Medical Transcriptionists Salaries by State
Mean and median pay, wage percentiles, employment, and top-paying metro areas for medical transcriptionistss 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
- Minnesota$52,570
- Connecticut$50,410
- Wyoming$49,440
- Maine$49,150
- Oregon$48,840
State Rankings
| # | State | Mean | Median | Hourly | vs. U.S. | Employment |
|---|---|---|---|---|---|---|
| 1 | Minnesota | $52,570 | $50,030 | $25 | +26% | 270 |
| 2 | Connecticut | $50,410 | $48,190 | $24 | +20.9% | 390 |
| 3 | Wyoming | $49,440 | $48,100 | $24 | +18.5% | 40 |
| 4 | Maine | $49,150 | $48,600 | $24 | +17.8% | 80 |
| 5 | Oregon | $48,840 | $46,280 | $23 | +17.1% | 510 |
| 6 | Wisconsin | $48,750 | $49,150 | $23 | +16.9% | 590 |
| 7 | California | $47,770 | $45,050 | $23 | +14.5% | 5,860 |
| 8 | South Dakota | $46,740 | $46,070 | $22 | +12.1% | 240 |
| 9 | Colorado | $45,670 | $43,080 | $22 | +9.5% | 610 |
| 10 | Nebraska | $45,530 | $45,880 | $22 | +9.2% | 230 |
| 11 | Nevada | $45,080 | $39,350 | $22 | +8.1% | 210 |
| 12 | Illinois | $44,420 | $45,490 | $21 | +6.5% | 970 |
| 13 | New York | $44,320 | $43,260 | $21 | +6.3% | 2,710 |
| 14 | Alaska | $44,090 | $48,360 | $21 | +5.7% | 110 |
| 15 | Washington | $44,060 | $38,690 | $21 | +5.6% | 620 |
| 16 | Tennessee | $43,760 | $44,720 | $21 | +4.9% | 1,450 |
| 17 | District of Columbia | $43,140 | $45,110 | $21 | +3.4% | 70 |
| 18 | Maryland | $43,080 | $39,900 | $21 | +3.3% | 230 |
| 19 | Montana | $43,000 | $41,340 | $21 | +3.1% | 80 |
| 20 | Hawaii | $42,880 | $44,310 | $21 | +2.8% | — |
| 21 | Florida | $42,750 | $42,050 | $21 | +2.5% | 2,650 |
| 22 | Iowa | $42,660 | $45,010 | $21 | +2.3% | 180 |
| 23 | New Jersey | $41,480 | $39,020 | $20 | -0.6% | 1,710 |
| 24 | Pennsylvania | $41,370 | $41,510 | $20 | -0.8% | 1,130 |
| 25 | New Mexico | $41,140 | $37,480 | $20 | -1.4% | 210 |
| 26 | North Dakota | $40,920 | $44,660 | $20 | -1.9% | 120 |
| 27 | West Virginia | $40,590 | $37,440 | $20 | -2.7% | 90 |
| 28 | Arizona | $40,060 | $36,550 | $19 | -4% | 700 |
| 29 | Massachusetts | $40,060 | $36,910 | $19 | -4% | 400 |
| 30 | Utah | $40,030 | $39,630 | $19 | -4% | 210 |
| 31 | Missouri | $39,900 | $37,480 | $19 | -4.3% | 310 |
| 32 | Indiana | $39,870 | $41,400 | $19 | -4.4% | 790 |
| 33 | Kentucky | $39,790 | $39,000 | $19 | -4.6% | 690 |
| 34 | Louisiana | $39,660 | $38,040 | $19 | -4.9% | 420 |
| 35 | Idaho | $39,480 | $38,140 | $19 | -5.3% | 400 |
| 36 | Michigan | $39,360 | $37,280 | $19 | -5.6% | 1,130 |
| 37 | Rhode Island | $39,300 | $34,790 | $19 | -5.8% | 80 |
| 38 | Texas | $38,890 | $42,900 | $19 | -6.8% | 7,520 |
| 39 | Ohio | $38,480 | $37,060 | $19 | -7.7% | 680 |
| 40 | Mississippi | $37,940 | $38,600 | $18 | -9% | 300 |
| 41 | North Carolina | $37,840 | $39,300 | $18 | -9.3% | 1,020 |
| 42 | Kansas | $37,600 | $35,390 | $18 | -9.9% | 420 |
| 43 | South Carolina | $37,530 | $33,870 | $18 | -10% | 390 |
| 44 | Alabama | $36,990 | $35,340 | $18 | -11.3% | 410 |
| 45 | Arkansas | $36,430 | $35,100 | $18 | -12.7% | 280 |
| 46 | Georgia | $35,410 | $28,330 | $17 | -15.1% | 950 |
| 47 | Virginia | $35,290 | $35,130 | $17 | -15.4% | — |
| 48 | Delaware | $35,010 | $34,070 | $17 | -16.1% | — |
| 49 | Vermont | $34,970 | $33,030 | $17 | -16.2% | — |
| 50 | Oklahoma | $32,060 | $27,740 | $15 | -23.1% | 560 |
Top-Paying Metro Areas
Highest median pay among 191 metro areas.
| # | Metro area | Median | Mean | Employment |
|---|---|---|---|---|
| 1 | San Francisco-Oakland-Fremont, CA | $58,240 | $55,750 | 680 |
| 2 | San Jose-Sunnyvale-Santa Clara, CA | $57,420 | $61,530 | 200 |
| 3 | Norwich-New London-Willimantic, CT | $55,890 | $53,320 | 30 |
| 4 | Portland-South Portland, ME | $55,320 | $54,920 | 30 |
| 5 | Hartford-West Hartford-East Hartford, CT | $54,830 | $50,770 | 100 |
| 6 | Rapid City, SD | $53,840 | $52,370 | 30 |
| 7 | Santa Rosa-Petaluma, CA | $53,330 | $53,000 | 50 |
| 8 | Nashville-Davidson--Murfreesboro--Franklin, TN | $50,400 | $49,120 | 310 |
| 9 | Madison, WI | $50,310 | $51,010 | 80 |
| 10 | Chico, CA | $50,020 | $54,060 | 120 |
Pay by Industry
Highest-paying industries employing medical transcriptionistss (BLS OEWS, by median).
| # | Industry | Median | Mean | Employment |
|---|---|---|---|---|
| 1 | Scientific Research and Development Services | $55,890 | $56,780 | — |
| 2 | Research and Development in the Physical, Engineering, and Life Sciences | $55,890 | $56,780 | — |
| 3 | Medical and Diagnostic Laboratories | $50,170 | $52,340 | 900 |
| 4 | Offices of Dentists | $50,160 | $49,660 | — |
| 5 | Management of Companies and Enterprises | $49,830 | $50,930 | 550 |
| 6 | Management of Companies and Enterprises | $49,830 | $50,930 | 550 |
| 7 | Sector 55 - Management of Companies and Enterprises | $49,830 | $50,930 | 550 |
| 8 | Educational Services, Privately Owned | $49,750 | $51,700 | 140 |
| 9 | Colleges, Universities, and Professional Schools, Privately Owned | $49,750 | $51,700 | 140 |
| 10 | General Medical and Surgical Hospitals, State Government Owned | $48,460 | $50,320 | 100 |
| 11 | Federal, State, and Local Government, excluding State and Local Schools and Hospitals and USPS | $47,880 | $51,680 | 130 |
| 12 | Local Government, excluding Schools and Hospitals (OEWS Designation) | $47,880 | $51,720 | 130 |
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
Top Skills
Most important skills for this role (O*NET importance, 1–5 scale).
Frequently Asked Questions
How much do medical transcriptionists make in the U.S.?
The median medical transcriptionists salary in the United States is $40,410 per year (mean $41,710), and about 80% earn between $28,250 and $55,950.
How much do medical transcriptionists make per hour?
Roughly $20 per hour, based on a mean annual wage of $41,710 and 2,080 work hours per year.
Which state pays medical transcriptionists the most?
Minnesota has the highest average pay for medical transcriptionists at $52,570 per year (median $50,030).
What is the job outlook for medical transcriptionists?
Employment is projected to change -4.9% from 2024 to 2034 (Decline), with about 7,400 openings per year.