Decoding the Pediatric CNA Salary: A Comprehensive 2024 Guide

For individuals with a deep sense of compassion and a passion for working with children, a career as a Pediatric Certified Nursing Assistant (CNA) is an incredibly rewarding path. It offers a direct way to impact the lives of young patients and their families. But beyond personal fulfillment, what is the financial potential of this vital role?
This guide will provide a data-driven look at the Pediatric CNA salary, exploring the factors that can significantly influence your earnings. While entry-level positions offer a solid starting point, specializing in pediatrics can lead to an annual salary ranging from $35,000 to over $50,000, depending on a variety of key factors.
What Does a Pediatric CNA Do?

A Pediatric CNA is a healthcare professional who provides hands-on care to infants, children, and adolescents under the supervision of Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). They are the backbone of patient support in pediatric settings, combining the fundamental duties of a CNA with the specialized skills needed to care for younger patients.
Key responsibilities include:
- Assisting with Activities of Daily Living (ADLs): Helping with feeding, bathing, dressing, and changing diapers for infants and toddlers.
- Monitoring Vital Signs: Accurately taking and recording temperature, pulse, respiration rate, and blood pressure, using equipment appropriately sized for children.
- Providing Comfort and Support: Offering emotional support to anxious children and their families, playing with patients, and creating a safe, calming environment.
- Mobility and Transportation: Safely moving or transporting patients within the healthcare facility.
- Documentation: Observing and documenting patient conditions, intake and output, and any changes in behavior, reporting critical information to the nursing staff.
Average Pediatric CNA Salary

To understand the earning potential, we must first look at the baseline for all CNAs. According to the U.S. Bureau of Labor Statistics (BLS), the median annual wage for Nursing Assistants was $38,200, or $18.36 per hour, as of May 2023. This figure represents the national midpoint for all CNAs across every specialty and work environment.
However, specialization in pediatrics often commands a higher salary due to the specific skills required. Reputable salary aggregators provide a more focused look:
- Salary.com reports that the average salary for a Pediatric Certified Nursing Assistant in the United States is approximately $40,540 per year (as of May 2024). The typical salary range falls between $36,898 and $44,879, though this can vary widely.
- Payscale notes a similar average, with hourly rates often influenced by skills in pediatric critical care and neonatal care.
This data shows that while a Pediatric CNA's salary is grounded in the general nursing assistant pay scale, there is clear potential for higher earnings through specialization.
Key Factors That Influence Salary

Your salary as a Pediatric CNA is not a single, fixed number. It is influenced by a combination of your qualifications, choices, and the market you work in. Here are the most critical factors.
### Level of Education and Certification
While the primary requirement to become a CNA is completing a state-approved training program and passing a competency exam, further education can significantly impact your career trajectory and pay. A standard CNA certificate is the baseline. However, obtaining additional certifications makes you a more valuable candidate, especially in competitive environments like children's hospitals.
Valuable certifications include:
- Pediatric Advanced Life Support (PALS): While often required for nurses, having this or a similar certification can set a CNA apart.
- Specialized Training Certificates: Certifications in neonatal care, pediatric oncology, or caring for children with specific disabilities can lead to higher-paying, specialized roles.
### Years of Experience
Experience is one of the most significant drivers of salary growth. An entry-level Pediatric CNA will earn on the lower end of the salary spectrum, while a seasoned professional with a proven track record can command a much higher wage.
- Entry-Level (0-2 years): Expect a salary near the 10th-25th percentile, likely in the $35,000 - $38,000 range.
- Mid-Career (3-8 years): With experience, you can expect to earn closer to the national average, from $39,000 - $43,000.
- Experienced (8+ years): Senior Pediatric CNAs, especially those who take on training or leadership responsibilities, can earn in the 75th-90th percentile, potentially exceeding $45,000 - $50,000+ per year.
### Geographic Location
Where you work matters immensely. Salaries are often adjusted to the local cost of living and regional demand for healthcare professionals. Metropolitan areas with major pediatric healthcare systems typically offer higher wages.
According to BLS data for all Nursing Assistants, some of the top-paying states include:
- Alaska
- District of Columbia
- California
- New York
- Oregon
Working in a major city within these states, particularly one with a renowned children's hospital, will almost certainly result in a higher salary than working in a rural area with a lower cost of living.
### Company Type
The type of facility you work for is a major determinant of your salary. The BLS reports that pay for nursing assistants varies significantly by industry.
- Hospitals (State, Local, and Private): Hospitals, especially specialized children's hospitals, are often among the highest-paying employers for Pediatric CNAs. They require a high level of skill and often have a larger budget.
- Government: Federal, state, and local government-run facilities (e.g., public health clinics) can offer competitive wages and strong benefits packages.
- Pediatrician's Offices and Outpatient Clinics: While these roles may offer more regular hours, the pay may be slightly less than in an acute-care hospital setting.
- Home Healthcare Agencies: CNAs specializing in pediatric home health for children with chronic conditions or disabilities are in high demand and can earn a competitive wage, sometimes on a per-visit or hourly basis.
### Area of Specialization
Even within pediatrics, further specialization can unlock higher pay. Roles that require advanced skills to care for critically ill children are often compensated at a higher rate. Examples include working in:
- Neonatal Intensive Care Unit (NICU): Assisting with the care of premature or critically ill newborns.
- Pediatric Intensive Care Unit (PICU): Working with seriously ill infants and children.
- Pediatric Oncology: Supporting children undergoing cancer treatment.
These roles are more demanding and require additional on-the-job training, which is reflected in the compensation.
Job Outlook

The career outlook for nursing assistants is positive and stable. The BLS projects that employment for Nursing Assistants and Orderlies will grow by 4% between 2022 and 2032. This translates to approximately 177,500 job openings each year, on average, over the decade.
This steady demand is driven by the broader needs of the healthcare industry. As the population grows, the need for healthcare support staff remains constant. For Pediatric CNAs, the demand is evergreen, as there will always be a need for compassionate and skilled individuals to care for children in medical settings. This stability makes it a secure career choice for the long term.
Conclusion

A career as a Pediatric CNA is a calling that blends technical skill with profound empathy. While the salary is rooted in the broader nursing assistant pay scale, there are clear and actionable steps you can take to maximize your earning potential.
Key Takeaways:
- Strong Foundation: The national median salary for CNAs is around $38,200, but specializing in pediatrics can push your average earnings above $40,000.
- Growth is in Your Hands: Your salary is directly influenced by your experience, location, employer, and any additional certifications you pursue.
- Pursue High-Value Settings: To earn at the top of the range, seek positions in major children's hospitals, high-cost-of-living metropolitan areas, and specialized units like the PICU or NICU.
- A Stable and Fulfilling Path: With a positive job outlook and the immense personal reward of helping children heal, a career as a Pediatric CNA offers both professional stability and a deep sense of purpose.