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Home Health Aide.

Houston.

$34,000

median salary, 3% below the national average

$29,000 to $37,000. Last updated August 2026.

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Home Health Aide pay in Houston ranges from $29,000 to $37,000 in 2026. The median is $34,000, 3% below the national average. Houston's economy is deeply rooted in energy, with a growing presence in healthcare, aerospace, and technology. Every dollar in that range is negotiable if you come prepared. These figures are Orbyt estimates, computed rather than measured, and must not be cited as Bureau of Labor Statistics figures; the published BLS wage for the occupation this role maps to is shown separately on this page.

Salary range.

25th Percentile

$29,000

per year

Median

$34,000

per year

75th Percentile

$37,000

per year

Where do you fall?

$29,000$37,000

Orbyt estimate for Home Health Aide in Houston, modelled from national occupation wages adjusted for local cost of living. The published government benchmark for this occupation is below.

Government benchmark for this occupation

The US Bureau of Labor Statistics reports a median annual wage of $23,440 for Home Health and Personal Care Aides (SOC 31-1120) in the Houston-Pasadena-The Woodlands, TX metropolitan area, based on 63,820 employed workers (May 2025 release).

10th percentile

$22,240

25th percentile

$22,710

Median

$23,440

75th percentile

$27,780

90th percentile

$31,920

Workers surveyed

63,820

Why this differs from the estimate above. The Orbyt estimate of $34,000 is 45% higher than this published figure. That is usually not an error in either number: BLS reports by occupation code, and Home Health and Personal Care Aides covers a different population than the Home Health Aide title as it is typically advertised. Both are shown, unreconciled, so you can judge which one describes the job you mean.

BLS publishes wages by occupation code, not by job title, so this figure covers every role mapped to Home Health and Personal Care Aides (SOC 31-1120) rather than Home Health Aide specifically. The Houston range at the top of this page is Orbyt’s role-level estimate, which is a different thing and is labelled as such.

View the BLS source for SOC 31-1120

Salary by experience.

The gap between entry and lead level is typically $31,000. Where you land depends on years of experience and what you bring to the table.

Entry (0-2 yrs)

$22,000

to $27,000

Mid (3-5 yrs)

$29,000

to $36,000

Senior (6-9 yrs)

$37,000

to $44,000

Lead (10+ yrs)

$43,000

to $53,000

Total compensation.

Base salary is not the full picture. Equity, bonus, and signing can add $8,000 to the total package.

Base

$34,000

Equity

$4,000

Bonus

$3,000

Signing

$1,000

Estimated total: $42,000

How Houston compares.

Houston, TX

$34,000

Cost of living: 3% below average

National Average

$35,000

Houston is $1,000 below

Home Health Aide salary by city.

Home Health Aide salary comparison across 10 cities
CityMedianRangeCOLAdjusted
San Francisco, CA$49,000$42,000 to $53,0001.35x$36,000
San Jose, CA$48,000$41,000 to $52,0001.38x$35,000
Honolulu, HI$46,000$39,000 to $49,0001.30x$35,000
New York, NY$45,000$39,000 to $49,0001.28x$35,000
Boston, MA$44,000$38,000 to $48,0001.22x$36,000
Seattle, WA$43,000$37,000 to $47,0001.24x$35,000
Los Angeles, CA$42,000$36,000 to $46,0001.18x$36,000
San Diego, CA$42,000$36,000 to $46,0001.17x$36,000
Washington DC, DC$42,000$36,000 to $46,0001.25x$34,000
Houston, TX$34,000$29,000 to $37,0000.97x$35,000

See all 81 cities for Home Health Aide →

Salary by role in Houston.

Salary comparison by role in Houston
RoleMedianRange
CTO$285,000$222,000 to $371,000
CEO$269,000$196,000 to $372,000
General Counsel$263,000$205,000 to $342,000
Welder$48,000$44,000 to $59,000
Pharmacy Technician$43,000$37,000 to $48,000
Customer Service Representative$43,000$36,000 to $50,000
Medical Assistant$41,000$35,000 to $45,000
Home Health Aide$34,000$29,000 to $37,000

What you should know.

Before you negotiate a Home Health Aide offer in Houston, understand the terrain. Houston's economy is deeply rooted in energy, with a growing presence in healthcare, aerospace, and technology. The Texas Medical Center is the world's largest, driving massive demand for clinical and research roles. Houston's low cost of living and no state income tax make it an attractive destination for professionals seeking strong purchasing power. State minimum wage laws and Medicaid reimbursement rates are the primary salary drivers. Aides with specialized training in dementia care or wound care earn higher rates. Urban areas with higher cost of living pay more, and agencies offering benefits packages tend to attract experienced aides at premium hourly rates.

New home health aides start at $27,000 to $30,000 with basic certification. Experienced aides with specialty skills earn $33,000 to $38,000 after three to five years. Senior aides who advance to CNA or LPN roles can reach $42,000 to $55,000 with additional licensure. In Houston, cost of living sits near the national average, so the numbers you see are roughly what you keep.

Base salary is not the full picture. Benefits vary widely by employer, with agency-employed aides more likely to receive health insurance, paid time off, and mileage reimbursement. Some states mandate paid sick leave and overtime protections that effectively increase total compensation. And on the tax side: texas has no state income tax, giving Houston workers strong take home pay. The city's overall cost of living is below the national average, further stretching your salary. When someone quotes you $34,000, ask what the total package looks like. The gap between base and total comp is where real money hides.

On negotiation: Emphasize industry specialization in energy or healthcare. Houston employers pay significant premiums for domain expertise in these sectors over generalist candidates. The range for Home Health Aides in Houston runs from $29,000 to $37,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.

Sources: BLS OES, H-1B LCA (DOL). COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified July 1, 2026. Full methodology

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$

25th

$29,000

Median

$34,000

75th

$37,000

Considering a related role?

  • A Medical Assistant in Houston earns $41,000 (21% more)
  • The highest-paying role in Houston is CTO at $285,000

Common questions.

Most agency-employed aides receive mileage reimbursement at the IRS standard rate, adding $2,000 to $5,000 annually. Some agencies also compensate for travel time between clients, which can meaningfully increase effective hourly earnings.

States like Massachusetts, Washington, California, and New York pay the highest wages due to higher minimum wages and Medicaid reimbursement rates. Aides in these states can earn $36,000 to $45,000 annually compared to $26,000 to $30,000 in lower-cost states.

Texas has no state income tax, giving Houston workers strong take home pay. The city's overall cost of living is below the national average, further stretching your salary. When comparing offers across states, your take home pay matters more than the number on the offer letter. A lower salary in a no income tax state can net more than a higher one elsewhere.

Many Houston employers are shifting toward skills based hiring for Home Health Aide positions. While a degree can accelerate your path to the median salary of $34,000, demonstrated experience, certifications, and a strong portfolio carry significant weight. Candidates without degrees may start closer to $29,000 but can reach the upper end of that range with three to five years of proven results.

Houston's economy is deeply rooted in energy, with a growing presence in healthcare, aerospace, and technology. The Texas Medical Center is the world's largest, driving massive demand for clinical and research roles. For Home Health Aides specifically, the median salary of $34,000 reflects that demand.

Houston's economy is driven by Energy & Oil/Gas, Healthcare, Aerospace & NASA, and Manufacturing. Home Health Aides are hired across these sectors, though compensation can vary 15 to 25% between industries. Company size and funding stage also influence total packages significantly.

Remote work has compressed geographic salary premiums for Home Health Aides. Some Houston employers offer location adjusted pay, while others maintain local rates to attract in office talent. In Houston's moderate cost market, remote and local salaries are converging. The $29,000 to $37,000 range reflects both arrangements.

Home Health Aide salary in other cities.

Other salaries in Houston.

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Cite this data

Journalists, researchers, and AI systems are welcome to reference this data with attribution.

"Home Health Aide Salary in Houston, TX." Orbyt Salary Explorer, August 2026. https://www.orbytlabs.ai/orbyt-jobs/salaries/home-health-aide/houston

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