Sort by any column. Employment is the number of medical secretaries and administrative assistants OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.
Medical Secretary and Administrative Assistant Salary by State (2026)
Medical Secretaries and Administrative Assistants earn the most in Washington at $58,100 a year and the least in Puerto Rico at $29,620 (BLS OEWS, May 2025). The national median is $45,930. All 54 states and territories with reported data are ranked below, with a cost-of-living adjusted column.
- Highest median
- $58,100
- National median
- $45,930
- Lowest median
- $29,620
- States reporting
- 54
Washington
BLS OEWS, May 2025
Puerto Rico
of 54 OEWS areas
Top 5 states for Medical Secretaries and Administrative Assistants
- 1. Washington$58,100 median · $54,292 adjusted · 10,960 employed
- 2. California$54,490 median · $49,214 adjusted · 115,050 employed
- 3. Massachusetts$50,290 median · $47,552 adjusted · 22,210 employed
- 4. Oregon$50,130 median · $48,500 adjusted · 16,840 employed
- 5. Minnesota$50,030 median · $50,730 adjusted · 16,860 employed
Lowest-paying states for Medical Secretaries and Administrative Assistants
- 54. Puerto Rico$29,620 median · no price parity · 8,480 employed
- 53. Guam$31,680 median · no price parity · 310 employed
- 52. Mississippi$36,290 median · $41,735 adjusted · N/A employed
- 51. U.S. Virgin Islands$36,710 median · no price parity · 230 employed
- 50. Louisiana$36,930 median · $41,867 adjusted · 2,970 employed
Medical Secretary and Administrative Assistant salary in every state
| # | ||||||
|---|---|---|---|---|---|---|
| 1 | Washington | $58,100 | $48,510 | $62,840 | 10,960 | $54,292 |
| 2 | California | $54,490 | $46,590 | $63,330 | 115,050 | $49,214 |
| 3 | Massachusetts | $50,290 | $47,480 | $58,910 | 22,210 | $47,552 |
| 4 | Oregon | $50,130 | $46,510 | $59,370 | 16,840 | $48,500 |
| 5 | Minnesota | $50,030 | $48,100 | $59,290 | 16,860 | $50,730 |
| 6 | Hawaii | $49,920 | $45,790 | $55,420 | 2,160 | $45,402 |
| 7 | District of Columbia | $49,180 | $46,920 | $58,170 | 1,930 | $44,749 |
| 8 | New Jersey | $48,660 | $44,080 | $57,400 | 20,980 | $44,722 |
| 9 | Connecticut | $48,500 | $46,380 | $57,760 | 6,480 | $46,810 |
| 10 | New Hampshire | $48,410 | $45,020 | $53,470 | 3,680 | $46,474 |
| 11 | Wisconsin | $48,380 | $46,490 | $51,900 | 7,760 | $51,416 |
| 12 | Vermont | $48,200 | $45,160 | $57,370 | 2,390 | $49,205 |
| 13 | Alaska | $47,870 | $43,800 | $54,730 | 2,520 | $46,767 |
| 14 | Maryland | $47,850 | $43,350 | $55,580 | 17,290 | $45,589 |
| 15 | New York | $47,710 | $44,160 | $56,310 | 57,720 | $44,208 |
| 16 | Maine | $46,990 | $43,940 | $49,970 | 4,610 | $48,418 |
| 17 | Nevada | $46,990 | $39,900 | $49,010 | 7,030 | $47,000 |
| 18 | Colorado | $46,920 | $41,190 | $50,660 | 11,560 | $45,530 |
| 19 | Rhode Island | $46,860 | $45,730 | $55,690 | 2,350 | $45,815 |
| 20 | Illinois | $46,670 | $40,320 | $50,170 | 27,560 | $46,690 |
| 21 | Virginia | $46,180 | $39,500 | $48,720 | 27,600 | $45,676 |
| 22 | Nebraska | $46,100 | $40,930 | $48,940 | 4,110 | $51,164 |
| 23 | Arizona | $45,820 | $39,090 | $51,260 | 18,090 | $45,512 |
| 24 | South Dakota | $45,810 | $43,970 | $47,890 | 80 | $51,712 |
| 25 | North Dakota | $45,390 | $39,430 | $50,210 | 1,120 | $51,024 |
| 26 | Pennsylvania | $44,930 | $39,520 | $49,030 | 27,600 | $46,048 |
| 27 | Idaho | $44,920 | $37,890 | $48,440 | 5,120 | $47,040 |
| 28 | Delaware | $44,500 | $38,640 | $47,710 | 4,510 | $44,586 |
| 29 | Wyoming | $44,430 | $38,200 | $49,250 | 1,110 | $47,933 |
| 30 | Utah | $44,330 | $37,390 | $49,150 | 5,260 | $44,839 |
| 31 | Ohio | $44,280 | $38,700 | $47,980 | 29,110 | $47,729 |
| 32 | New Mexico | $44,230 | $38,570 | $49,150 | 4,590 | $47,966 |
| 33 | North Carolina | $44,190 | $37,930 | $47,440 | 56,840 | $46,848 |
| 34 | Indiana | $44,060 | $38,040 | $47,190 | 21,180 | $47,209 |
| 35 | Missouri | $43,980 | $37,440 | $48,440 | 12,260 | $48,427 |
| 36 | Montana | $43,740 | $38,580 | $47,350 | 4,410 | $46,215 |
| 37 | Georgia | $43,160 | $36,910 | $47,780 | 39,380 | $44,822 |
| 38 | Kansas | $43,020 | $37,870 | $46,810 | 6,470 | $47,764 |
| 39 | Texas | $42,910 | $37,170 | $47,850 | 78,740 | $44,211 |
| 40 | Florida | $41,730 | $37,570 | $47,300 | 96,000 | $40,352 |
| 41 | Michigan | $41,100 | $37,950 | $46,990 | 27,960 | $42,716 |
| 42 | Iowa | $40,980 | $37,560 | $46,980 | 10,560 | $46,694 |
| 43 | South Carolina | $40,170 | $36,940 | $46,690 | 15,630 | $42,848 |
| 44 | Tennessee | $39,940 | $36,320 | $46,730 | 41,810 | $43,474 |
| 45 | Kentucky | $38,750 | $35,940 | $45,950 | 26,430 | $42,980 |
| 46 | West Virginia | $38,430 | $36,160 | $46,260 | 1,550 | $42,940 |
| 47 | Oklahoma | $38,330 | $35,550 | $45,900 | 8,430 | $43,635 |
| 48 | Arkansas | $37,000 | $34,880 | $42,400 | 2,190 | $42,560 |
| 49 | Alabama | $36,930 | $33,800 | $44,990 | 16,580 | $41,577 |
| 50 | Louisiana | $36,930 | $34,270 | $44,330 | 2,970 | $41,867 |
| 51 | U.S. Virgin Islands | $36,710 | $31,750 | $42,840 | 230 | N/A |
| 52 | Mississippi | $36,290 | $31,250 | $43,090 | N/A | $41,735 |
| 53 | Guam | $31,680 | $27,400 | $36,760 | 310 | N/A |
| 54 | Puerto Rico | $29,620 | $22,670 | $39,520 | 8,480 | 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 Secretaries and Administrative Assistants, that changes the ranking: Washington leads on raw pay at $58,100, while Washington leads once prices are taken into account at $54,292.
Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.
Medical Secretary and Administrative Assistant pay by state: FAQ
Which state pays Medical Secretaries and Administrative Assistants the most?
Washington reports the highest median wage for Medical Secretaries and Administrative Assistants at $58,100 a year (BLS OEWS, May 2025), followed by California ($54,490) and Massachusetts ($50,290).
Which state pays Medical Secretaries and Administrative Assistants the least?
Puerto Rico reports the lowest median for Medical Secretaries and Administrative Assistants at $29,620 a year, $28,480 below the highest-paying state (BLS OEWS, May 2025).
Where do Medical Secretaries and Administrative Assistants earn the most after cost of living?
Dividing each state median by that state's BEA Regional Price Parity puts Washington first at $54,292 in national-average dollars, from a raw median of $58,100. BEA Regional Price Parities, 2024.
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