Sort by any column. Employment is the number of medical records specialists OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.
Medical Records Specialist Salary by State (2026)
Medical Records Specialists earn the most in District of Columbia at $72,040 a year and the least in Puerto Rico at $27,990 (BLS OEWS, May 2025). The national median is $51,140. All 53 states and territories with reported data are ranked below, with a cost-of-living adjusted column.
- Highest median
- $72,040
- National median
- $51,140
- Lowest median
- $27,990
- States reporting
- 53
District of Columbia
BLS OEWS, May 2025
Puerto Rico
of 54 OEWS areas
Top 5 states for Medical Records Specialists
- 1. District of Columbia$72,040 median · $65,550 adjusted · 270 employed
- 2. Rhode Island$63,960 median · $62,534 adjusted · 650 employed
- 3. Hawaii$63,180 median · $57,462 adjusted · 400 employed
- 4. Washington$62,270 median · $58,189 adjusted · 5,010 employed
- 5. California$61,810 median · $55,826 adjusted · 18,700 employed
Lowest-paying states for Medical Records Specialists
- 53. Puerto Rico$27,990 median · no price parity · 1,850 employed
- 52. Guam$38,470 median · no price parity · 70 employed
- 51. Mississippi$41,500 median · $47,727 adjusted · 2,310 employed
- 50. Arkansas$41,740 median · $48,012 adjusted · 1,920 employed
- 49. Alabama$43,810 median · $49,323 adjusted · 2,330 employed
Medical Records Specialist salary in every state
| # | ||||||
|---|---|---|---|---|---|---|
| 1 | District of Columbia | $72,040 | $55,750 | $99,060 | 270 | $65,550 |
| 2 | Rhode Island | $63,960 | $51,040 | $70,910 | 650 | $62,534 |
| 3 | Hawaii | $63,180 | $50,670 | $77,970 | 400 | $57,462 |
| 4 | Washington | $62,270 | $50,250 | $79,680 | 5,010 | $58,189 |
| 5 | California | $61,810 | $49,000 | $80,630 | 18,700 | $55,826 |
| 6 | New York | $61,720 | $49,010 | $79,120 | 9,080 | $57,190 |
| 7 | Minnesota | $61,530 | $49,690 | $70,070 | 3,150 | $62,390 |
| 8 | Alaska | $61,090 | $51,050 | $72,800 | 1,070 | $59,682 |
| 9 | Connecticut | $60,940 | $48,750 | $76,160 | 1,120 | $58,817 |
| 10 | Massachusetts | $60,350 | $48,170 | $74,700 | 3,500 | $57,065 |
| 11 | Wisconsin | $60,280 | $49,510 | $66,140 | 2,870 | $64,063 |
| 12 | Colorado | $59,020 | $49,280 | $68,140 | 1,780 | $57,272 |
| 13 | Oregon | $59,000 | $49,180 | $70,610 | 2,560 | $57,081 |
| 14 | Vermont | $57,560 | $47,340 | $62,590 | N/A | $58,760 |
| 15 | New Mexico | $57,470 | $43,470 | $66,240 | 1,400 | $62,324 |
| 16 | Illinois | $56,440 | $46,290 | $64,360 | 5,740 | $56,464 |
| 17 | Delaware | $56,060 | $42,690 | $67,160 | 610 | $56,168 |
| 18 | South Carolina | $54,280 | $45,180 | $62,650 | 2,750 | $57,899 |
| 19 | Maryland | $54,220 | $44,210 | $65,770 | 2,440 | $51,658 |
| 20 | Wyoming | $54,210 | $42,770 | $65,800 | 280 | $58,485 |
| 21 | Idaho | $53,460 | $46,450 | $64,470 | 1,490 | $55,983 |
| 22 | Oklahoma | $53,460 | $41,200 | $61,110 | 2,480 | $60,859 |
| 23 | Virginia | $53,290 | $45,200 | $64,950 | 4,630 | $52,708 |
| 24 | Utah | $52,870 | $42,040 | $65,360 | 1,910 | $53,478 |
| 25 | Maine | $52,090 | $46,330 | $61,790 | 1,000 | $53,673 |
| 26 | Nebraska | $51,670 | $44,610 | $62,960 | 1,640 | $57,345 |
| 27 | South Dakota | $51,610 | $44,860 | $63,130 | 900 | $58,260 |
| 28 | Georgia | $51,550 | $43,810 | $64,840 | 5,930 | $53,535 |
| 29 | Ohio | $50,990 | $45,500 | $63,510 | 7,440 | $54,962 |
| 30 | Missouri | $50,750 | $46,000 | $63,150 | 3,890 | $55,882 |
| 31 | Iowa | $50,640 | $44,500 | $61,920 | 2,250 | $57,702 |
| 32 | Nevada | $50,300 | $40,370 | $65,160 | 2,350 | $50,311 |
| 33 | New Jersey | $50,240 | $35,640 | $64,700 | 4,450 | $46,174 |
| 34 | Montana | $50,190 | $43,970 | $59,770 | 820 | $53,030 |
| 35 | North Carolina | $49,620 | $41,490 | $64,800 | 6,760 | $52,605 |
| 36 | New Hampshire | $49,210 | $44,090 | $61,050 | 930 | $47,242 |
| 37 | Texas | $48,860 | $39,470 | $63,970 | 17,210 | $50,342 |
| 38 | Tennessee | $48,780 | $40,840 | $62,930 | 4,440 | $53,097 |
| 39 | Kentucky | $48,410 | $40,570 | $61,720 | 4,210 | $53,694 |
| 40 | Kansas | $48,160 | $40,860 | $59,130 | 2,030 | $53,471 |
| 41 | Michigan | $48,120 | $41,370 | $61,470 | 4,890 | $50,012 |
| 42 | Indiana | $47,670 | $40,060 | $60,820 | 5,860 | $51,077 |
| 43 | Arizona | $47,630 | $40,150 | $61,350 | 3,750 | $47,310 |
| 44 | West Virginia | $47,360 | $38,090 | $59,950 | 1,260 | $52,918 |
| 45 | Pennsylvania | $46,840 | $42,690 | $60,510 | 6,970 | $48,006 |
| 46 | North Dakota | $46,280 | $40,330 | $60,860 | 520 | $52,024 |
| 47 | Florida | $45,760 | $37,390 | $59,230 | 21,490 | $44,249 |
| 48 | Louisiana | $44,610 | $36,830 | $61,150 | 2,600 | $50,574 |
| 49 | Alabama | $43,810 | $36,160 | $52,040 | 2,330 | $49,323 |
| 50 | Arkansas | $41,740 | $36,550 | $51,440 | 1,920 | $48,012 |
| 51 | Mississippi | $41,500 | $34,730 | $50,500 | 2,310 | $47,727 |
| 52 | Guam | $38,470 | $35,330 | $44,810 | 70 | N/A |
| 53 | Puerto Rico | $27,990 | $23,020 | $39,680 | 1,850 | N/A |
How the cost-of-living adjustment works
The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.
For Medical Records Specialists, that changes the ranking: District of Columbia leads on raw pay at $72,040, while District of Columbia leads once prices are taken into account at $65,550.
Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.
Medical Records Specialist pay by state: FAQ
Which state pays Medical Records Specialists the most?
District of Columbia reports the highest median wage for Medical Records Specialists at $72,040 a year (BLS OEWS, May 2025), followed by Rhode Island ($63,960) and Hawaii ($63,180).
Which state pays Medical Records Specialists the least?
Puerto Rico reports the lowest median for Medical Records Specialists at $27,990 a year, $44,050 below the highest-paying state (BLS OEWS, May 2025).
Where do Medical Records Specialists earn the most after cost of living?
Dividing each state median by that state's BEA Regional Price Parity puts District of Columbia first at $65,550 in national-average dollars, from a raw median of $72,040. BEA Regional Price Parities, 2024.
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