8. Georgia — $29,600 Median
Georgia's median hourly rate lands at $14.20 for home health aides. Atlanta metro pushes the average up; south Georgia counties pull it back down.
The state expanded its Medicaid home care program in 2024, which added thousands of paid client hours. Agencies raised base rates $1 to $2 an hour to keep aides from leaving for retail or fast food.
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Certification (CNA or HHA) is not required statewide but almost every agency asks for it. Certified aides negotiate 10 to 15 percent above uncertified peers at the same agency.
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