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Medical secretaries and administrative assistants in the United States

Pay, demand and where to work, from BLS data with the year on every table.

In short: Medical secretaries and administrative assistants: median pay $45,930 a year, 961,610 jobs, +4.8% growth projected to 2035, typically high school diploma or equivalent.
Alaska: 1.2 location quotientAlabama: 1.3 location quotientArkansas: 0.3 location quotientArizona: 0.9 location quotientCalifornia: 1.0 location quotientColorado: 0.7 location quotientConnecticut: 0.6 location quotientDistrict of Columbia: 0.4 location quotientDelaware: 1.5 location quotientFlorida: 1.6 location quotientGeorgia: 1.3 location quotientHawaii: 0.6 location quotientIowa: 1.1 location quotientIdaho: 1.0 location quotientIllinois: 0.7 location quotientIndiana: 1.1 location quotientKansas: 0.7 location quotientKentucky: 2.1 location quotientLouisiana: 0.2 location quotientMassachusetts: 1.0 location quotientMaryland: 1.0 location quotientMaine: 1.2 location quotientMichigan: 1.0 location quotientMinnesota: 0.9 location quotientMissouri: 0.7 location quotientMississippiMontana: 1.4 location quotientNorth Carolina: 1.9 location quotientNorth Dakota: 0.4 location quotientNebraska: 0.7 location quotientNew Hampshire: 0.9 location quotientNew Jersey: 0.8 location quotientNew Mexico: 0.8 location quotientNevada: 0.7 location quotientNew York: 1.0 location quotientOhio: 0.8 location quotientOklahoma: 0.8 location quotientOregon: 1.4 location quotientPennsylvania: 0.7 location quotientRhode Island: 0.8 location quotientSouth Carolina: 1.1 location quotientSouth Dakota: 0.0 location quotientTennessee: 2.1 location quotientTexas: 0.9 location quotientUtah: 0.5 location quotientVirginia: 1.1 location quotientVermont: 1.3 location quotientWashington: 0.5 location quotientWisconsin: 0.4 location quotientWest Virginia: 0.4 location quotientWyoming: 0.6 location quotient
Where medical secretaries and administrative assistants concentrate

low → high: location quotient

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By AtiveSite · Published 07/11/2026 · Updated 07/11/2026 · Every figure is linked to its source below.

$45,930median pay a year
961,610jobs (OEWS May 2025)
+4.8%growth 2025–35
89,200openings a year
High school diploma or equivalenttypical entry education
Moderate-term on-the-job trainingon-the-job training

Overview

NATIONAL (all US) Official statistics Source: BLS Occupational Employment and Wage Statistics (OEWS), May 2025 · BLS Employment Projections 2025–35 · Data: OEWS May 2025; projections 2025–35

Medical secretaries and administrative assistants (SOC 43-6013) employed 961,610 people in May 2025. The median pay is $45,930 a year ($22.08 an hour); the lowest-paid 10% earn under $35,930 and the highest-paid 10% more than $60,530. BLS projects its employment to change by +4.8% between 2025 and 2035 (about 89,200 openings a year including replacements). The typical way in: High school diploma or equivalent.

Highest median pay: Washington ($58,100), California ($54,490), Massachusetts ($50,290). Most jobs: California (115,050), Florida (96,000), Texas (78,740).

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Pay

NATIONAL (all US) Official statistic Source: BLS Occupational Employment and Wage Statistics (OEWS), May 2025 · Data: May 2025

Sort:
Measure ⇅Annual ⇅Hourly equivalent ⇅
10th percentile (entry level)$35,930$17.27
25th percentile$38,570$18.54
Median$45,930$22.08
Mean$46,800$22.50
75th percentile$50,580$24.32
90th percentile (experienced)$60,530$29.10

What is left after tax? (estimate)

Estimate for a wage earner: 2026 federal brackets and standard deduction (IRS), Social Security 6.2% up to $184,500, Medicare 1.45% (+0.9% above $200,000 single / $250,000 married), and a state rate you set. It ignores credits, pre-tax deductions, local taxes and benefits. Sources: IRS: tax year 2026 inflation adjustments · SSA wage base per Federal Register notice 2025-19763.

Hourly equivalents divide by 2,080 hours. Pay above $239,200 is shown as "≥ $239,200" (BLS top code).

Outlook

NATIONAL (all US) Official projection Source: BLS Employment Projections 2025–35 · Data: 2025–35 projections

Sort:
Measure ⇅Value ⇅
Jobs 2025979,000
Jobs 2035 (projected)1,026,100
Change in jobs47,100
Percent change+4.8%
Openings a year (growth + replacements)89,200
Self-employed share0.2%
Typical entry educationHigh school diploma or equivalent
Work experience in a related occupationNone
Typical on-the-job trainingModerate-term on-the-job training

Licences and certifications are set by states and employers; the education shown is the usual entry requirement, not a legal one.

By state

STATE (50 states + DC) Official statistic Source: BLS Occupational Employment and Wage Statistics (OEWS), May 2025 · Data: May 2025

Sort:
State ⇅Jobs ⇅Location quotient ⇅Median pay ⇅Entry (10th pct.) ⇅Top (90th pct.) ⇅Median vs US ⇅Yearly rent as % of median pay ⇅
Alabama16,5801.27$36,930$29,890$50,900-20%35%
Alaska2,5201.25$47,870$36,240$60,410+4%36%
Arizona18,0900.90$45,820$33,860$60,110-0%44%
Arkansas2,1900.27$37,000$31,690$47,960-19%32%
California115,0501.02$54,490$40,650$76,020+19%46%
Colorado11,5600.65$46,920$38,100$57,990+2%47%
Connecticut6,4800.62$48,500$40,380$62,580+6%38%
Delaware4,5101.51$44,500$36,400$57,980-3%41%
District of Columbia1,9300.44$49,180$45,400$59,810+7%47%
Florida96,0001.56$41,730$35,900$56,030-9%52%
Georgia39,3801.30$43,160$34,460$58,290-6%42%
Hawaii2,1600.56$49,920$38,750$59,360+9%47%
Idaho5,1200.97$44,920$35,360$57,870-2%37%
Illinois27,5600.73$46,670$37,440$58,320+2%34%
Indiana21,1801.07$44,060$35,970$56,610-4%30%
Iowa10,5601.10$40,980$35,240$50,130-11%29%
Kansas6,4700.73$43,020$35,590$53,910-6%30%
Kentucky26,4302.14$38,750$30,700$49,770-16%31%
Louisiana2,9700.25$36,930$30,090$49,050-20%35%
Maine4,6101.16$46,990$39,710$58,160+2%31%
Maryland17,2901.01$47,850$38,070$61,750+4%43%
Massachusetts22,2100.99$50,290$41,460$63,030+9%44%
Michigan27,9601.03$41,100$36,330$50,840-11%34%
Minnesota16,8600.92$50,030$43,390$61,490+9%31%
Missouri12,2600.68$43,980$35,520$55,730-4%29%
Montana4,4101.39$43,740$35,990$51,690-5%32%
Nebraska4,1100.65$46,100$38,100$57,200+0%29%
Nevada7,0300.73$46,990$36,770$58,360+2%44%
New Hampshire3,6800.87$48,410$39,440$59,600+5%39%
New Jersey20,9800.79$48,660$38,310$62,400+6%44%
New Mexico4,5900.85$44,230$36,210$57,790-4%30%
New York57,7200.96$47,710$38,430$61,160+4%41%
North Carolina56,8401.86$44,190$35,880$55,290-4%36%
North Dakota1,1200.42$45,390$37,440$58,140-1%26%
Ohio29,1100.85$44,280$36,730$56,830-4%30%
Oklahoma8,4300.80$38,330$30,730$48,690-17%33%
Oregon16,8401.38$50,130$39,900$63,340+9%38%
Pennsylvania27,6000.74$44,930$36,280$58,170-2%33%
Rhode Island2,3500.76$46,860$40,630$61,330+2%36%
South Carolina15,6301.10$40,170$34,780$56,890-13%38%
South Dakota800.03$45,810$39,270$53,120-0%26%
Tennessee41,8102.06$39,940$31,960$57,670-13%39%
Texas78,7400.90$42,910$33,090$56,570-7%41%
Utah5,2600.49$44,330$34,510$57,080-3%43%
Vermont2,3901.27$48,200$40,020$60,010+5%33%
Virginia27,6001.09$46,180$37,180$58,350+1%43%
Washington10,9600.50$58,100$44,980$73,480+26%38%
West Virginia1,5500.36$38,430$30,910$50,690-16%28%
Wisconsin7,7600.43$48,380$39,640$58,190+5%28%
Wyoming1,1100.64$44,430$36,400$59,440-3%27%

Location quotient above 1 means the occupation is more concentrated in the state than in the nation. "n/a" means BLS suppressed the figure. Rent uses the state median gross rent (ACS).

Metro areas

METRO Official statistic Source: BLS Occupational Employment and Wage Statistics (OEWS), May 2025 · Data: May 2025

The 60 highest-paying metropolitan areas among those with at least 300 jobs in this occupation.

Sort:
Metropolitan area ⇅Jobs ⇅Median pay ⇅Entry (10th pct.) ⇅Top (90th pct.) ⇅Location quotient ⇅
San Jose-Sunnyvale-Santa Clara, CA6,340$69,350$45,960$81,8600.90
Napa, CA510$61,830$47,400$76,8501.07
San Francisco-Oakland-Fremont, CA13,660$61,330$48,130$84,1000.93
Vallejo, CA990$61,220$46,740$81,2501.11
Seattle-Tacoma-Bellevue, WA6,420$60,350$46,900$75,2300.50
Santa Rosa-Petaluma, CA1,190$60,240$46,010$80,5200.94
Sacramento-Roseville-Folsom, CA7,710$57,730$42,340$76,5801.15
San Luis Obispo-Paso Robles, CA840$54,740$43,030$71,6801.11
Portland-Vancouver-Hillsboro, OR-WA8,290$54,560$46,030$73,2901.11
Olympia-Lacey-Tumwater, WA320$52,900$45,730$68,2700.40
Barnstable Town, MA560$51,940$40,600$66,6200.96
Minneapolis-St. Paul-Bloomington, MN-WI8,920$51,870$45,270$64,1100.74
Albany, OR310$51,650$41,580$63,8201.05
San Diego-Chula Vista-Carlsbad, CA11,260$51,650$43,640$71,0101.18
Norwich-New London-Willimantic, CT490$51,610$42,020$73,7500.63
Boston-Cambridge-Newton, MA-NH16,330$51,600$43,810$64,0600.98
Los Angeles-Long Beach-Anaheim, CA40,380$51,410$38,650$74,2201.04
Kennewick-Richland, WA350$50,780$43,920$71,3100.43
Bend, OR1,290$50,640$42,940$60,6301.92
Modesto, CA1,600$50,250$42,360$73,0401.32
Santa Cruz-Watsonville, CA720$50,230$44,400$70,1201.19
Vineland, NJ300$50,230$35,990$59,1300.78
Iowa City, IA1,290$50,130$39,000$63,1902.22
Bridgeport-Stamford-Danbury, CT1,570$50,090$46,530$63,9900.63
Burlington-South Burlington, VT1,080$49,900$43,810$61,5601.45
Boulder, CO840$49,890$42,020$61,0000.71
Riverside-San Bernardino-Ontario, CA10,530$49,820$38,090$66,2400.99
Oxnard-Thousand Oaks-Ventura, CA2,460$49,800$39,520$69,2401.23
Santa Maria-Santa Barbara, CA1,040$49,730$41,410$64,8800.84
Salinas, CA950$49,630$43,850$63,6200.82
Yuba City, CA310$49,600$39,290$61,6000.98
Urban Honolulu, HI1,580$49,460$38,390$59,6400.57
Grants Pass, OR300$49,430$38,650$63,2301.59
New York-Newark-Jersey City, NY-NJ52,640$49,230$38,950$63,5600.90
Spokane-Spokane Valley, WA1,090$49,200$44,220$60,6200.69
Trenton-Princeton, NJ920$49,180$37,120$62,3700.62
Mankato, MN350$49,160$39,630$59,7701.01
Pittsfield, MA530$48,930$39,490$62,1701.50
Salem, OR1,440$48,920$39,120$59,9801.24
New Haven, CT1,100$48,790$40,470$62,5400.63
Milwaukee-Waukesha, WI2,220$48,560$39,640$59,1300.44
Manchester-Nashua, NH1,020$48,410$39,060$58,2600.83
Eugene-Springfield, OR1,560$48,380$39,360$63,9701.60
Madison, WI2,080$48,380$45,690$58,1900.82
Washington-Arlington-Alexandria, DC-VA-MD-WV18,960$48,280$39,710$61,7500.98
Fresno, CA3,410$48,120$39,010$64,7901.16
Eau Claire, WI350$47,970$38,350$57,0700.66
Stockton-Lodi, CA1,360$47,950$38,680$69,8500.76
Amherst Town-Northampton, MA320$47,880$39,790$59,3000.79
Duluth, MN-WI790$47,870$39,120$56,5801.02
Corvallis, OR430$47,850$38,430$61,5201.79
Denver-Aurora-Centennial, CO5,980$47,810$39,110$60,6000.60
Springfield, MA1,030$47,780$38,060$58,9100.82
Coeur d'Alene, ID500$47,750$37,270$59,7001.12
Lewiston-Auburn, ME310$47,720$38,800$59,3301.06
Baltimore-Columbia-Towson, MD8,640$47,680$39,050$60,6601.03
Chicago-Naperville-Elgin, IL-IN20,020$47,680$38,970$60,6800.72
Bangor, ME650$47,640$38,630$58,5801.46
Visalia, CA900$47,560$38,240$62,3800.85
Redding, CA590$47,510$38,850$62,5501.34

FAQ

How much does a medical secretaries and administrative assistants earn in the US?

The median is $45,930 a year ($22.08 an hour); the lowest-paid tenth earn under $35,930 and the highest-paid tenth over $60,530 (BLS OEWS, May 2025).

How many medical secretaries and administrative assistants jobs are there?

961,610 in May 2025, and BLS projects +4.8% growth to 2035.

What education do you need to become a medical secretaries and administrative assistants?

The typical entry education is: High school diploma or equivalent (BLS).

Which state pays medical secretaries and administrative assistants the most?

Washington, with a median of $58,100 (among states with published figures).

Sources

Sources

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