Texas medical assistant pay by percentile
Texas medical assistants at the median earn $39,520, and the middle half earn $36,520 to $46,180.[onet_ma][oews] Texas ranks #42 of the 50 states and DC for this job, and every point of its distribution is below the national one: its 90th percentile ($49,260) is close to the national 75th ($49,180).
| Percentile | Annual | Hourly | Take-home* |
|---|---|---|---|
| 10th | $31,200 | $15.00 | $27,249 |
| 25th | $36,520 | $17.56 | $31,524 |
| Median (50th) | $39,520 | $19.00 | $33,934 |
| 75th | $46,180 | $22.20 | $39,286 |
| 90th | $49,260 | $23.68 | $41,760 |
*Single filer, 2026 federal income tax, Social Security and Medicare; before state tax.
Medical assistant hourly pay in Texas
Medical assistant hourly pay in Texas is $19.00 at the median, $15.00 at the 10th percentile and $23.68 at the 90th.[onet_ma] These are BLS annual estimates divided by 2,080 hours; overtime is not included.[oews_faq]
Medical assistant salary in Houston, Dallas, Austin and San Antonio
Austin has the highest Texas median for medical assistants at $45,820; among the other big metros, Dallas-Fort Worth is $43,100, Houston $42,110 and San Antonio $39,180.[onet_ma] Eagle Pass, TX is lowest at $29,490. The table lists all 32 areas BLS publishes for Texas.
| Area | Median | Hourly | 10th pct. | 90th pct. |
|---|---|---|---|---|
| Austin-Round Rock-San Marcos, TX | $45,820 | $22.03 | $37,210 | $54,820 |
| Midland, TX | $44,010 | $21.16 | $36,450 | $48,490 |
| Dallas-Fort Worth-Arlington, TX | $43,100 | $20.72 | $35,570 | $55,620 |
| Houston-Pasadena-The Woodlands, TX | $42,110 | $20.25 | $30,910 | $49,360 |
| Killeen-Temple, TX | $40,270 | $19.36 | $33,670 | $48,630 |
| Wichita Falls, TX | $40,240 | $19.35 | $31,400 | $46,530 |
| San Antonio-New Braunfels, TX | $39,180 | $18.84 | $35,950 | $46,870 |
| Waco, TX | $38,910 | $18.71 | $33,380 | $48,210 |
| Sherman-Denison, TX | $38,800 | $18.65 | $34,240 | $49,380 |
| College Station-Bryan, TX | $37,850 | $18.20 | $33,430 | $45,720 |
| Odessa, TX | $37,820 | $18.18 | $31,980 | $47,410 |
| Beaumont-Port Arthur, TX | $37,690 | $18.12 | $31,580 | $47,890 |
| Hill Country Region of Texas nonmetropolitan area | $37,610 | $18.08 | $31,000 | $46,560 |
| Abilene, TX | $37,550 | $18.05 | $30,610 | $44,830 |
| Tyler, TX | $37,460 | $18.01 | $30,090 | $44,720 |
| North Region of Texas nonmetropolitan area | $37,250 | $17.91 | $30,710 | $46,690 |
| Amarillo, TX | $37,170 | $17.87 | $29,600 | $45,440 |
| Corpus Christi, TX | $37,070 | $17.82 | $30,280 | $46,740 |
| Victoria, TX | $37,060 | $17.82 | $28,740 | $45,430 |
| Longview, TX | $37,040 | $17.81 | $31,190 | $44,960 |
| Coastal Plains Region of Texas nonmetropolitan area | $36,980 | $17.78 | $30,280 | $45,390 |
| Lubbock, TX | $36,900 | $17.74 | $30,380 | $44,500 |
| Border Region of Texas nonmetropolitan area | $36,870 | $17.73 | $30,210 | $45,620 |
| Northwestern Region of Texas nonmetropolitan area | $36,770 | $17.68 | $30,120 | $46,560 |
| San Angelo, TX | $36,550 | $17.57 | $27,640 | $44,340 |
| Eastern Region of Texas nonmetropolitan area | $36,500 | $17.55 | $30,940 | $46,160 |
| Texarkana, TX-AR | $36,160 | $17.38 | $29,030 | $44,040 |
| El Paso, TX | $35,790 | $17.21 | $28,710 | $44,800 |
| Laredo, TX | $35,320 | $16.98 | $28,060 | $43,240 |
| Brownsville-Harlingen, TX | $34,960 | $16.81 | $27,720 | $43,600 |
| McAllen-Edinburg-Mission, TX | $34,810 | $16.74 | $27,240 | $41,480 |
| Eagle Pass, TX | $29,490 | $14.18 | $28,040 | $38,680 |
Texas vs California and Florida take-home pay
No state income tax narrows, but does not close, the gap with higher-paying states.[txtax] At the median, a single filer in Texas keeps about $33,934 after 2026 federal income tax and FICA, against about $40,095 in California ($49,660 median, with an assumed 4% effective state rate).[irs][ssa] Florida, also without a state income tax, has a $43,680 median.[onet_ma]
| State | Median | Take-home* | State income tax |
|---|---|---|---|
| Texas | $39,520 | $33,934 | None |
| Florida | $43,680 | $37,277 | None |
| California | $49,660 | $40,095 | 4% assumed |
| United States | $45,690 | $38,892 | Not included |
*Single filer, 2026 federal income tax, Social Security and Medicare, plus the state rate shown.
California's metro-by-metro detail is on medical assistant salary in California, and every state is ranked on medical assistant salary.
Raising your pay as a Texas medical assistant
Within Texas, the move from the 25th to the 75th percentile is worth $9,660 a year, and moving from the lowest-paying area to Austin is worth $16,330 at the median.[onet_ma] National certification affects which employers will hire you; the CMA, CCMA and RMA exams are compared on medical assistant certification, and the training route is on how to become a medical assistant.
Frequently asked questions
How much do medical assistants make in Texas?
$39,520 a year at the Texas median (BLS, May 2025), or $19.00 an hour.
What is the medical assistant salary in Houston?
The Houston-Pasadena-The Woodlands median is $42,110, or $20.25 an hour.
What is the medical assistant salary in Dallas?
The Dallas-Fort Worth-Arlington median is $43,100, or $20.72 an hour.
Where do medical assistants make the most in Texas?
Austin-Round Rock-San Marcos, TX ($45,820 median), then Midland, TX and Dallas-Fort Worth-Arlington, TX.
Sources
- Local Wages: 31-9092.00 Medical Assistants (state and metro percentiles)
- Occupational Employment and Wage Statistics (OEWS), May 2025 estimates
- OEWS Frequently Asked Questions (wage definition; 2,080-hour year)
- Texas Taxes (Texas does not have a state personal income tax)
- IRS releases tax inflation adjustments for tax year 2026 (Rev. Proc. 2025-32)
- Contribution and Benefit Base ($184,500 for 2026)