Medical administrative assistant salary by percentile
A medical administrative assistant at the national median earns $45,930, and the middle half of the 961,610 workers in the occupation earn $38,570 to $50,580.[onet_medsec][oews][oews_api2] The take-home column applies 2026 federal income tax, Social Security and Medicare for a single filer.[irs][ssa]
| Percentile | Annual | Hourly | Take-home* |
|---|---|---|---|
| 10th | $35,930 | $17.27 | $31,050 |
| 25th | $38,570 | $18.54 | $33,171 |
| Median (50th) | $45,930 | $22.08 | $39,085 |
| 75th | $50,580 | $24.32 | $42,821 |
| 90th | $60,530 | $29.10 | $50,816 |
*Single filer, 2026 federal income tax, Social Security and Medicare; before state tax.
A $50,000 offer sits at about the 72nd percentile nationally. Pay is fairly compressed in the middle: the 75th percentile ($50,580) is only $4,650 above the median, so the bigger jumps come from moving into billing and coding or office management.
Medical secretary salary: what the BLS figure covers
Medical secretary salary and medical administrative assistant salary are the same government figure. BLS counts these workers as medical secretaries and administrative assistants (SOC 43-6013), and O*NET's sample of reported job titles includes "Medical Secretary", "Medical Receptionist", "Clinic Office Assistant", "Medical Office Specialist", "Front Desk Receptionist" and "Unit Clerk".[sum_medsec] According to BLS, they may transcribe dictation, prepare reports, take simple medical histories, arrange hospital admissions and process insurance payments, and they need to know medical terminology, codes and records.[ooh_sec]
The typical entry route is a high school diploma, and BLS notes that medical secretaries may train for several months to learn industry terms and practices.[ooh_sec] BLS projects employment of medical secretaries to grow 5% from 2025 to 2035, about 47,100 jobs, while secretaries outside health care are projected to decline.[ooh_sec]
Medical administrative assistant vs medical assistant
A medical administrative assistant earns $240 more than a clinical medical assistant at the median ($45,930 against $45,690). BLS treats them as two occupations: medical assistants (SOC 31-9092) take vital signs and help with exams, while medical administrative assistants work the front desk, schedule and handle records and billing.[onet_ma][onet_medsec][ooh_ma]
| Career | Median | Hourly | 10th pct. | 90th pct. |
|---|---|---|---|---|
| Medical administrative assistant | $45,930 | $22.08 | $35,930 | $60,530 |
| Medical assistant | $45,690 | $21.97 | $36,050 | $59,310 |
| Medical records specialist (coder) | $51,140 | $24.59 | $37,000 | $81,150 |
Clinical pay and credentials are on medical assistant salary and medical assistant certification. Coding pays $5,210 more at the median; the route is on how to become a medical coder.[onet_coder]
Medical office assistant salary per hour
Medical office assistant salary per hour is $22.08 at the median, $17.27 at the 10th percentile and $29.10 at the 90th.[onet_medsec] BLS divides annual pay by 2,080 hours to get these rates; overtime and bonuses are not included.[oews_faq]
| Percentile | Hourly | 24 h/week | 32 h/week | 40 h/week |
|---|---|---|---|---|
| 10th | $17.27 | $21,558 | $28,744 | $35,930 |
| 25th | $18.54 | $23,142 | $30,856 | $38,570 |
| Median | $22.08 | $27,558 | $36,744 | $45,930 |
| 75th | $24.32 | $30,348 | $40,464 | $50,580 |
| 90th | $29.10 | $36,318 | $48,424 | $60,530 |
Medical administrative assistant salary by state
Washington pays medical administrative assistants the most ($58,100 median), followed by California ($54,490) and Massachusetts ($50,290); Mississippi is lowest at $36,290.[onet_medsec]
| State | Median | Hourly | 10th pct. | 90th pct. |
|---|---|---|---|---|
| 1. Washington | $58,100 | $27.93 | $44,980 | $73,480 |
| 2. California | $54,490 | $26.20 | $40,650 | $76,020 |
| 3. Massachusetts | $50,290 | $24.18 | $41,460 | $63,030 |
| 4. Oregon | $50,130 | $24.10 | $39,900 | $63,340 |
| 5. Minnesota | $50,030 | $24.05 | $43,390 | $61,490 |
| 6. Hawaii | $49,920 | $24.00 | $38,750 | $59,360 |
| 7. District of Columbia | $49,180 | $23.64 | $45,400 | $59,810 |
| 8. New Jersey | $48,660 | $23.39 | $38,310 | $62,400 |
| 9. Connecticut | $48,500 | $23.32 | $40,380 | $62,580 |
| 10. New Hampshire | $48,410 | $23.27 | $39,440 | $59,600 |
| 11. Wisconsin | $48,380 | $23.26 | $39,640 | $58,190 |
| 12. Vermont | $48,200 | $23.17 | $40,020 | $60,010 |
| 13. Alaska | $47,870 | $23.01 | $36,240 | $60,410 |
| 14. Maryland | $47,850 | $23.00 | $38,070 | $61,750 |
| 15. New York | $47,710 | $22.94 | $38,430 | $61,160 |
| 16. Maine | $46,990 | $22.59 | $39,710 | $58,160 |
| 17. Nevada | $46,990 | $22.59 | $36,770 | $58,360 |
| 18. Colorado | $46,920 | $22.56 | $38,100 | $57,990 |
| 19. Rhode Island | $46,860 | $22.53 | $40,630 | $61,330 |
| 20. Illinois | $46,670 | $22.44 | $37,440 | $58,320 |
| 21. Virginia | $46,180 | $22.20 | $37,180 | $58,350 |
| 22. Nebraska | $46,100 | $22.16 | $38,100 | $57,200 |
| 23. Arizona | $45,820 | $22.03 | $33,860 | $60,110 |
| 24. South Dakota | $45,810 | $22.02 | $39,270 | $53,120 |
| 25. North Dakota | $45,390 | $21.82 | $37,440 | $58,140 |
| 26. Pennsylvania | $44,930 | $21.60 | $36,280 | $58,170 |
| 27. Idaho | $44,920 | $21.60 | $35,360 | $57,870 |
| 28. Delaware | $44,500 | $21.39 | $36,400 | $57,980 |
| 29. Wyoming | $44,430 | $21.36 | $36,400 | $59,440 |
| 30. Utah | $44,330 | $21.31 | $34,510 | $57,080 |
| 31. Ohio | $44,280 | $21.29 | $36,730 | $56,830 |
| 32. New Mexico | $44,230 | $21.26 | $36,210 | $57,790 |
| 33. North Carolina | $44,190 | $21.25 | $35,880 | $55,290 |
| 34. Indiana | $44,060 | $21.18 | $35,970 | $56,610 |
| 35. Missouri | $43,980 | $21.14 | $35,520 | $55,730 |
| 36. Montana | $43,740 | $21.03 | $35,990 | $51,690 |
| 37. Georgia | $43,160 | $20.75 | $34,460 | $58,290 |
| 38. Kansas | $43,020 | $20.68 | $35,590 | $53,910 |
| 39. Texas | $42,910 | $20.63 | $33,090 | $56,570 |
| 40. Florida | $41,730 | $20.06 | $35,900 | $56,030 |
| 41. Michigan | $41,100 | $19.76 | $36,330 | $50,840 |
| 42. Iowa | $40,980 | $19.70 | $35,240 | $50,130 |
| 43. South Carolina | $40,170 | $19.31 | $34,780 | $56,890 |
| 44. Tennessee | $39,940 | $19.20 | $31,960 | $57,670 |
| 45. Kentucky | $38,750 | $18.63 | $30,700 | $49,770 |
| 46. West Virginia | $38,430 | $18.48 | $30,910 | $50,690 |
| 47. Oklahoma | $38,330 | $18.43 | $30,730 | $48,690 |
| 48. Arkansas | $37,000 | $17.79 | $31,690 | $47,960 |
| 49. Alabama | $36,930 | $17.75 | $29,890 | $50,900 |
| 50. Louisiana | $36,930 | $17.75 | $30,090 | $49,050 |
| 51. Mississippi | $36,290 | $17.45 | $29,890 | $49,410 |
Highest-paying metro areas
The best-paying metro area for medical secretaries and administrative assistants is San Jose-Sunnyvale-Santa Clara, CA, at a $69,350 median.[onet_medsec]
| Metro area | Median | Hourly | 10th pct. | 90th pct. |
|---|---|---|---|---|
| 1. San Jose-Sunnyvale-Santa Clara, CA | $69,350 | $33.34 | $45,960 | $81,860 |
| 2. Napa, CA | $61,830 | $29.73 | $47,400 | $76,850 |
| 3. San Francisco-Oakland-Fremont, CA | $61,330 | $29.49 | $48,130 | $84,100 |
| 4. Vallejo, CA | $61,220 | $29.43 | $46,740 | $81,250 |
| 5. Seattle-Tacoma-Bellevue, WA | $60,350 | $29.01 | $46,900 | $75,230 |
| 6. Santa Rosa-Petaluma, CA | $60,240 | $28.96 | $46,010 | $80,520 |
| 7. Longview-Kelso, WA | $58,830 | $28.28 | $45,990 | $73,170 |
| 8. Sacramento-Roseville-Folsom, CA | $57,730 | $27.75 | $42,340 | $76,580 |
| 9. Bellingham, WA | $55,670 | $26.76 | $42,630 | $61,950 |
| 10. San Luis Obispo-Paso Robles, CA | $54,740 | $26.32 | $43,030 | $71,680 |
Where the career goes next
The front desk is a common first step toward billing, coding and practice management. Medical and health services managers, who run practices and departments, earn a $123,860 median, but BLS lists a bachelor's degree as the typical entry route; see healthcare administration salary.[onet_hsm][ooh_hsm]
Frequently asked questions
How much does a medical administrative assistant make?
$45,930 a year ($22.08 an hour) at the national median for medical secretaries and administrative assistants (BLS, May 2025).
What is the medical secretary salary?
The same figure: BLS counts medical secretaries and medical administrative assistants as one occupation, with a $45,930 median.
Do medical administrative assistants make more than medical assistants?
Slightly: $45,930 against $45,690 at the median. Medical coders earn more than both ($51,140).
Which state pays medical administrative assistants the most?
Washington ($58,100), then California and Massachusetts. Mississippi pays the least.
Sources
- Local Wages: 43-6013.00 Medical Secretaries and Administrative Assistants (state and metro percentiles)
- Summary Report for 43-6013.00 Medical Secretaries and Administrative Assistants (sample job titles)
- Occupational Employment and Wage Statistics (OEWS), May 2025 estimates
- OEWS national employment and median wage, May 2025, SOC 43-6013, 29-2010 and 11-9111 (BLS Public Data API)
- OEWS Frequently Asked Questions (wage definition; 2,080-hour year)
- Occupational Outlook Handbook: Secretaries and Administrative Assistants (medical secretaries and administrative assistants)
- Local Wages: 31-9092.00 Medical Assistants (state and metro percentiles)
- Occupational Outlook Handbook: Medical Assistants
- Local Wages: 29-2072.00 Medical Records Specialists (state and metro percentiles)
- Local Wages: 11-9111.00 Medical and Health Services Managers (state and metro percentiles)
- Occupational Outlook Handbook: Medical and Health Services Managers
- IRS releases tax inflation adjustments for tax year 2026 (Rev. Proc. 2025-32)
- Contribution and Benefit Base ($184,500 for 2026)