Medical Secretary and Administrative Assistant salary
Updated Updated for 2026 tax law
A medical secretary and administrative assistant earns a median of $45,930 a year ($22.08 an hour) in the US, according to the Bureau of Labor Statistics (May 2025). The average is $46,800. About 961,610 people work in this job.
Take-home pay on $45,930
- Gross pay
- $1,766.54
- Federal income tax
- −$128.14
- Social Security (6.2%)
- −$109.53
- Medicare (1.45%)
- −$25.61
- Texas income tax
- $0.00No state income tax on wages
- Take-home pay
- $1,503.26
Annual breakdown
- Gross
- $45,930
- Federal
- $3,332
- FICA
- $3,514
- State + local
- $0
- Net
- $39,085
- Marginal federal rate
- 12.0%
- Marginal state rate
- 0.0%
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.
Medical Secretary and Administrative Assistant salary by state
| State | Median salary | Average | Employed |
|---|---|---|---|
| Washington | $58,100 | $57,300 | 10,960 |
| California | $54,490 | $56,350 | 115,050 |
| Massachusetts | $50,290 | $52,910 | 22,210 |
| Oregon | $50,130 | $52,640 | 16,840 |
| Minnesota | $50,030 | $52,770 | 16,860 |
| Hawaii | $49,920 | $50,230 | 2,160 |
| District of Columbia | $49,180 | $52,770 | 1,930 |
| New Jersey | $48,660 | $50,630 | 20,980 |
| Connecticut | $48,500 | $51,530 | 6,480 |
| New Hampshire | $48,410 | $49,080 | 3,680 |
| Wisconsin | $48,380 | $49,170 | 7,760 |
| Vermont | $48,200 | $49,870 | 2,390 |
| Alaska | $47,870 | $48,650 | 2,520 |
| Maryland | $47,850 | $49,350 | 17,290 |
| New York | $47,710 | $49,540 | 57,720 |
| Maine | $46,990 | $48,010 | 4,610 |
| Nevada | $46,990 | $46,380 | 7,030 |
| Colorado | $46,920 | $47,200 | 11,560 |
| Rhode Island | $46,860 | $49,820 | 2,350 |
| Illinois | $46,670 | $46,900 | 27,560 |
| Virginia | $46,180 | $46,500 | 27,600 |
| Nebraska | $46,100 | $46,510 | 4,110 |
| Arizona | $45,820 | $46,330 | 18,090 |
| South Dakota | $45,810 | $46,240 | 80 |
| North Dakota | $45,390 | $46,220 | 1,120 |
| Pennsylvania | $44,930 | $45,580 | 27,600 |
| Idaho | $44,920 | $44,880 | 5,120 |
| Delaware | $44,500 | $44,840 | 4,510 |
| Wyoming | $44,430 | $45,260 | 1,110 |
| Utah | $44,330 | $44,620 | 5,260 |
| Ohio | $44,280 | $44,670 | 29,110 |
| New Mexico | $44,230 | $44,940 | 4,590 |
| North Carolina | $44,190 | $43,790 | 56,840 |
| Indiana | $44,060 | $44,070 | 21,180 |
| Missouri | $43,980 | $44,070 | 12,260 |
| Montana | $43,740 | $43,710 | 4,410 |
| Georgia | $43,160 | $43,860 | 39,380 |
| Kansas | $43,020 | $43,170 | 6,470 |
| Texas | $42,910 | $43,270 | 78,740 |
| Florida | $41,730 | $43,720 | 96,000 |
| Michigan | $41,100 | $43,260 | 27,960 |
| Iowa | $40,980 | $42,790 | 10,560 |
| South Carolina | $40,170 | $42,950 | 15,630 |
| Tennessee | $39,940 | $42,870 | 41,810 |
| Kentucky | $38,750 | $40,880 | 26,430 |
| West Virginia | $38,430 | $41,170 | 1,550 |
| Oklahoma | $38,330 | $40,180 | 8,430 |
| Arkansas | $37,000 | $39,610 | 2,190 |
| Alabama | $36,930 | $39,460 | 16,580 |
| Louisiana | $36,930 | $39,230 | 2,970 |
| Mississippi | $36,290 | $38,510 | — |
Similar jobs
- Interviewer: $45,920
- Order Clerk: $46,170
- Office and Administrative Support Worker: $45,670
- Weigher: $46,380
- Shipping: $45,260
- Correspondence Clerk: $46,800
- Office Clerk: $45,010
- Bill and Account Collector: $47,030
BLS occupation: Medical Secretaries and Administrative Assistants. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 (SOC 43-6013). Excludes the self-employed.
Frequently asked questions
How much does a medical secretary and administrative assistant make an hour?
The median hourly wage is $22.08; the average is $22.50.
Which state pays medical secretaries and administrative assistants the most?
Washington ($58,100 median), followed by California and Massachusetts.
What is the salary range for a medical secretary and administrative assistant?
The bottom 10% earn under $35,930 and the top 10% earn over $60,530 a year.
How much is $45,930 after taxes?
About $39,085 a year in Texas (no state income tax) or $37,668 in California for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.