Medical Secretaries and Administrative Assistants Salary by State
Also called: Medical Secretaries
The national median pay for medical secretaries and administrative assistants is $45,930 a year. By state, it ranges from $36,290 in Mississippi to $58,100 in Washington.
Updated October 2026 · Data: BLS OEWS May 2025 · How we match careers
U.S. pay range
- Lowest 10%
- $35,930
- 25th percentile
- $38,570
- Median
- $45,930
- 75th percentile
- $50,580
- Top 10%
- $60,530
Annual pay, all U.S. workers in this job. About 961,610 jobs.
Median pay in 50 states and DC
| # | State | Median | vs. U.S. | Lowest 10% | Top 10% | Jobs |
|---|---|---|---|---|---|---|
| 1 | Washington | $58,100 | +26% | $44,980 | $73,480 | 10,960 |
| 2 | California | $54,490 | +19% | $40,650 | $76,020 | 115,050 |
| 3 | Massachusetts | $50,290 | +9% | $41,460 | $63,030 | 22,210 |
| 4 | Oregon | $50,130 | +9% | $39,900 | $63,340 | 16,840 |
| 5 | Minnesota | $50,030 | +9% | $43,390 | $61,490 | 16,860 |
| 6 | Hawaii | $49,920 | +9% | $38,750 | $59,360 | 2,160 |
| 7 | District of Columbia | $49,180 | +7% | $45,400 | $59,810 | 1,930 |
| 8 | New Jersey | $48,660 | +6% | $38,310 | $62,400 | 20,980 |
| 9 | Connecticut | $48,500 | +6% | $40,380 | $62,580 | 6,480 |
| 10 | New Hampshire | $48,410 | +5% | $39,440 | $59,600 | 3,680 |
| 11 | Wisconsin | $48,380 | +5% | $39,640 | $58,190 | 7,760 |
| 12 | Vermont | $48,200 | +5% | $40,020 | $60,010 | 2,390 |
| 13 | Alaska | $47,870 | +4% | $36,240 | $60,410 | 2,520 |
| 14 | Maryland | $47,850 | +4% | $38,070 | $61,750 | 17,290 |
| 15 | New York | $47,710 | +4% | $38,430 | $61,160 | 57,720 |
| 16 | Maine | $46,990 | +2% | $39,710 | $58,160 | 4,610 |
| 17 | Nevada | $46,990 | +2% | $36,770 | $58,360 | 7,030 |
| 18 | Colorado | $46,920 | +2% | $38,100 | $57,990 | 11,560 |
| 19 | Rhode Island | $46,860 | +2% | $40,630 | $61,330 | 2,350 |
| 20 | Illinois | $46,670 | +2% | $37,440 | $58,320 | 27,560 |
| 21 | Virginia | $46,180 | +1% | $37,180 | $58,350 | 27,600 |
| 22 | Nebraska | $46,100 | 0% | $38,100 | $57,200 | 4,110 |
| 23 | Arizona | $45,820 | 0% | $33,860 | $60,110 | 18,090 |
| 24 | South Dakota | $45,810 | 0% | $39,270 | $53,120 | 80 |
| 25 | North Dakota | $45,390 | −1% | $37,440 | $58,140 | 1,120 |
| 26 | Pennsylvania | $44,930 | −2% | $36,280 | $58,170 | 27,600 |
| 27 | Idaho | $44,920 | −2% | $35,360 | $57,870 | 5,120 |
| 28 | Delaware | $44,500 | −3% | $36,400 | $57,980 | 4,510 |
| 29 | Wyoming | $44,430 | −3% | $36,400 | $59,440 | 1,110 |
| 30 | Utah | $44,330 | −3% | $34,510 | $57,080 | 5,260 |
| 31 | Ohio | $44,280 | −4% | $36,730 | $56,830 | 29,110 |
| 32 | New Mexico | $44,230 | −4% | $36,210 | $57,790 | 4,590 |
| 33 | North Carolina | $44,190 | −4% | $35,880 | $55,290 | 56,840 |
| 34 | Indiana | $44,060 | −4% | $35,970 | $56,610 | 21,180 |
| 35 | Missouri | $43,980 | −4% | $35,520 | $55,730 | 12,260 |
| 36 | Montana | $43,740 | −5% | $35,990 | $51,690 | 4,410 |
| 37 | Georgia | $43,160 | −6% | $34,460 | $58,290 | 39,380 |
| 38 | Kansas | $43,020 | −6% | $35,590 | $53,910 | 6,470 |
| 39 | Texas | $42,910 | −7% | $33,090 | $56,570 | 78,740 |
| 40 | Florida | $41,730 | −9% | $35,900 | $56,030 | 96,000 |
| 41 | Michigan | $41,100 | −11% | $36,330 | $50,840 | 27,960 |
| 42 | Iowa | $40,980 | −11% | $35,240 | $50,130 | 10,560 |
| 43 | South Carolina | $40,170 | −13% | $34,780 | $56,890 | 15,630 |
| 44 | Tennessee | $39,940 | −13% | $31,960 | $57,670 | 41,810 |
| 45 | Kentucky | $38,750 | −16% | $30,700 | $49,770 | 26,430 |
| 46 | West Virginia | $38,430 | −16% | $30,910 | $50,690 | 1,550 |
| 47 | Oklahoma | $38,330 | −17% | $30,730 | $48,690 | 8,430 |
| 48 | Arkansas | $37,000 | −19% | $31,690 | $47,960 | 2,190 |
| 49 | Alabama | $36,930 | −20% | $29,890 | $50,900 | 16,580 |
| 50 | Louisiana | $36,930 | −20% | $30,090 | $49,050 | 2,970 |
| 51 | Mississippi | $36,290 | −21% | $29,890 | $49,410 | Not published |
BLS OEWS May 2025 state estimates. States without published data are not listed. “Not published”: BLS withheld the value or it is above the highest amount BLS publishes. Pay is not adjusted for living costs.
Medical Secretaries and Administrative Assistants salary questions
Which state pays medical secretaries and administrative assistants the most?
Washington, with a median of $58,100 a year (+26% vs. the national median of $45,930). BLS May 2025.
Which state pays medical secretaries and administrative assistants the least?
Mississippi, with a median of $36,290 a year (−21% vs. national).
Where do most medical secretaries and administrative assistants work?
California has the most jobs, about 115,050, with a median of $54,490.
Does a higher salary mean more money left over?
Not always. These are pay figures only. Living costs, taxes and housing differ a lot between states, and this page does not adjust for them.