Medical Secretary and Administrative Assistant salary in Iowa
Updated Updated for 2026 tax law
A medical secretary and administrative assistant in Iowa earns a median of $40,980 a year ($19.70/hour equivalent), 10.8% below the national median of $45,930. Iowa ranks #42 of 51 states. About 10,560 people do this job in Iowa.
Take-home pay in Iowa
At the Iowa median, a single filer keeps about $34,202 a year after federal, FICA and Iowa taxes — $1,315 every two weeks. Try your own numbers with the Iowa paycheck calculator.
- Gross pay
- $1,576.15
- Federal income tax
- −$105.29
- Social Security (6.2%)
- −$97.72
- Medicare (1.45%)
- −$22.85
- Iowa income tax
- −$34.82
- Take-home pay
- $1,315.46
Annual breakdown
- Gross
- $40,980
- Federal
- $2,738
- FICA
- $3,135
- State + local
- $905
- Net
- $34,202
- Marginal federal rate
- 12.0%
- Marginal state rate
- 3.8%
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 Iowa compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $58,100 |
| #2 | California | $54,490 |
| #3 | Massachusetts | $50,290 |
| #4 | Oregon | $50,130 |
| #5 | Minnesota | $50,030 |
| #42 | Iowa | $40,980 |
| #49 | Alabama | $36,930 |
| #50 | Louisiana | $36,930 |
| #51 | Mississippi | $36,290 |
See the national medical secretary and administrative assistant salary page for the full pay range and all states.
BLS occupation: Medical Secretaries and Administrative Assistants (SOC 43-6013), May 2025, state estimates.
Frequently asked questions
How much does a medical secretary and administrative assistant make in Iowa?
The median salary is $40,980 a year and the average is $42,790 (BLS May 2025).
Is Iowa a good state for medical secretaries and administrative assistants?
Iowa ranks #42 of 51 states for median pay in this job, 11% below the national median of $45,930.
What is $40,980 after taxes in Iowa?
About $34,202 a year ($1,315 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.