Medical administrative assistant salary

The median medical administrative assistant salary is $45,930 a year, or $22.08 an hour, based on BLS estimates for May 2025 for medical secretaries and administrative assistants. The lowest-paid 10% earn under $35,930 and the top 10% over $60,530; Washington has the highest state median at $58,100.

Medical administrative assistant salary calculator

BLS May 2025

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Medical admin assistant · United States · 50th percentile

$45,930 a year

$22.08/hour · take-home $39,085/yr · $3,257/month

  1. 10th$35,930
  2. 25th$38,570
  3. 50th$45,930
  4. 75th$50,580
  5. 90th$60,530
Where the money goes (2026 rules)
Gross pay$45,930
Federal income tax−$3,332
Social Security 6.2%−$2,848
Medicare−$666
State income tax−$0
Take-home$39,085

Total tax 14.9% of gross · federal bracket 12% · every two weeks $1,503

Estimate, not a pay offer. Wages are BLS survey estimates for employees. Taxes use 2026 federal rules and the state rate you enter.

On this page
  1. Medical administrative assistant salary by percentile
  2. Medical secretary salary: what the BLS figure covers
  3. Medical administrative assistant vs medical assistant
  4. Medical office assistant salary per hour
  5. Medical administrative assistant salary by state
  6. Highest-paying metro areas
  7. Where the career goes next
  8. FAQ
  9. Sources

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]

Medical secretary and administrative assistant pay, United States, May 2025
PercentileAnnualHourlyTake-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]

$30k$40k$50k$60k$70k$80k$90kMedical admin assistant Medical assistant Medical biller/coder
National pay ranges for three front-office and clinic careers, BLS May 2025. Line: 10th to 90th percentile. Box: middle half (25th–75th). Tick: median.
Front office and clinic pay compared, United States, May 2025
CareerMedianHourly10th 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]

Medical administrative assistant pay by schedule, May 2025
PercentileHourly24 h/week32 h/week40 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]

Medical admin assistant salary by state, BLS May 2025 (ranked by median)
StateMedianHourly10th 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]

Top 10 metro areas by medical administrative assistant median pay, May 2025
Metro areaMedianHourly10th 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

  1. Local Wages: 43-6013.00 Medical Secretaries and Administrative Assistants (state and metro percentiles) · O*NET OnLine, U.S. Department of Labor, Employment and Training Administration (BLS 2025 wage data), accessed Nov 14, 2026
  2. Summary Report for 43-6013.00 Medical Secretaries and Administrative Assistants (sample job titles) · O*NET OnLine, U.S. Department of Labor, accessed Nov 14, 2026
  3. Occupational Employment and Wage Statistics (OEWS), May 2025 estimates · U.S. Bureau of Labor Statistics, 2026
  4. OEWS national employment and median wage, May 2025, SOC 43-6013, 29-2010 and 11-9111 (BLS Public Data API) · U.S. Bureau of Labor Statistics, retrieved Nov 15, 2026
  5. OEWS Frequently Asked Questions (wage definition; 2,080-hour year) · U.S. Bureau of Labor Statistics, accessed Nov 14, 2026
  6. Occupational Outlook Handbook: Secretaries and Administrative Assistants (medical secretaries and administrative assistants) · U.S. Bureau of Labor Statistics, last modified Aug 27, 2026
  7. Local Wages: 31-9092.00 Medical Assistants (state and metro percentiles) · O*NET OnLine, U.S. Department of Labor, Employment and Training Administration (BLS 2025 wage data), accessed Nov 14, 2026
  8. Occupational Outlook Handbook: Medical Assistants · U.S. Bureau of Labor Statistics, last modified Aug 27, 2026
  9. Local Wages: 29-2072.00 Medical Records Specialists (state and metro percentiles) · O*NET OnLine, U.S. Department of Labor, Employment and Training Administration (BLS 2025 wage data), accessed Nov 14, 2026
  10. Local Wages: 11-9111.00 Medical and Health Services Managers (state and metro percentiles) · O*NET OnLine, U.S. Department of Labor, Employment and Training Administration (BLS 2025 wage data), accessed Nov 14, 2026
  11. Occupational Outlook Handbook: Medical and Health Services Managers · U.S. Bureau of Labor Statistics, last modified Aug 27, 2026
  12. IRS releases tax inflation adjustments for tax year 2026 (Rev. Proc. 2025-32) · Internal Revenue Service, IR-2025-103, Oct 9, 2025
  13. Contribution and Benefit Base ($184,500 for 2026) · Social Security Administration, Office of the Chief Actuary, 2025