Short answer: the Nevada statewide median for a non-medical caregiver is $37 an hour an hour, and what you will actually pay depends far more on how many hours you buy and when than on which agency you choose.
Longer answer below, with every figure sourced and every figure we could not source named explicitly so you can see what we left out.
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| Non-medical caregiver, hourly | $37 an hour | Nevada statewide median | CareScout (Genworth), 2025 |
| Non-medical caregiver, daily | $232 a day | Nevada statewide median | CareScout (Genworth), 2025 |
| Non-medical caregiver, monthly | $7,055 a month | Nevada statewide median, at 44 hours a week | CareScout (Genworth), 2025 |
| Non-medical caregiver, annual | $84,656 a year | Nevada statewide median, at 44 hours a week | CareScout (Genworth), 2025 |
| Non-medical caregiver, hourly | $35 an hour | United States median | Genworth Investor Relations, 2025 |
Why we say “Nevada statewide” and not “Las Vegas.” CareScout collects rates at the metro level but publishes only state medians in its downloadable data tables — the 2025 table has no Las Vegas row. Their interactive tool will return a local number, but that output has no stable citable source. Sites quoting you a documented “Genworth Las Vegas” hourly rate cannot produce the document. Our full list of figures we refuse to publish.
What it costs per month, by hours per week
This is the table families actually need, because the decision is almost never “can I afford in-home care” — it is “how many hours can I afford, and are those the right hours.”
| Hours | What that looks like | Roughly per month |
|---|---|---|
| 4 hours a week | One short visit a week | $641 |
| 8 hours a week | Two visits a week | $1,283 |
| 12 hours a week | Three visits a week | $1,924 |
| 20 hours a week | Weekday mornings | $3,207 |
| 28 hours a week | Four hours every day | $4,489 |
| 40 hours a week | Full weekdays | $6,413 |
| 56 hours a week | Eight hours every day | $8,979 |
| 84 hours a week | Twelve hours every day | $13,468 |
The rate is not the price
Four things move the number on your invoice away from the headline hourly rate.
Shift minimums
Most agencies bill a minimum of three or four hours per visit. A one-hour shower assist is billed as three. This is the single most common source of “the bill is higher than I was told,” and it is usually disclosed accurately — just quietly. Ask for the minimum in writing, and whether it changes on weekends.
Differentials
Overnights, weekends, holidays and short-notice shifts commonly carry a premium. Some agencies publish a rate card; many quote one number and add differentials on the invoice. Ask for the card.
Volume
Rates commonly drop as weekly hours rise, and live-in arrangements are usually quoted as a flat daily rate rather than hourly. If you are heading toward 40+ hours, negotiate — the quoted retail hourly rate is rarely what a 40-hour client pays.
Acuity
Two-person transfers, significant behavioral needs and complex dementia care often move you to a higher rate tier. Ask what triggers a tier change and who decides.
Why an agency charges more than double what the caregiver earns
Here is the part almost nobody explains. The Nevada median billed rate is $37 an hour. The mean wage for a home health and personal care aide in this metro was $16.43 an hour in the most recent metro-level federal wage data. That spread is not profiteering — it is employer payroll taxes, workers' compensation, general and professional liability insurance, the surety bond Nevada requires, background checks and FBI fingerprinting, the required training curriculum and annual hours, scheduling and on-call staff, supervisory visits, and unbilled travel. When you hire privately you are not avoiding those costs. You are assuming them.
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| Home health and personal care aides, mean hourly wage | $16.43 an hour | Las Vegas-Henderson-Paradise, NV MSA (the metro's federal name at the time of this survey) | U.S. Bureau of Labor Statistics, 2023 |
| Home health and personal care aides, median hourly wage | $15.77 an hour | Las Vegas-Henderson-Paradise, NV MSA — since renamed Las Vegas-Henderson-North Las Vegas | U.S. Bureau of Labor Statistics, 2023 |
| Home health and personal care aides, employment | 22,450 aides | Las Vegas-Henderson-Paradise, NV MSA — since renamed Las Vegas-Henderson-North Las Vegas | U.S. Bureau of Labor Statistics, 2023 |
The three numbers that explain this market
Put side by side, these explain more about Nevada in-home care than any brochure:
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| Home health and personal care aides, mean hourly wage | $16.43 an hour | Las Vegas-Henderson-Paradise, NV MSA (the metro's federal name at the time of this survey) | U.S. Bureau of Labor Statistics, 2023 |
| Personal care services, hourly equivalent | $25.00 an hour | Nevada Medicaid fee-for-service, statewide | Nevada Medicaid, Division of Health Care Financing and Policy, 2024 |
| Non-medical caregiver, hourly | $37 an hour | Nevada statewide median | CareScout (Genworth), 2025 |
Nevada Medicaid reimburses personal care services at $6.25 per 15-minute unit — $25.00 an hour by our arithmetic — against a private-pay median of $37 an hour. That gap is why many agencies do not take Medicaid at all, why the ones that do often cannot staff every case, and why the private-pay conversation happens even for families who technically qualify for help.
What it costs compared with the alternatives
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| Non-medical caregiver, monthly | $7,055 a month | Nevada statewide median, at 44 hours a week | CareScout (Genworth), 2025 |
| Assisted living, monthly | $6,241 a month | Nevada statewide median | CareScout (Genworth), 2025 |
| Nursing home, semi-private room | $11,786 a month | Nevada statewide median | CareScout (Genworth), 2025 |
| Adult day health care, daily | $80 a day | Nevada statewide median | CareScout (Genworth), 2025 |
| Private duty nurse, hourly | $100 an hour | Nevada statewide median | CareScout (Genworth), 2025 |
The crossover most families care about: at the Nevada median hourly rate, in-home care passes Nevada's median assisted living cost somewhere around 32 to 33 hours a week. Below that, home is usually cheaper. Above it, you are paying more to stay home — which many families do deliberately, and should do knowingly. The full comparison.
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Common questions
What is the average hourly rate for in-home care in Las Vegas?
The Nevada statewide median is $37 an hour per the CareScout Cost of Care Survey 2025. There is no published, citable Las Vegas-specific median — CareScout collects at metro level but publishes only state figures.
Why is there a minimum number of hours?
Because a caregiver's drive time and the agency's scheduling cost do not shrink with a shorter visit. Most agencies set a three- or four-hour minimum. It is legitimate, and it should be disclosed to you in writing before you sign.
Is 24-hour home care cheaper than a nursing home?
Generally no. At the Nevada median hourly rate, awake around-the-clock coverage exceeds Nevada's median nursing home cost. Live-in care, which is a different arrangement with a real sleep period, is usually considerably less.
How much does Nevada Medicaid pay for personal care?
$6.25 per 15-minute unit for procedure code T1019, with a rate begin date of January 1, 2024 — $25.00 an hour an hour by our arithmetic. It is published in the state's public fee schedule and we link to the file.
Do you get paid if I use one of these agencies?
Sometimes. We are compensated by care providers when a referral results in service. Not every licensed agency we list is a partner, and we list them anyway.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- CareScout Releases 2025 Cost of Care Survey Results — Genworth Investor Relations, 2025.
- Occupational Employment and Wage Statistics, May 2023 — Las Vegas MSA — U.S. Bureau of Labor Statistics, 2023.
- Occupational Employment and Wages in Las Vegas — May 2025 — U.S. Bureau of Labor Statistics, 2026. Released June 18, 2026. Confirms the metro's federal name is now Las Vegas-Henderson-North Las Vegas, NV.
- Provider Type 30 and 83 Personal Care Services Reimbursement Schedule — Nevada Medicaid, Division of Health Care Financing and Policy, 2026. Schedule states it reflects rate data as of 07/2026. T1019 rate begin date 01/01/2024.
- Provider Type 48 Home and Community Based Services Waiver for the Frail Elderly — rates — Nevada Medicaid, Division of Health Care Financing and Policy, 2026.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
