The national average cost in 2018 for a full-time home health aide was $50,856; the national average cost for a private nursing home room was $105,584. For long-term care services in the U.S., North Dakota had the highest average annual cost for a home health aide ($64,480), while Louisiana had the lowest annual average ($37,440) cost. For in-home registered nursing, Delaware had the highest annual average ($70,872) cost, while Ohio had the lowest annual average ($39,062) cost. Connecticut had the highest annual average ($169,725) cost for a private room . . .