Medical Secretary and Administrative Assistant salary in North Carolina
Updated Updated for 2026 tax law
A medical secretary and administrative assistant in North Carolina earns a median of $44,190 a year ($21.25/hour equivalent), 3.8% below the national median of $45,930. North Carolina ranks #33 of 51 states. About 56,840 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $36,432 a year after federal, FICA and North Carolina taxes — $1,401 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $1,699.62
- Federal income tax
- −$120.11
- Social Security (6.2%)
- −$105.38
- Medicare (1.45%)
- −$24.64
- North Carolina income tax
- −$48.25
- Take-home pay
- $1,401.24
Annual breakdown
- Gross
- $44,190
- Federal
- $3,123
- FICA
- $3,381
- State + local
- $1,254
- Net
- $36,432
- 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 | $58,100 |
| #2 | California | $54,490 |
| #3 | Massachusetts | $50,290 |
| #4 | Oregon | $50,130 |
| #5 | Minnesota | $50,030 |
| #33 | North Carolina | $44,190 |
| #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 North Carolina?
The median salary is $44,190 a year and the average is $43,790 (BLS May 2025).
Is North Carolina a good state for medical secretaries and administrative assistants?
North Carolina ranks #33 of 51 states for median pay in this job, 4% below the national median of $45,930.
What is $44,190 after taxes in North Carolina?
About $36,432 a year ($1,401 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.