Medical Assistant salary in North Carolina
Updated Updated for 2026 tax law
A medical assistant in North Carolina earns a median of $45,140 a year ($21.70/hour equivalent), 1.2% below the national median of $45,690. North Carolina ranks #27 of 51 states. About 23,650 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $37,158 a year after federal, FICA and North Carolina taxes — $1,429 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $1,736.15
- Federal income tax
- −$124.49
- Social Security (6.2%)
- −$107.64
- Medicare (1.45%)
- −$25.17
- North Carolina income tax
- −$49.71
- Take-home pay
- $1,429.14
Annual breakdown
- Gross
- $45,140
- Federal
- $3,237
- FICA
- $3,453
- State + local
- $1,292
- Net
- $37,158
- Marginal federal rate
- 12.0%
- Marginal state rate
- 4.0%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $59,290 |
| #2 | Alaska | $52,560 |
| #3 | District of Columbia | $51,050 |
| #4 | Minnesota | $50,480 |
| #5 | Oregon | $50,410 |
| #27 | North Carolina | $45,140 |
| #49 | Louisiana | $36,320 |
| #50 | Alabama | $36,100 |
| #51 | Mississippi | $35,360 |
See the national medical assistant salary page for the full pay range and all states.
BLS occupation: Medical Assistants (SOC 31-9092), May 2025, state estimates.
Frequently asked questions
How much does a medical assistant make in North Carolina?
The median salary is $45,140 a year and the average is $44,090 (BLS May 2025).
Is North Carolina a good state for medical assistants?
North Carolina ranks #27 of 51 states for median pay in this job, 1% below the national median of $45,690.
What is $45,140 after taxes in North Carolina?
About $37,158 a year ($1,429 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.