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Best metro areas in South Dakota for nursing assistants

Ranked by median pay, with jobs and rent share; from BLS and Census data.

In short: Nursing assistants in South Dakota earn the most in the Sioux Falls, SD-MN area (median $39,190).
Sioux Falls (201,469 residents)Rapid City (77,946 residents)Aberdeen (28,189 residents)Brookings (23,948 residents)Watertown (23,044 residents)Mitchell (15,649 residents)Yankton (15,540 residents)Huron (14,385 residents)Pierre (13,948 residents)Spearfish (12,930 residents)Box Elder (12,902 residents)Vermillion (11,878 residents)Brandon (10,996 residents)Harrisburg (8,519 residents)Sturgis (7,086 residents)Rapid Valley (6,975 residents)Tea (6,786 residents)Madison (6,094 residents)Belle Fourche (5,804 residents)Dakota Dunes (3,936 residents)Dell Rapids (3,905 residents)Hot Springs (3,548 residents)Milbank (3,525 residents)Hartford (3,478 residents)North Sioux City (3,045 residents)Canton (3,033 residents)Summerset (3,022 residents)Lead (3,006 residents)Blackhawk (2,934 residents)Mobridge (2,932 residents)
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By AtiveSite · Published 07/11/2026 · Updated 08/11/2026 · Every figure is linked to its source below.

Sioux Fallshighest median pay
$39,190median pay there
3metro areas listed
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Metro areas

METRO Official statistics Source: BLS Occupational Employment and Wage Statistics (OEWS), May 2025 · BEA Regional Price Parities · U.S. Census Bureau, American Community Survey 2020–2024 5-year (via Census Reporter) · Data: OEWS May 2025; RPP 2024; ACS 2020–2024

The market for nursing assistants in South Dakota

3 metro areas in South Dakota publish pay for this occupation with at least 100 jobs, together 5,140 jobs. The three largest employers of nursing assistants are Sioux Falls (2,930 jobs), Rapid City (1,280 jobs), Sioux City (930 jobs), which hold 100.0% of those jobs. Median pay across these metros runs from $38,500 to $39,190 a year, against $38,800 for the whole state and $42,260 for the whole country.

What the job looks like nationally

BLS reports a national median of $42,260 a year for nursing assistants (the lowest-paid tenth earn under $33,940 and the highest-paid tenth over $51,980). Employment is projected to change by +2.6% between 2025 and 2035, with about 196,200 openings a year including replacements. The typical entry route is: Postsecondary nondegree award. Education requirements are BLS's typical ones, not legal rules; many states also license this work, so check the state board before applying.

How to compare metro areas

Higher pay is not the whole story: look at the rent share column (yearly rent divided by median pay) and the price level (100 is the national average). A metro with a lower salary but cheaper housing can leave more money at the end of the month. The location quotient shows where the occupation is concentrated; employers cluster where it is above 1, which usually means more openings and more competition among employers for the same skills.

Nursing assistants in South Dakota: the highest median pay is in the Sioux Falls, SD-MN area ($39,190 a year); the most jobs are in the Sioux Falls, SD-MN area (2,930). Statewide the median is $38,800 with 6,860 jobs. Metro areas with at least 100 jobs in this occupation are listed; click a column to sort.

Sort:
Metropolitan area ⇅Jobs ⇅Median pay ⇅Entry (10th pct.) ⇅Top (90th pct.) ⇅Location quotient ⇅Yearly rent as % of median pay ⇅Price level (US = 100) ⇅
Sioux Falls, SD-MN2,930$39,190$31,110$45,8501.7631%90.6
Sioux City, IA-NE-SD930$38,940$36,410$48,0901.3331%86.5
Rapid City, SD1,280$38,500$36,290$46,1001.8636%89.2

National page: Nursing assistants →Cities of South Dakota

Rent uses the metro median gross rent (ACS) and appears only for metros that contain a city of this guide. "n/a" means BLS suppressed the figure or we have no rent for that metro.

FAQ

Where do nursing assistants earn the most in South Dakota?

In the Sioux Falls, SD-MN area, with a median of $39,190 a year (BLS OEWS, May 2025; metro areas with at least 100 jobs).

Where are the most nursing assistants jobs in South Dakota?

In the Sioux Falls, SD-MN area, with 2,930 jobs.

Sources

Sources

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