-tax state is $26,169.
• Forgetting the employer's share of insurance. A job that pays $28,100 with full health coverage can beat one that pays $33,100 without it.
• Treating the statewide median as the metro median. Charlotte pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about North Carolina, on one page

The North Carolina page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in North Carolina this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of North Carolina employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Home health aide. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.