Medical Transcriptionist Salary Guide 2025: $40,410 Median, -4.9% Decline
The median annual wage for Medical Transcriptionists is $40,410, according to the U.S. Bureau of Labor Statistics. That works out to about $19 per hour (mean hourly wage $19.43 based on mean annual $41,710). Most transcriptionists earn between $28,250 (10th percentile) and $55,950 (90th percentile).
How much Medical Transcriptionists earn
The national median salary for Medical Transcriptionists is $40,410 per year. Half of workers earn more than that, half less. The mean (average) salary is slightly higher at $41,710, reflecting a handful of higher earners up top. At the low end, 10% make $28,250 or less; at the high end, 10% make $55,950 or more. Experience, certification, and work setting (hospitals vs. clinics vs. remote) all affect pay.
Pay by state
Where you work matters a lot to your paycheck. The highest-paying state for Medical Transcriptionists is Minnesota, with an average annual wage of $50,030. Close behind are Wisconsin ($49,150), Maine ($48,600), Alaska ($48,360), and Connecticut ($48,190). On the lower end, you'll find Vermont ($33,030), Georgia ($28,330), and Oklahoma ($27,740). Generally, states in the Northeast and Upper Midwest offer higher pay, while Southern states lag.
How to become a Medical Transcriptionist
Most Medical Transcriptionists complete a postsecondary certificate or associate degree program in medical transcription. These programs typically last 12 to 24 months and cover medical terminology, anatomy, grammar, and transcription software. Certification isn't mandatory but strongly preferred by employers. The leading credential is the Registered Medical Transcriptionist (RMT) or Certified Medical Transcriptionist (CMT) from the Association for Healthcare Documentation Integrity (AHDI). Many transcriptionists start as general transcriptionists or medical records clerks and learn on the job.
- Complete a certificate or associate degree in medical transcription (1-2 years).
- Learn medical terminology, anatomy, and transcription software.
- Get certified through AHDI (Recommended: RMT or CMT).
- Gain experience — many start in clinics or hospitals, or do remote work.
Job outlook
The BLS projects employment for Medical Transcriptionists will decline 4.9% from 2024 to 2034. That's a loss of roughly 2,000 jobs over the decade, driven by speech recognition technology and direct physician documentation. However, about 7,400 openings are expected each year, mostly to replace workers who retire or leave the field. Demand will persist in hospitals and legal/medical transcription niches that require human accuracy for complex reports.
Frequently asked questions
Is medical transcription a good career in 2025?
It can be a stable, low-stress job for some, but the field is shrinking. Pay is modest at $40,410 median, and automation is reducing demand. However, those with strong skills and certification can still find work, especially in healthcare facilities that need human review.
How long does it take to become a Medical Transcriptionist?
Most people complete a certificate program in 12 to 24 months. An associate degree takes about two years. Certification exams can be taken after training.
Which state pays Medical Transcriptionists the most?
Minnesota pays the highest average wage at $50,030 per year, followed by Wisconsin ($49,150) and Maine ($48,600).
Can Medical Transcriptionists work from home?
Yes, many transcriptionists work remotely, especially those employed by large hospitals or transcription service companies. Some are self-employed.
Salary figures are U.S. Bureau of Labor Statistics estimates (OEWS / Employment Projections). For informational purposes only; not career or financial advice. See the full Medical Transcriptionists data.