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How Much Does a Medical Secretary and Administrative Assistant Make?
A medical secretary and administrative assistant in the US earns a median salary of $45,930 a year, or $22.08 an hour (BLS, May 2025). The average is $46,800, and the middle half earn between $38,570 and $50,580.
Medical secretary and administrative assistant pay range
What medical secretaries and administrative assistants earn at each point of the pay scale. The 10th percentile is a rough guide to starting pay.
| Percentile | A year | An hour | |
|---|---|---|---|
| 10th (lowest 10%) | $35,930 | $17.27 | |
| 25th | $38,570 | $18.54 | |
| Median (50th) | $45,930 | $22.08 | |
| 75th | $50,580 | $24.32 | |
| 90th (top 10%) | $60,530 | $29.10 |
The median is 10% less than the $50,980 median for all US jobs. About 961,610 people work as medical secretaries and administrative assistants in the US.
After tax and by period
- A week
- $883
- Every two weeks
- $1,767
- Twice a month
- $1,914
- A month
- $3,828
At the median salary, before tax.
Medical secretary and administrative assistant salary by state
Sorted by average pay. Washington pays medical secretaries and administrative assistants the most, at $57,300 a year on average.
| State | Average | Median | Jobs | After tax |
|---|---|---|---|---|
| Washington | $57,300 | $58,100 | 10,960 | After tax |
| California | $56,350 | $54,490 | 115,050 | After tax |
| Massachusetts | $52,910 | $50,290 | 22,210 | After tax |
| District of Columbia | $52,770 | $49,180 | 1,930 | After tax |
| Minnesota | $52,770 | $50,030 | 16,860 | After tax |
| Oregon | $52,640 | $50,130 | 16,840 | After tax |
| Connecticut | $51,530 | $48,500 | 6,480 | After tax |
| New Jersey | $50,630 | $48,660 | 20,980 | After tax |
| Hawaii | $50,230 | $49,920 | 2,160 | After tax |
| Vermont | $49,870 | $48,200 | 2,390 | After tax |
| Rhode Island | $49,820 | $46,860 | 2,350 | After tax |
| New York | $49,540 | $47,710 | 57,720 | After tax |
| Maryland | $49,350 | $47,850 | 17,290 | After tax |
| Wisconsin | $49,170 | $48,380 | 7,760 | After tax |
| New Hampshire | $49,080 | $48,410 | 3,680 | After tax |
| Alaska | $48,650 | $47,870 | 2,520 | After tax |
| Maine | $48,010 | $46,990 | 4,610 | After tax |
| Colorado | $47,200 | $46,920 | 11,560 | After tax |
| Illinois | $46,900 | $46,670 | 27,560 | After tax |
| Nebraska | $46,510 | $46,100 | 4,110 | After tax |
| Virginia | $46,500 | $46,180 | 27,600 | After tax |
| Nevada | $46,380 | $46,990 | 7,030 | After tax |
| Arizona | $46,330 | $45,820 | 18,090 | After tax |
| South Dakota | $46,240 | $45,810 | 80 | After tax |
| North Dakota | $46,220 | $45,390 | 1,120 | After tax |
| Pennsylvania | $45,580 | $44,930 | 27,600 | After tax |
| Wyoming | $45,260 | $44,430 | 1,110 | After tax |
| New Mexico | $44,940 | $44,230 | 4,590 | After tax |
| Idaho | $44,880 | $44,920 | 5,120 | After tax |
| Delaware | $44,840 | $44,500 | 4,510 | After tax |
| Ohio | $44,670 | $44,280 | 29,110 | After tax |
| Utah | $44,620 | $44,330 | 5,260 | After tax |
| Indiana | $44,070 | $44,060 | 21,180 | After tax |
| Missouri | $44,070 | $43,980 | 12,260 | After tax |
| Georgia | $43,860 | $43,160 | 39,380 | After tax |
| North Carolina | $43,790 | $44,190 | 56,840 | After tax |
| Florida | $43,720 | $41,730 | 96,000 | After tax |
| Montana | $43,710 | $43,740 | 4,410 | After tax |
| Texas | $43,270 | $42,910 | 78,740 | After tax |
| Michigan | $43,260 | $41,100 | 27,960 | After tax |
| Kansas | $43,170 | $43,020 | 6,470 | After tax |
| South Carolina | $42,950 | $40,170 | 15,630 | After tax |
| Tennessee | $42,870 | $39,940 | 41,810 | After tax |
| Iowa | $42,790 | $40,980 | 10,560 | After tax |
| West Virginia | $41,170 | $38,430 | 1,550 | After tax |
| Kentucky | $40,880 | $38,750 | 26,430 | After tax |
| Oklahoma | $40,180 | $38,330 | 8,430 | After tax |
| Arkansas | $39,610 | $37,000 | 2,190 | After tax |
| Alabama | $39,460 | $36,930 | 16,580 | After tax |
| Louisiana | $39,230 | $36,930 | 2,970 | After tax |
| Mississippi | $38,510 | $36,290 | – | After tax |
| Virgin Islands | $37,640 | $36,710 | 230 | |
| Puerto Rico | $33,490 | $29,620 | 8,480 | |
| Guam | $32,790 | $31,680 | 310 |
A dash means BLS did not publish that figure for the state.
Other office and administrative support jobs
- Customer service representative $44,770 median
- Office clerk, general $45,010 median
- Administrative assistant $47,540 median
- First-line supervisor of office and administrative support workers $69,500 median
- Bookkeeping, accounting, and auditing clerk $50,670 median
- Receptionist and information clerk $38,010 median
- Shipping, receiving, and inventory clerk $45,260 median
- Executive assistant $76,590 median
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 (published 2026), for “Medical Secretaries and Administrative Assistants” (SOC 43-6013). Wages are before tax and leave out self-employed workers. All job salaries
About the Job Salaries
Job Salaries shows what more than 500 US jobs pay, from nurses and electricians to software developers and truck drivers. Each job has its median and average salary, hourly and monthly pay, the pay range from the lowest-paid 10% to the top 10%, and a table of pay in every state. The figures come from the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey, the largest survey of US pay, in its latest release.
How to use it
- 1 Search for a job or pick one from the list.
- 2 Read the median salary, hourly pay and the pay range.
- 3 Check the salary by state to see where the job pays most.
- 4 Open the take-home pay calculator to see the salary after tax.
Frequently asked questions
How much does a medical secretary and administrative assistant make an hour?
The median hourly wage for a medical secretary and administrative assistant is $22.08, and the average is $22.50. The lowest-paid 10% earn under $17.27 an hour and the top 10% over $29.10.
How much does a medical secretary and administrative assistant make a month?
At the median salary of $45,930, a medical secretary and administrative assistant earns about $3,828 a month before tax, or $1,767 every two weeks.
Which state pays medical secretaries and administrative assistants the most?
Washington has the highest average pay for a medical secretary and administrative assistant, at $57,300 a year. Next are California and Massachusetts. Pay is usually higher where living costs are higher, so compare take-home pay too.
What is the starting salary for a medical secretary and administrative assistant?
The lowest-paid 10% of medical secretaries and administrative assistants earn less than $35,930 a year, and the lowest 25% less than $38,570. That is a fair guide to starting pay, which depends on the state, the employer and your experience.
How much do the highest-paid medical secretaries and administrative assistants make?
The top 10% earn more than $60,530 a year, and the top 25% more than $50,580.
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