SALARY · 961,610 JOBS NATIONWIDE

How much do medical secretaries and administrative assistants make?

Pay for medical secretaries and administrative assistants in every state, what it comes to after tax, and how far it goes after local prices and rent.

The short answer

Medical secretaries and administrative assistants earn a median of $45,930 a year, or $22.08 an hour, 9.9% less than the $50,980 median for all jobs. Pay is highest in Washington ($58,100) and lowest in Mississippi ($36,290). Occupation code 43-6013 in the Bureau of Labor Statistics survey.

The pay range

What medical secretaries and administrative assistants earn, low to high.

Half of the 961,610 medical secretaries and administrative assistants in the survey earn between $38,570 and $50,580. The bottom tenth earn under $35,930, the figure the Bureau itself uses as a rough guide to starting pay, and the top tenth more than $60,530. The average is $46,800.

NationallyPer yearPer hour
Bottom 10% earn less than$35,930$17.27
Bottom quarter earn less than$38,570$18.54
Median$45,930$22.08
Top quarter earn more than$50,580$24.32
Top 10% earn more than$60,530$29.10

Hourly figures divide the yearly ones by 2,080 hours, the survey's own full-time year. Convert any salary.

By state

Where medical secretaries and administrative assistants are paid most.

The highest state medians are in Washington ($58,100), California ($54,490), Massachusetts ($50,290), Oregon ($50,130) and Minnesota ($50,030). The lowest are in Mississippi ($36,290), Alabama ($36,930), Louisiana ($36,930), Arkansas ($37,000) and Oklahoma ($38,330).

Higher pay often comes with higher prices. Adjusted for each state's price level, pay goes furthest in Washington ($54,292 at national prices), South Dakota ($51,712), Wisconsin ($51,416), Nebraska ($51,164) and North Dakota ($51,024).

The most medical secretaries and administrative assistants work in California (115,050), Florida (96,000) and Texas (78,740). Relative to all jobs, the work is most common in Kentucky (13.2 per 1,000 jobs), Tennessee (12.8) and North Carolina (11.5).

After tax

What the paycheck looks like.

On the national median of $45,930, a single filer in a state with no income tax takes home about $39,085 a year after federal tax, Social Security and Medicare, or $1,503 every two weeks. On each state's own median and taxes, take-home ranges from $30,047 in Alabama to $48,863 in Washington. Work out your own paycheck.

Rent and a home

What one medical secretary's pay covers.

The typical rent in each state's median county takes a median 42.3% of a medical secretary's gross pay, and stays under the usual 30% guideline in 0 of the 50 states and DC. With 10% down at a 7.03% mortgage rate, a single medical secretary earning the state median could afford the typical home in its median county in 0 of the 50 states and DC, under the 28% guideline. On the national median alone, that guideline stretches to about $124,252. Try it with your own numbers, or see where this pay covers the typical rent.

Every state

Pay for medical secretaries and administrative assistants in all 50 states and DC.

Alabama$36,930$17.76−19.6%$41,577$30,04744.6%16,580
Alaska$47,870$23.02+4.2%$46,767$40,64445.8%2,520
Arizona$45,820$22.03−0.2%$45,512$37,85143.8%18,090
Arkansas$37,000$17.79−19.4%$42,560$30,90835.6%2,190
California$54,490$26.20+18.6%$49,214$44,15854.0%115,050
Colorado$46,920$22.56+2.2%$45,530$37,81651.6%11,560
Connecticut$48,500$23.32+5.6%$46,810$39,21749.3%6,480
Delaware$44,500$21.39−3.1%$44,586$35,85351.0%4,510
District of Columbia$49,180$23.64+7.1%$44,749$38,89961.7%1,930
Florida$41,730$20.06−9.1%$40,352$35,71055.0%96,000
Georgia$43,160$20.75−6.0%$44,822$34,70546.6%39,380
Hawaii$49,920$24.00+8.7%$45,402$39,60676.2%2,160
Idaho$44,920$21.60−2.2%$47,040$35,89241.2%5,120
Illinois$46,670$22.44+1.6%$46,690$37,36930.9%27,560
Indiana$44,060$21.18−4.1%$47,209$36,28232.3%21,180
Iowa$40,980$19.70−10.8%$46,694$33,55030.3%10,560
Kansas$43,020$20.68−6.3%$47,764$34,43335.3%6,470
Kentucky$38,750$18.63−15.6%$42,980$31,95939.0%26,430
Louisiana$36,930$17.75−19.6%$41,867$30,74543.3%2,970
Maine$46,990$22.59+2.3%$48,418$37,02542.3%4,610
Maryland$47,850$23.00+4.2%$45,589$38,40748.7%17,290
Massachusetts$50,290$24.18+9.5%$47,552$40,07458.3%22,210
Michigan$41,100$19.76−10.5%$42,716$33,45739.2%27,960
Minnesota$50,030$24.06+8.9%$50,730$39,46030.8%16,860
Mississippi$36,290$17.45−21.0%$41,735$30,28747.7%—
Missouri$43,980$21.14−4.2%$48,427$35,63235.1%12,260
Montana$43,740$21.03−4.8%$46,215$35,26941.8%4,410
Nebraska$46,100$22.17+0.4%$51,164$37,42533.7%4,110
Nevada$46,990$22.59+2.3%$47,000$39,93646.3%7,030
New Hampshire$48,410$23.27+5.4%$46,474$41,07751.5%3,680
New Jersey$48,660$23.39+5.9%$44,722$40,08256.6%20,980
New Mexico$44,230$21.27−3.7%$47,966$36,04940.0%4,590
New York$47,710$22.94+3.9%$44,208$38,10438.9%57,720
North Carolina$44,190$21.24−3.8%$46,848$35,92343.9%56,840
North Dakota$45,390$21.82−1.2%$51,024$38,65132.0%1,120
Ohio$44,280$21.29−3.6%$47,729$37,25835.2%29,110
Oklahoma$38,330$18.43−16.5%$43,635$31,46839.7%8,430
Oregon$50,130$24.10+9.1%$48,500$38,39240.9%16,840
Pennsylvania$44,930$21.60−2.2%$46,048$36,90235.0%27,600
Rhode Island$46,860$22.53+2.0%$45,815$38,07563.1%2,350
South Carolina$40,170$19.31−12.5%$42,848$33,33045.5%15,630
South Dakota$45,810$22.03−0.3%$51,712$38,98833.9%80
Tennessee$39,940$19.20−13.0%$43,474$34,27244.7%41,810
Texas$42,910$20.63−6.6%$44,211$36,65841.2%78,740
Utah$44,330$21.31−3.5%$44,839$35,82647.2%5,260
Vermont$48,200$23.17+4.9%$49,205$39,28444.0%2,390
Virginia$46,180$22.20+0.5%$45,676$36,88847.6%27,600
Washington$58,100$27.93+26.5%$54,292$48,86337.7%10,960
West Virginia$38,430$18.48−16.3%$42,940$32,00234.5%1,550
Wisconsin$48,380$23.26+5.3%$51,416$39,06130.1%7,760
Wyoming$44,430$21.36−3.3%$47,933$37,88036.0%1,110

Click a column to sort it. “After local prices” divides the median by the state's price level (national average = 100). Take-home is for a single filer on the state median with no retirement or health deductions. Rent share is a year of the typical rent in the state's median county against the median pay. A dash means the survey publishes no figure.

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Where this comes from
Pay and jobs
Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, national and state estimates. Employees only; the self-employed are not counted.
Take-home
The site's paycheck calculator: 2026 federal tables and each state's own tax tables.
Prices, rent and homes
Bureau of Economic Analysis price parities, 2024. Zillow rent and home value indexes by county, July 2026. Freddie Mac 30-year rate of 7.03% on September 24, 2026, with 1.1% property tax and $1,700 a year of insurance.
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