Medical Secretaries and Administrative Assistants Salaries by State
Mean and median pay, wage percentiles, employment, and top-paying metro areas for medical secretaries and administrative assistantss across the U.S. Source: BLS OEWS May 2025 (data.bls.gov OEWS tool /OESServices/combo/table, all-occupation crawl by area).
Job Outlook, 2024–2034
Source: BLS Employment Projections 2024-2034.
Salary Map
Brighter tiles = higher average pay; dashed tiles have no data. Click a state for details.
💰 Top 5 Highest-Paying States
- Washington$57,300
- California$56,350
- Massachusetts$52,910
- District of Columbia$52,770
- Minnesota$52,770
📉 5 Lowest-Paying States
- Mississippi$38,510
- Louisiana$39,230
- Alabama$39,460
- Arkansas$39,610
- Oklahoma$40,180
State Rankings
| # | State | Mean | Median | Hourly | vs. U.S. | Employment |
|---|---|---|---|---|---|---|
| 1 | Washington | $57,300 | $58,100 | $28 | +22.4% | 10,960 |
| 2 | California | $56,350 | $54,490 | $27 | +20.4% | 115,050 |
| 3 | Massachusetts | $52,910 | $50,290 | $25 | +13.1% | 22,210 |
| 4 | District of Columbia | $52,770 | $49,180 | $25 | +12.8% | 1,930 |
| 5 | Minnesota | $52,770 | $50,030 | $25 | +12.8% | 16,860 |
| 6 | Oregon | $52,640 | $50,130 | $25 | +12.5% | 16,840 |
| 7 | Connecticut | $51,530 | $48,500 | $25 | +10.1% | 6,480 |
| 8 | New Jersey | $50,630 | $48,660 | $24 | +8.2% | 20,980 |
| 9 | Hawaii | $50,230 | $49,920 | $24 | +7.3% | 2,160 |
| 10 | Vermont | $49,870 | $48,200 | $24 | +6.6% | 2,390 |
| 11 | Rhode Island | $49,820 | $46,860 | $24 | +6.5% | 2,350 |
| 12 | New York | $49,540 | $47,710 | $24 | +5.9% | 57,720 |
| 13 | Maryland | $49,350 | $47,850 | $24 | +5.4% | 17,290 |
| 14 | Wisconsin | $49,170 | $48,380 | $24 | +5.1% | 7,760 |
| 15 | New Hampshire | $49,080 | $48,410 | $24 | +4.9% | 3,680 |
| 16 | Alaska | $48,650 | $47,870 | $23 | +4% | 2,520 |
| 17 | Maine | $48,010 | $46,990 | $23 | +2.6% | 4,610 |
| 18 | Colorado | $47,200 | $46,920 | $23 | +0.9% | 11,560 |
| 19 | Illinois | $46,900 | $46,670 | $23 | +0.2% | 27,560 |
| 20 | Nebraska | $46,510 | $46,100 | $22 | -0.6% | 4,110 |
| 21 | Virginia | $46,500 | $46,180 | $22 | -0.6% | 27,600 |
| 22 | Nevada | $46,380 | $46,990 | $22 | -0.9% | 7,030 |
| 23 | Arizona | $46,330 | $45,820 | $22 | -1% | 18,090 |
| 24 | South Dakota | $46,240 | $45,810 | $22 | -1.2% | 80 |
| 25 | North Dakota | $46,220 | $45,390 | $22 | -1.2% | 1,120 |
| 26 | Pennsylvania | $45,580 | $44,930 | $22 | -2.6% | 27,600 |
| 27 | Wyoming | $45,260 | $44,430 | $22 | -3.3% | 1,110 |
| 28 | New Mexico | $44,940 | $44,230 | $22 | -4% | 4,590 |
| 29 | Idaho | $44,880 | $44,920 | $22 | -4.1% | 5,120 |
| 30 | Delaware | $44,840 | $44,500 | $22 | -4.2% | 4,510 |
| 31 | Ohio | $44,670 | $44,280 | $21 | -4.6% | 29,110 |
| 32 | Utah | $44,620 | $44,330 | $21 | -4.7% | 5,260 |
| 33 | Indiana | $44,070 | $44,060 | $21 | -5.8% | 21,180 |
| 34 | Missouri | $44,070 | $43,980 | $21 | -5.8% | 12,260 |
| 35 | Georgia | $43,860 | $43,160 | $21 | -6.3% | 39,380 |
| 36 | North Carolina | $43,790 | $44,190 | $21 | -6.4% | 56,840 |
| 37 | Florida | $43,720 | $41,730 | $21 | -6.6% | 96,000 |
| 38 | Montana | $43,710 | $43,740 | $21 | -6.6% | 4,410 |
| 39 | Texas | $43,270 | $42,910 | $21 | -7.5% | 78,740 |
| 40 | Michigan | $43,260 | $41,100 | $21 | -7.6% | 27,960 |
| 41 | Kansas | $43,170 | $43,020 | $21 | -7.8% | 6,470 |
| 42 | South Carolina | $42,950 | $40,170 | $21 | -8.2% | 15,630 |
| 43 | Tennessee | $42,870 | $39,940 | $21 | -8.4% | 41,810 |
| 44 | Iowa | $42,790 | $40,980 | $21 | -8.6% | 10,560 |
| 45 | West Virginia | $41,170 | $38,430 | $20 | -12% | 1,550 |
| 46 | Kentucky | $40,880 | $38,750 | $20 | -12.6% | 26,430 |
| 47 | Oklahoma | $40,180 | $38,330 | $19 | -14.1% | 8,430 |
| 48 | Arkansas | $39,610 | $37,000 | $19 | -15.4% | 2,190 |
| 49 | Alabama | $39,460 | $36,930 | $19 | -15.7% | 16,580 |
| 50 | Louisiana | $39,230 | $36,930 | $19 | -16.2% | 2,970 |
| 51 | Mississippi | $38,510 | $36,290 | $19 | -17.7% | — |
Top-Paying Metro Areas
Highest median pay among 517 metro areas.
| # | Metro area | Median | Mean | Employment |
|---|---|---|---|---|
| 1 | San Jose-Sunnyvale-Santa Clara, CA | $69,350 | $68,750 | 6,340 |
| 2 | Napa, CA | $61,830 | $63,500 | 510 |
| 3 | San Francisco-Oakland-Fremont, CA | $61,330 | $64,580 | 13,660 |
| 4 | Vallejo, CA | $61,220 | $63,880 | 990 |
| 5 | Seattle-Tacoma-Bellevue, WA | $60,350 | $60,670 | 6,420 |
| 6 | Santa Rosa-Petaluma, CA | $60,240 | $60,980 | 1,190 |
| 7 | Longview-Kelso, WA | $58,830 | $56,320 | 50 |
| 8 | Sacramento-Roseville-Folsom, CA | $57,730 | $57,130 | 7,710 |
| 9 | Bellingham, WA | $55,670 | $54,520 | 230 |
| 10 | San Luis Obispo-Paso Robles, CA | $54,740 | $55,180 | 840 |
Pay by Industry
Highest-paying industries employing medical secretaries and administrative assistantss (BLS OEWS, by median).
| # | Industry | Median | Mean | Employment |
|---|---|---|---|---|
| 1 | Credit Intermediation and Related Activities | $77,410 | $70,240 | — |
| 2 | Nondepository Credit Intermediation | $77,410 | $70,260 | — |
| 3 | Other Nondepository Credit Intermediation | $77,410 | $70,260 | — |
| 4 | Psychiatric and Substance Abuse Hospitals, State Government Owned | $62,380 | $63,440 | 1,390 |
| 5 | Grantmaking and Giving Services | $57,350 | $56,090 | 80 |
| 6 | Scientific Research and Development Services | $56,440 | $57,210 | 1,540 |
| 7 | Research and Development in the Physical, Engineering, and Life Sciences | $56,440 | $57,210 | 1,540 |
| 8 | Educational Services, Local Government Owned | $54,800 | $50,800 | 510 |
| 9 | Junior Colleges, Local Government Owned | $53,980 | $52,850 | 40 |
| 10 | Advertising, Public Relations, and Related Services | $52,920 | $50,660 | 70 |
| 11 | Educational Services, Privately Owned | $52,780 | $54,420 | 5,930 |
| 12 | Colleges, Universities, and Professional Schools, Privately Owned | $52,780 | $54,790 | 5,710 |
Workforce Deep-Dive
Distribution and demographics from Census ACS (2023, self-reported). Wage figures here are ACS averages and run lower than the authoritative BLS wages above; use them for shape, not exact pay.
Annual wage distribution
Pay by age band
Education level
Full-time vs part-time
Race / ethnicity
Top fields of study
Frequently Asked Questions
How much do medical secretaries and administrative assistants make in the U.S.?
The median medical secretaries and administrative assistants salary in the United States is $45,930 per year (mean $46,800), and about 80% earn between $35,930 and $60,530.
How much do medical secretaries and administrative assistants make per hour?
Roughly $23 per hour, based on a mean annual wage of $46,800 and 2,080 work hours per year.
Which state pays medical secretaries and administrative assistants the most?
Washington has the highest average pay for medical secretaries and administrative assistants at $57,300 per year (median $58,100).
What is the job outlook for medical secretaries and administrative assistants?
Employment is projected to change +4.2% from 2024 to 2034 (Faster than average), with about 85,900 openings per year.