Medical Secretaries and Administrative Assistants pay in the U.S.

$46,800avg. a year
$22.50 an hour · 961,610 employed

Medical Secretaries and Administrative Assistants in the U.S. earn an average of $46,800 a year and a median of $45,930. Pay is highest in Washington ($57,300) and lowest in Mississippi ($38,510).

$45,930Median pay
$22.50Average hourly
+20%Avg. pay since 2020
961,610Jobs in the U.S.

Top-paying states for medical secretaries and administrative assistants

Average pay by state. Swipe to see the top 10.

Why people trust JobPayFacts

Official government dataEvery number comes from the U.S. Bureau of Labor Statistics wage survey of employers, not self-reported salaries.
Every state and city830 jobs across all 50 states, D.C. and 199 large metro areas.
Updated every yearNew figures each spring when BLS releases them. This site uses May 2025 data.
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Medical Secretaries and Administrative Assistants pay, charted

Pay over time

United States, annual wage, May of each year
AverageMedian

Where the jobs are

Employment by state, May 2025

Average pay by state

May 2025 · tap a state
Under $43k$43k–$46k$46k–$49k$49k+

Top-paying metro areas

Average pay, May 2025 (areas with 100+ jobs)
Metro areaAvg. payHourly
San Jose-Sunnyvale-Santa Clara, CA$68,750$33.05
San Francisco-Oakland-Fremont, CA$64,580$31.05
Vallejo, CA$63,880$30.71
Napa, CA$63,500$30.53
Santa Rosa-Petaluma, CA$60,980$29.32
Seattle-Tacoma-Bellevue, WA$60,670$29.17
Sacramento-Roseville-Folsom, CA$57,130$27.46
Portland-Vancouver-Hillsboro, OR-WA$55,450$26.66

Medical Secretaries and Administrative Assistants pay in every state

States without a figure had too few jobs or too little survey data for BLS to publish.

StateAvg. payMedianJobs
Alabama$39,460$36,93016,580
Alaska$48,650$47,8702,520
Arizona$46,330$45,82018,090
Arkansas$39,610$37,0002,190
California$56,350$54,490115,050
Colorado$47,200$46,92011,560
Connecticut$51,530$48,5006,480
Delaware$44,840$44,5004,510
District of Columbia$52,770$49,1801,930
Florida$43,720$41,73096,000
Georgia$43,860$43,16039,380
Hawaii$50,230$49,9202,160
Idaho$44,880$44,9205,120
Illinois$46,900$46,67027,560
Indiana$44,070$44,06021,180
Iowa$42,790$40,98010,560
Kansas$43,170$43,0206,470
Kentucky$40,880$38,75026,430
Louisiana$39,230$36,9302,970
Maine$48,010$46,9904,610
Maryland$49,350$47,85017,290
Massachusetts$52,910$50,29022,210
Michigan$43,260$41,10027,960
Minnesota$52,770$50,03016,860
Mississippi$38,510$36,290–
Missouri$44,070$43,98012,260
Montana$43,710$43,7404,410
Nebraska$46,510$46,1004,110
Nevada$46,380$46,9907,030
New Hampshire$49,080$48,4103,680
New Jersey$50,630$48,66020,980
New Mexico$44,940$44,2304,590
New York$49,540$47,71057,720
North Carolina$43,790$44,19056,840
North Dakota$46,220$45,3901,120
Ohio$44,670$44,28029,110
Oklahoma$40,180$38,3308,430
Oregon$52,640$50,13016,840
Pennsylvania$45,580$44,93027,600
Rhode Island$49,820$46,8602,350
South Carolina$42,950$40,17015,630
South Dakota$46,240$45,81080
Tennessee$42,870$39,94041,810
Texas$43,270$42,91078,740
Utah$44,620$44,3305,260
Vermont$49,870$48,2002,390
Virginia$46,500$46,18027,600
Washington$57,300$58,10010,960
West Virginia$41,170$38,4301,550
Wisconsin$49,170$48,3807,760
Wyoming$45,260$44,4301,110

Metro areas with the most jobs

Questions and answers

How much do medical secretaries and administrative assistants make?

The average is $46,800 a year across the U.S. Half earn more than $45,930 and half earn less (the median).

What is the hourly pay?

The average hourly wage is $22.50, and the median is $22.08 an hour.

Which state pays medical secretaries and administrative assistants the most?

Washington, with an average of $57,300 a year. The best-paying metro area is San Jose-Sunnyvale-Santa Clara, CA at $68,750.

What is the pay range?

The lowest-paid 10% earn under $35,930 a year, and the top 10% earn over $60,530.

Sources and notes. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (trend: May 2020–May 2025), occupation code 43-6013. Wages are gross pay before taxes and don't include overtime premiums, tips, bonuses or benefits; self-employed workers aren't included. Year-to-year changes can partly reflect survey method changes, so treat the trend as a guide. How we use the data. JobPayFacts isn't affiliated with BLS.