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Medical Secretary and Administrative Assistant salary in Virginia

Updated Updated for 2026 tax law

A medical secretary and administrative assistant in Virginia earns a median of $46,180 a year ($22.20/hour equivalent), 0.5% above the national median of $45,930. Virginia ranks #21 of 51 states. About 27,600 people do this job in Virginia.

Take-home pay in Virginia

At the Virginia median, a single filer keeps about $37,444 a year after federal, FICA and Virginia taxes — $1,440 every two weeks. Try your own numbers with the Virginia paycheck calculator.

Take-home pay (every 2 weeks)
$1,440.17
$37,444 per year · 18.9% total tax rate
Gross pay
$1,776.15
Federal income tax
−$129.29
Social Security (6.2%)
−$110.12
Medicare (1.45%)
−$25.75
Virginia income tax
−$70.82
Take-home pay
$1,440.17
Annual breakdown
Gross
$46,180
Federal
$3,362
FICA
$3,533
State + local
$1,841
Net
$37,444
Marginal federal rate
12.0%
Marginal state rate
5.8%

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 Virginia compares

RankStateMedian salary
#1Washington$58,100
#2California$54,490
#3Massachusetts$50,290
#4Oregon$50,130
#5Minnesota$50,030
#21Virginia$46,180
#49Alabama$36,930
#50Louisiana$36,930
#51Mississippi$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 Virginia?

The median salary is $46,180 a year and the average is $46,500 (BLS May 2025).

Is Virginia a good state for medical secretaries and administrative assistants?

Virginia ranks #21 of 51 states for median pay in this job, 1% above the national median of $45,930.

What is $46,180 after taxes in Virginia?

About $37,444 a year ($1,440 every two weeks) for a single filer in 2026.

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Estimates for information only — not tax, legal or financial advice.