390 metro areas

Medical Secretary and Administrative Assistant Salary by City (2026)

Medical secretaries and administrative assistants earn the most in San Jose, CA, an average of $68,740 a year, against $46,800 nationally. After local prices, pay goes furthest in San Jose, CA ($62,250 in national-average dollars). Every metro area with its own BLS estimate is ranked below.

US average (mean): $46,800BLS OEWS, May 2025
Highest-paying city: $68,740San Jose, CA
Best after cost of living: $62,250San Jose, CA
Metro areas: 390With their own estimate

Top cities

Highest-paying cities for medical secretaries and administrative assistants

Mean annual wage

Top 10 metro areas

San Jose, CA$68,740
San Francisco, CA$64,580
Vallejo, CA$63,880
Napa, CA$63,500
Santa Rosa, CA$60,990
Seattle, WA$60,670
Sacramento, CA$57,120
Longview, WA$56,330
Portland, OR-WA$55,450
Modesto, CA$55,310

Top 10 metro areas by mean wage for medical secretaries and administrative assistants
Item	Value
San Jose-Sunnyvale-Santa Clara, CA	$68,740
San Francisco-Oakland-Fremont, CA	$64,580
Vallejo, CA	$63,880
Napa, CA	$63,500
Santa Rosa-Petaluma, CA	$60,990
Seattle-Tacoma-Bellevue, WA	$60,670
Sacramento-Roseville-Folsom, CA	$57,120
Longview-Kelso, WA	$56,330
Portland-Vancouver-Hillsboro, OR-WA	$55,450
Modesto, CA	$55,310

Source: BLS OEWS, May 2025

At national-average prices

Mean wage ÷ BEA price level

San Jose, CA$68,740 nominal$62,250
Vallejo, CA$63,880 nominal$58,890
Longview, WA$56,330 nominal$57,750
Santa Rosa, CA$60,990 nominal$56,590
Minot, ND$49,230 nominal$56,570
Napa, CA$63,500 nominal$56,420
San Francisco, CA$64,580 nominal$55,860
Barnstable Town, MA$54,700 nominal$55,620
Seattle, WA$60,670 nominal$54,590
Grand Forks, ND-MN$47,070 nominal$54,310

Top 10 metro areas by price-adjusted mean wage for medical secretaries and administrative assistants
Item	Value
San Jose-Sunnyvale-Santa Clara, CA	$62,250
Vallejo, CA	$58,890
Longview-Kelso, WA	$57,750
Santa Rosa-Petaluma, CA	$56,590
Minot, ND	$56,570
Napa, CA	$56,420
San Francisco-Oakland-Fremont, CA	$55,860
Barnstable Town, MA	$55,620
Seattle-Tacoma-Bellevue, WA	$54,590
Grand Forks, ND-MN	$54,310

Source: BLS OEWS 2025 · BEA RPP 2024

Every city

Medical Secretary and Administrative Assistant salary in every metro area

Mean annual wage, with the Department of Labor's entry (Level I) and experienced (Level IV) prevailing-wage benchmarks for the same metro, and the mean at national-average prices. Sorted by mean pay.

Medical Secretary and Administrative Assistant pay in every metro area with a BLS estimate
#	Metro area	Mean	Entry (Level I)	Experienced (Level IV)	At US prices
1	San Jose, CA	$68,740	$49,750	$78,100	$62,250
2	San Francisco, CA	$64,580	$49,800	$71,860	$55,860
3	Vallejo, CA	$63,880	$47,590	$71,910	$58,890
4	Napa, CA	$63,500	$49,420	$70,450	$56,420
5	Santa Rosa, CA	$60,990	$46,030	$68,350	$56,590
6	Seattle, WA	$60,670	$48,630	$66,600	$54,590
7	Sacramento, CA	$57,120	$44,320	$63,440	$53,550
8	Longview, WA	$56,330	$45,930	$61,440	$57,750
9	Portland, OR-WA	$55,450	$45,740	$60,240	$52,600
10	Modesto, CA	$55,310	$43,600	$61,090	$53,130
11	San Luis Obispo, CA	$55,180	$43,890	$60,760	$50,810
12	San Diego, CA	$54,770	$44,430	$59,860	$48,950
13	Barnstable Town, MA	$54,700	$44,510	$59,700	$55,620
14	Santa Cruz, CA	$54,640	$44,550	$59,610	$49,720
15	Bellingham, WA	$54,520	$44,570	$59,430	$52,760
16	Olympia, WA	$54,200	$45,240	$58,590	$52,280
17	Los Angeles, CA	$54,160	$41,790	$60,260	$47,690
18	Minneapolis, MN-WI	$54,000	$45,470	$58,200	$51,520
19	Boston, MA-NH	$53,980	$45,340	$58,240	$49,860
20	Norwich, CT	$53,930	$43,430	$59,110	$53,690
21	Kennewick, WA	$53,890	$44,550	$58,510	$53,850
22	Bremerton, WA	$53,410	$44,410	$57,870	$50,570
23	Mount Vernon, WA	$53,210	$44,820	$57,320	$51,940
24	Bridgeport, CT	$53,160	$45,800	$56,780	$49,750
25	Bend, OR	$53,060	$44,200	$57,430	$51,210
26	Riverside, CA	$53,060	$41,350	$58,840	$49,850
27	Oxnard, CA	$53,000	$42,660	$58,090	$47,950
28	Burlington, VT	$52,790	$44,260	$56,970	$52,290
29	Santa Maria, CA	$52,790	$43,560	$57,320	$48,520
30	Salinas, CA	$52,540	$44,240	$56,620	$48,180
31	Fairbanks, AK	$52,400	$43,200	$56,910	$50,770
32	Kahului, HI	$52,330	$46,010	$55,450	$47,840
33	Spokane, WA	$52,000	$44,320	$55,760	$51,820
34	New York, NY-NJ	$51,880	$42,060	$56,700	$46,090
35	New Haven, CT	$51,850	$42,830	$56,310	$49,590
36	Eugene, OR	$51,770	$41,620	$56,780	$50,970
37	Walla Walla, WA	$51,710	$41,480	$56,740	$52,490
38	Albany, OR	$51,690	$42,680	$56,140	$50,630
39	Hanford, CA	$51,580	$43,160	$55,720	$50,760
40	Stockton, CA	$51,420	$41,290	$56,410	$48,930
41	Yuba City, CA	$51,190	$42,200	$55,600	$49,110
42	Carson City, NV	$51,110	$42,200	$55,470	$52,080
43	Washington, DC-VA-MD-WV	$50,960	$42,640	$55,060	$46,800
44	Madison, WI	$50,770	$45,700	$53,270	$52,190
45	Fresno, CA	$50,730	$41,450	$55,310	$49,660
46	Grants Pass, OR	$50,590	$41,200	$55,200	$51,750
47	Boulder, CO	$50,520	$42,910	$54,250	$48,020
48	Salem, OR	$50,500	$41,540	$54,910	$48,720
49	Medford, OR	$50,360	$42,390	$54,270	$49,650
50	Hartford, CT	$50,230	$42,120	$54,230	$48,890
51	Bakersfield, CA	$50,210	$41,160	$54,680	$49,770
52	Urban Honolulu, HI	$50,040	$41,370	$54,310	$45,100
53	Visalia, CA	$49,940	$40,870	$54,390	$50,030
54	Chico, CA	$49,920	$42,950	$53,350	$49,330
55	Corvallis, OR	$49,770	$39,830	$54,660	$47,850
56	Waterbury, CT	$49,730	$43,160	$52,960	$49,840
57	Worcester, MA	$49,710	$42,100	$53,460	$48,490
58	Amherst Town, MA	$49,610	$42,490	$53,120	$49,490
59	Milwaukee, WI	$49,570	$43,220	$52,690	$51,140
60	Redding, CA	$49,400	$40,410	$53,830	$49,060
61	Appleton, WI	$49,340	$43,160	$52,370	$53,390
62	Portland, ME	$49,320	$42,830	$52,500	$48,420
63	Providence, RI-MA	$49,280	$42,490	$52,620	$48,420
64	Minot, ND	$49,230	$38,480	$54,540	$56,570
65	Baltimore, MD	$49,210	$40,730	$53,370	$47,100
66	Wenatchee, WA	$49,170	$40,910	$53,230	$47,340
67	Pittsfield, MA	$49,130	$42,290	$52,520	$51,660
68	Oshkosh, WI	$49,110	$41,830	$52,690	$52,850
69	Racine, WI	$49,090	$42,390	$52,400	$51,160
70	Trenton, NJ	$48,980	$39,400	$53,710	$47,470
71	Manchester, NH	$48,920	$42,080	$52,290	$46,300
72	Springfield, MA	$48,900	$40,710	$52,920	$50,910
73	Mankato, MN	$48,840	$42,120	$52,150	$53,700
74	Green Bay, WI	$48,800	$42,350	$51,960	$52,420
75	Iowa City, IA	$48,760	$38,980	$53,560	$53,280
76	Chicago, IL-IN	$48,380	$40,460	$52,270	$46,700
77	Denver, CO	$48,340	$40,460	$52,210	$45,700
78	Merced, CA	$48,240	$39,540	$52,500	$49,090
79	La Crosse, WI-MN	$48,210	$41,790	$51,380	$52,530
80	Eau Claire, WI	$48,130	$42,470	$50,920	$51,870
81	Philadelphia, PA-NJ-DE-MD	$48,130	$39,170	$52,540	$46,930
82	Vineland, NJ	$48,090	$39,370	$52,400	$50,110
83	Wausau, WI	$48,090	$41,930	$51,130	$51,900
84	Duluth, MN-WI	$48,010	$40,500	$51,710	$54,080
85	Reno, NV	$47,840	$38,790	$52,310	$47,360
86	Santa Fe, NM	$47,840	$39,350	$52,040	$48,440
87	Bangor, ME	$47,820	$40,460	$51,440	$49,550
88	Kenosha, WI	$47,740	$42,140	$50,480	$47,210
89	Bismarck, ND	$47,690	$38,380	$52,290	$52,390
90	Lewiston, ME	$47,670	$39,370	$51,770	$50,320
91	Yakima, WA	$47,590	$41,540	$50,560	$49,810
92	El Centro, CA	$47,570	$38,830	$51,850	$49,980
93	Bozeman, MT	$47,550	$39,750	$51,400	$46,390
94	Sheboygan, WI	$47,510	$37,790	$52,290	$50,540
95	Coeur d'Alene, ID	$47,490	$38,170	$52,080	$48,310
96	Phoenix, AZ	$47,440	$37,540	$52,310	$45,920
97	Anchorage, AK	$47,420	$38,060	$52,020	$44,980
98	Austin, TX	$47,220	$38,230	$51,630	$48,150
99	Grand Forks, ND-MN	$47,070	$37,980	$51,540	$54,310
100	St. Cloud, MN	$46,990	$38,190	$51,310	$53,620
101	Salt Lake City, UT	$46,950	$36,770	$51,960	$46,550
102	Lexington Park, MD	$46,860	$38,230	$51,130	$46,510
103	Lincoln, NE	$46,780	$39,150	$50,540	$51,080
104	Atlantic City, NJ	$46,700	$38,580	$50,690	$47,240
105	Albuquerque, NM	$46,680	$38,710	$50,610	$48,860
106	Janesville, WI	$46,570	$39,460	$50,070	$49,700
107	Durham, NC	$46,550	$38,850	$50,340	$47,710
108	Omaha, NE-IA	$46,550	$39,480	$50,020	$50,650
109	Kiryas Joel, NY	$46,530	$40,250	$49,630	$42,520
110	Cleveland, OH	$46,510	$38,360	$50,520	$49,520
111	Fargo, ND-MN	$46,490	$38,440	$50,440	$51,160
112	Cincinnati, OH-KY-IN	$46,470	$37,460	$50,920	$48,730
113	Buffalo, NY	$46,340	$38,380	$50,250	$48,350
114	Cheyenne, WY	$46,300	$37,170	$50,770	$47,980
115	Fond du Lac, WI	$46,160	$39,770	$49,300	$50,370
116	Atlanta, GA	$46,110	$36,690	$50,750	$46,080
117	Naples, FL	$46,090	$36,650	$50,730	$44,660
118	Raleigh, NC	$46,070	$37,290	$50,400	$46,940
119	Allentown, PA-NJ	$45,990	$38,020	$49,920	$46,000
120	St. Louis, MO-IL	$45,990	$37,290	$50,270	$48,370
121	Nashville, TN	$45,970	$36,550	$50,610	$47,720
122	Flagstaff, AZ	$45,950	$39,230	$49,250	$45,800
123	Las Vegas, NV	$45,950	$36,860	$50,420	$45,850
124	North Port, FL	$45,930	$37,230	$50,210	$44,850
125	Sioux Falls, SD-MN	$45,820	$41,700	$47,840	$50,560
126	Grand Island, NE	$45,800	$38,460	$49,420	$52,850
127	Charlottesville, VA	$45,740	$38,900	$49,130	$46,130
128	Lewiston, ID-WA	$45,720	$37,040	$50,000	$50,150
129	Kansas City, MO-KS	$45,680	$38,060	$49,420	$49,360
130	Twin Falls, ID	$45,660	$35,480	$50,670	$49,570
131	Reading, PA	$45,530	$37,500	$49,480	$46,910
132	Columbus, OH	$45,490	$38,020	$49,170	$47,650
133	Glens Falls, NY	$45,490	$38,500	$48,940	$47,950
134	Charlotte, NC-SC	$45,470	$37,070	$49,610	$46,710
135	Boise City, ID	$45,430	$36,150	$50,000	$46,170
136	Kingston, NY	$45,430	$37,750	$49,210	$45,110
137	Indianapolis, IN	$45,410	$37,110	$49,480	$47,450
138	Dallas, TX	$45,320	$35,610	$50,110	$43,960
139	Fort Collins, CO	$45,240	$38,580	$48,530	$44,740
140	Lebanon, PA	$45,240	$36,940	$49,340	$48,530
141	Chambersburg, PA	$45,220	$35,880	$49,820	$47,780
142	Harrisburg, PA	$45,200	$37,630	$48,920	$45,820
143	Champaign, IL	$45,120	$36,650	$49,280	$48,670
144	Pueblo, CO	$45,010	$37,000	$48,940	$49,050
145	Cape Coral, FL	$44,970	$37,250	$48,780	$43,940
146	Miami, FL	$44,970	$36,570	$49,090	$39,390
147	Bloomington, IL	$44,950	$35,900	$49,420	$48,060
148	Colorado Springs, CO	$44,890	$38,170	$48,190	$44,570
149	Rockford, IL	$44,890	$37,150	$48,690	$48,710
150	Albany, NY	$44,870	$38,460	$48,010	$45,070
151	Ann Arbor, MI	$44,840	$37,840	$48,300	$44,450
152	Gainesville, GA	$44,700	$36,300	$48,840	$46,190
153	St. George, UT	$44,680	$35,050	$49,420	$45,910
154	Syracuse, NY	$44,680	$38,130	$47,900	$46,670
155	Charleston, SC	$44,660	$36,860	$48,480	$44,230
156	Gainesville, FL	$44,640	$35,860	$48,960	$46,150
157	Greeley, CO	$44,640	$37,980	$47,900	$44,560
158	Winston, NC	$44,640	$36,900	$48,440	$48,500
159	Sandusky, OH	$44,620	$36,590	$48,570	$49,980
160	Lancaster, PA	$44,570	$36,360	$48,610	$45,360
161	Topeka, KS	$44,430	$36,820	$48,170	$50,020
162	Gettysburg, PA	$44,370	$37,750	$47,630	$46,520
163	Fort Wayne, IN	$44,240	$36,170	$48,210	$47,790
164	Asheville, NC	$44,220	$37,110	$47,740	$45,820
165	Richmond, VA	$44,220	$37,340	$47,630	$45,190
166	York, PA	$44,220	$37,340	$47,630	$46,060
167	Staunton, VA	$44,200	$37,360	$47,590	$48,500
168	Peoria, IL	$44,160	$37,420	$47,490	$48,400
169	Hagerstown, MD-WV	$44,100	$36,840	$47,690	$46,830
170	Great Falls, MT	$44,050	$36,690	$47,690	$45,490
171	Lansing, MI	$43,970	$36,340	$47,740	$46,290
172	Jacksonville, FL	$43,910	$36,420	$47,590	$44,140
173	Rochester, NY	$43,910	$38,690	$46,470	$45,250
174	Columbia, MO	$43,890	$36,090	$47,720	$49,070
175	Tampa, FL	$43,890	$36,710	$47,420	$43,500
176	Traverse City, MI	$43,890	$37,690	$46,920	$47,010
177	Winchester, VA-WV	$43,890	$37,170	$47,200	$45,510
178	Grand Rapids, MI	$43,870	$37,400	$47,050	$45,920
179	Billings, MT	$43,850	$36,900	$47,280	$46,890
180	Idaho Falls, ID	$43,830	$35,400	$47,990	$46,420
181	Virginia Beach, VA-NC	$43,830	$36,750	$47,300	$44,750
182	Decatur, IL	$43,780	$38,040	$46,610	$49,510
183	Detroit, MI	$43,780	$36,900	$47,170	$43,650
184	Hilton Head Island, SC	$43,740	$35,880	$47,630	$44,620
185	Missoula, MT	$43,740	$36,750	$47,170	$45,350
186	Lafayette, IN	$43,720	$36,360	$47,340	$46,790
187	Harrisonburg, VA	$43,700	$37,340	$46,840	$46,050
188	Kokomo, IN	$43,700	$36,460	$47,280	$48,750
189	Utica, NY	$43,700	$37,540	$46,760	$47,150
190	San Antonio, TX	$43,490	$35,860	$47,240	$45,920
191	Kalamazoo, MI	$43,430	$35,980	$47,110	$45,790
192	Tucson, AZ	$43,430	$35,960	$47,110	$44,820
193	Grand Junction, CO	$43,370	$37,000	$46,510	$45,430
194	Lexington, KY	$43,370	$35,300	$47,340	$46,690
195	Scranton, PA	$43,370	$35,440	$47,280	$46,360
196	Springfield, IL	$43,370	$38,310	$45,860	$46,760
197	Memphis, TN-MS-AR	$43,280	$34,840	$47,440	$46,950
198	Louisville/Jefferson County, KY-IN	$43,260	$35,380	$47,150	$46,480
199	Pittsburgh, PA	$43,260	$34,940	$47,340	$45,700
200	Provo, UT	$43,260	$34,590	$47,530	$44,040
201	Salisbury, MD	$43,240	$36,110	$46,740	$45,220
202	Burlington, NC	$43,200	$35,300	$47,090	$46,350
203	Midland, TX	$43,200	$35,940	$46,800	$45,100
204	Yuma, AZ	$43,200	$35,280	$47,110	$46,600
205	Springfield, OH	$43,180	$36,170	$46,630	$47,720
206	Des Moines, IA	$43,160	$36,590	$46,380	$47,070
207	Dayton, OH	$43,140	$36,550	$46,380	$46,540
208	Houston, TX	$43,140	$34,070	$47,610	$43,740
209	Lake Havasu City, AZ	$43,120	$36,460	$46,400	$45,820
210	Greensboro, NC	$43,100	$36,340	$46,430	$46,410
211	Lynchburg, VA	$43,100	$37,020	$46,090	$48,230
212	South Bend, IN-MI	$43,080	$35,780	$46,680	$46,390
213	Binghamton, NY	$43,040	$37,380	$45,820	$46,350
214	Casper, WY	$43,010	$36,610	$46,180	$45,840
215	Williamsport, PA	$42,990	$35,070	$46,880	$46,550
216	Akron, OH	$42,970	$36,480	$46,180	$46,020
217	Abilene, TX	$42,950	$35,150	$46,800	$47,530
218	Erie, PA	$42,950	$36,340	$46,220	$47,220
219	Port St. Lucie, FL	$42,950	$35,420	$46,680	$42,850
220	Helena, MT	$42,930	$35,780	$46,470	$44,870
221	Ogden, UT	$42,930	$34,220	$47,240	$42,780
222	Jackson, MI	$42,870	$36,960	$45,780	$46,710
223	Lawrence, KS	$42,830	$36,800	$45,780	$47,460
224	Flint, MI	$42,810	$36,050	$46,130	$46,020
225	Odessa, TX	$42,810	$35,340	$46,490	$45,590
226	Palm Bay, FL	$42,810	$34,510	$46,900	$42,810
227	Punta Gorda, FL	$42,810	$36,250	$46,010	$42,590
228	Niles, MI	$42,790	$37,610	$45,340	$46,320
229	Blacksburg, VA	$42,740	$37,190	$45,470	$46,100
230	Columbus, IN	$42,700	$35,420	$46,280	$45,910
231	Bloomington, IN	$42,680	$35,980	$45,970	$44,890
232	Spartanburg, SC	$42,660	$36,340	$45,760	$46,850
233	Wilmington, NC	$42,660	$35,920	$45,990	$44,240
234	Bay City, MI	$42,620	$35,090	$46,320	$46,370
235	Orlando, FL	$42,620	$35,300	$46,220	$42,020
236	State College, PA	$42,620	$35,570	$46,090	$44,050
237	Elkhart, IN	$42,600	$35,920	$45,910	$47,160
238	Elmira, NY	$42,560	$37,790	$44,890	$45,090
239	Sioux City, IA-NE-SD	$42,490	$36,400	$45,490	$49,150
240	Greenville, SC	$42,470	$35,590	$45,860	$45,540
241	Savannah, GA	$42,430	$34,130	$46,510	$44,570
242	Wheeling, WV-OH	$42,410	$34,240	$46,450	$48,020
243	Toledo, OH	$42,370	$36,670	$45,200	$46,330
244	Knoxville, TN	$42,310	$33,570	$46,590	$45,710
245	Manhattan, KS	$42,220	$34,920	$45,840	$46,830
246	Crestview, FL	$42,200	$34,940	$45,780	$43,490
247	Michigan City, IN	$42,160	$35,110	$45,640	$45,990
248	San Angelo, TX	$42,160	$34,800	$45,780	$45,600
249	Farmington, NM	$42,100	$35,530	$45,320	$48,000
250	Canton, OH	$42,080	$35,360	$45,390	$47,070
251	Pocatello, ID	$42,080	$34,070	$46,010	$47,330
252	Waterloo, IA	$42,080	$34,720	$45,700	$48,340
253	College Station, TX	$42,060	$34,200	$45,930	$46,240
254	Columbia, SC	$42,060	$34,530	$45,760	$44,910
255	Rome, GA	$42,060	$33,880	$46,090	$46,650
256	Sebastian, FL	$42,060	$35,760	$45,180	$42,780
257	Wichita, KS	$42,040	$35,820	$45,090	$47,260
258	Davenport, IA-IL	$42,020	$35,380	$45,300	$47,170
259	Lima, OH	$42,000	$36,750	$44,570	$46,840
260	Birmingham, AL	$41,970	$33,720	$46,050	$45,800
261	Wichita Falls, TX	$41,970	$32,990	$46,400	$46,890
262	Prescott Valley, AZ	$41,930	$33,240	$46,220	$42,670
263	Midland, MI	$41,870	$36,800	$44,390	$45,550
264	Pensacola, FL	$41,850	$34,130	$45,640	$42,830
265	Rocky Mount, NC	$41,830	$33,530	$45,910	$47,530
266	Sherman, TX	$41,830	$35,030	$45,200	$44,610
267	Deltona, FL	$41,790	$35,300	$44,970	$42,060
268	Lakeland, FL	$41,790	$35,400	$44,950	$43,020
269	Cedar Rapids, IA	$41,770	$35,400	$44,890	$46,950
270	Dover, DE	$41,700	$35,300	$44,890	$42,770
271	Evansville, IN	$41,700	$35,320	$44,840	$45,560
272	Sumter, SC	$41,700	$34,030	$45,490	$47,380
273	Ames, IA	$41,680	$35,190	$44,870	$46,920
274	Chattanooga, TN-GA	$41,680	$33,320	$45,800	$45,570
275	Greenville, NC	$41,680	$35,420	$44,760	$47,150
276	Las Cruces, NM	$41,640	$34,940	$44,950	$46,160
277	Charleston, WV	$41,620	$35,380	$44,680	$46,910
278	Muskegon, MI	$41,620	$36,030	$44,390	$44,990
279	Fayetteville, AR	$41,600	$34,780	$44,950	$45,540
280	Hinesville, GA	$41,600	$32,740	$45,950	$44,290
281	Dubuque, IA	$41,580	$34,800	$44,930	$47,610
282	Logan, UT-ID	$41,580	$32,590	$46,030	$43,350
283	Oklahoma City, OK	$41,560	$34,260	$45,160	$45,970
284	Killeen, TX	$41,480	$34,650	$44,840	$45,520
285	Corpus Christi, TX	$41,390	$33,700	$45,200	$44,660
286	Morgantown, WV	$41,370	$34,260	$44,870	$44,330
287	Myrtle Beach, SC	$41,370	$34,130	$44,930	$44,180
288	Kankakee, IL	$41,350	$36,960	$43,510	$42,900
289	Little Rock, AR	$41,350	$34,240	$44,870	$46,270
290	Johnstown, PA	$41,310	$33,650	$45,090	$48,070
291	Florence, SC	$41,290	$31,570	$46,070	$47,580
292	Huntsville, AL	$41,290	$32,320	$45,700	$44,360
293	Battle Creek, MI	$41,270	$35,380	$44,160	$45,580
294	Hammond, LA	$41,270	$32,390	$45,660	$48,860
295	Gulfport, MS	$41,230	$31,140	$46,180	$45,810
296	Athens, GA	$41,200	$33,380	$45,050	$44,140
297	Hot Springs, AR	$41,200	$31,780	$45,840	$48,060
298	Macon, GA	$41,200	$34,070	$44,720	$46,540
299	Jefferson City, MO	$41,140	$34,490	$44,430	$46,760
300	Altoona, PA	$41,100	$33,920	$44,640	$45,920
301	Terre Haute, IN	$41,080	$34,610	$44,260	$46,790
302	St. Joseph, MO-KS	$41,040	$35,530	$43,760	$47,510
303	Baton Rouge, LA	$41,020	$33,510	$44,700	$45,190
304	Brunswick, GA	$41,020	$35,110	$43,930	$46,770
305	Augusta, GA-SC	$40,980	$33,010	$44,910	$44,590
306	Beaumont, TX	$40,980	$33,820	$44,490	$45,510
307	Joplin, MO-KS	$40,980	$34,030	$44,390	$47,810
308	Springfield, MO	$40,930	$35,820	$43,430	$46,200
309	Mansfield, OH	$40,910	$34,220	$44,220	$46,030
310	Monroe, MI	$40,850	$34,630	$43,910	$43,690
311	Waco, TX	$40,830	$34,260	$44,050	$44,120
312	Hickory, NC	$40,810	$34,490	$43,930	$46,120
313	Pinehurst, NC	$40,790	$34,840	$43,720	$46,180
314	Watertown, NY	$40,790	$35,960	$43,160	$46,520
315	Cape Girardeau, MO-IL	$40,750	$34,780	$43,700	$47,340
316	Panama City, FL	$40,730	$34,570	$43,760	$41,860
317	Youngstown, OH	$40,710	$34,880	$43,580	$46,580
318	Muncie, IN	$40,640	$34,590	$43,620	$46,100
319	Saginaw, MI	$40,640	$34,960	$43,430	$44,710
320	Warner Robins, GA	$40,600	$33,470	$44,120	$43,290
321	Amarillo, TX	$40,540	$33,160	$44,160	$44,150
322	Ocala, FL	$40,500	$33,800	$43,780	$42,530
323	Paducah, KY-IL	$40,460	$34,070	$43,620	$47,000
324	Jackson, TN	$40,440	$32,180	$44,490	$47,290
325	Cleveland, TN	$40,410	$31,910	$44,600	$45,880
326	Roanoke, VA	$40,410	$35,380	$42,890	$43,160
327	Tulsa, OK	$40,370	$32,390	$44,280	$45,250
328	Albany, GA	$40,310	$32,610	$44,120	$45,980
329	Weirton, WV-OH	$40,310	$33,510	$43,660	$45,280
330	Wildwood, FL	$40,310	$34,650	$43,100	$47,190
331	Jacksonville, NC	$40,250	$32,880	$43,890	$43,710
332	Jonesboro, AR	$40,190	$33,090	$43,660	$46,800
333	Tyler, TX	$40,190	$32,760	$43,830	$43,610
334	Kingsport, TN-VA	$40,080	$32,590	$43,760	$46,360
335	Daphne, AL	$40,060	$31,660	$44,200	$42,310
336	Beckley, WV	$39,980	$33,920	$42,950	$45,240
337	Shreveport, LA	$39,960	$32,010	$43,870	$47,140
338	New Orleans, LA	$39,870	$32,530	$43,510	$43,060
339	Clarksville, TN-KY	$39,850	$32,010	$43,720	$43,820
340	Houma, LA	$39,850	$32,360	$43,530	$46,830
341	Lubbock, TX	$39,850	$31,470	$43,990	$43,640
342	Goldsboro, NC	$39,810	$32,740	$43,310	$45,000
343	Parkersburg, WV	$39,750	$33,530	$42,830	$45,660
344	Slidell, LA	$39,690	$32,240	$43,370	$42,800
345	Owensboro, KY	$39,600	$32,240	$43,240	$44,690
346	Decatur, AL	$39,560	$30,080	$44,240	$45,360
347	Morristown, TN	$39,560	$31,370	$43,600	$45,810
348	Columbus, GA-AL	$39,520	$32,590	$42,930	$44,260
349	Jackson, MS	$39,330	$31,950	$42,970	$44,170
350	Mobile, AL	$39,330	$31,600	$43,160	$44,640
351	Johnson City, TN	$39,310	$32,160	$42,850	$44,710
352	Elizabethtown, KY	$39,290	$31,600	$43,100	$43,380
353	Victoria, TX	$39,250	$32,740	$42,470	$43,690
354	Bowling Green, KY	$39,190	$32,180	$42,620	$43,460
355	Sierra Vista, AZ	$39,170	$34,570	$41,410	$43,890
356	Enid, OK	$39,150	$32,490	$42,430	$46,460
357	Montgomery, AL	$39,100	$31,010	$43,100	$43,600
358	El Paso, TX	$39,060	$30,140	$43,450	$43,440
359	Auburn, AL	$39,020	$30,930	$42,990	$44,370
360	Fayetteville, NC	$38,980	$30,870	$42,970	$42,380
361	Sebring, FL	$38,960	$33,650	$41,580	$42,130
362	Longview, TX	$38,940	$32,320	$42,200	$43,520
363	Dalton, GA	$38,920	$31,740	$42,450	$43,320
364	Homosassa Springs, FL	$38,710	$32,390	$41,830	$41,420
365	Tallahassee, FL	$38,710	$32,280	$41,850	$41,220
366	Monroe, LA	$38,650	$30,510	$42,660	$46,230
367	Brownsville, TX	$38,440	$31,490	$41,850	$44,710
368	Lawton, OK	$38,420	$31,320	$41,890	$44,710
369	Huntington, WV-KY-OH	$38,310	$31,470	$41,660	$43,330
370	Lafayette, LA	$38,060	$30,390	$41,830	$43,640
371	Tuscaloosa, AL	$37,980	$30,180	$41,830	$43,300
372	Valdosta, GA	$37,690	$31,260	$40,850	$42,700
373	Anniston, AL	$37,670	$29,680	$41,620	$43,830
374	Laredo, TX	$37,560	$30,430	$41,060	$43,190
375	Florence, AL	$37,210	$29,140	$41,180	$43,870
376	Lake Charles, LA	$37,150	$27,890	$41,720	$43,270
377	Dothan, AL	$37,130	$29,220	$41,020	$44,290
378	Fort Smith, AR-OK	$37,110	$34,110	$38,580	$43,210
379	Texarkana, TX-AR	$36,630	$29,120	$40,330	$43,600
380	McAllen, TX	$36,520	$29,890	$39,790	$42,520
381	Alexandria, LA	$36,210	$30,620	$38,980	$42,260
382	Eagle Pass, TX	$36,050	$25,690	$41,160	$43,020
383	Gadsden, AL	$35,940	$28,560	$39,600	$41,960
384	Hattiesburg, MS	$35,880	$29,660	$38,940	$40,940
385	Aguadilla, PR	$35,650	$22,670	$42,040	N/A
386	San Juan, PR	$33,840	$22,340	$39,520	N/A
387	Arecibo, PR	$33,550	$23,800	$38,360	N/A
388	Guayama, PR	$33,400	$23,840	$38,130	N/A
389	Mayaguez, PR	$32,120	$22,110	$37,040	N/A
390	Ponce, PR	$30,720	$22,110	$34,960	N/A

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Method

About these numbers

Mean wages are BLS Occupational Employment and Wage Statistics (OEWS) May 2025 estimates for each metropolitan statistical area, as published in the Department of Labor’s 2026–27 OFLC prevailing-wage file. Only metros with their own BLS estimate are listed.
Entry (Level I) and experienced (Level IV) are the Department of Labor’s prevailing-wage levels for the occupation in that metro, used for employer visa filings. They are benchmarks from the same OEWS survey, not percentiles.
OEWS top-codes wages at $115 an hour ($239,200 a year); top-coded means are shown as "$239,200+" and left out of rankings.
At US prices divides the mean by the metro’s BEA Regional Price Parity (2024) over 100, a NueCareer calculation.

Questions

Medical Secretary and Administrative Assistant salary by city: FAQ

Which city pays medical secretaries and administrative assistants the most?

San Jose, CA, where the average (mean) wage is $68,740 a year, followed by San Francisco, CA ($64,580), Vallejo, CA ($63,880), Napa, CA ($63,500). The national mean is $46,800 (BLS OEWS, May 2025).

Where do medical secretaries and administrative assistants earn the most after cost of living?

Divided by each metro's BEA price level, pay goes furthest in San Jose, CA ($62,250 at national prices, $68,740 nominal), Vallejo, CA ($58,890 at national prices, $63,880 nominal), Longview, WA ($57,750 at national prices, $56,330 nominal).

How much do medical secretaries and administrative assistants make in the biggest cities?

New York, NY-NJ: $51,880; Los Angeles, CA: $54,160; Chicago, IL-IN: $48,380; Dallas, TX: $45,320; Houston, TX: $43,140 (mean annual wage, BLS OEWS May 2025).

Where do medical secretaries and administrative assistants earn the least?

Of the 390 metro areas with their own estimate, Ponce, PR has the lowest mean wage, $30,720.