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Medical Records Specialist Salary by State (2026)
How much does a Medical Records Specialist make? The median Medical Records Specialist salary in the US is about $52,368 per year (roughly $25.00 an hour), across 194,040 jobs (Medical Records Specialists). But pay swings widely by state — the median ranges from $41,500 in Mississippi to $72,040 in District of Columbia. Pick your state below for the full pay range and an estimated take-home after taxes.
Median Medical Records Specialist salary in every state
| State | Median salary | Jobs |
| District of Columbia | $72,040 | 270 |
| Rhode Island | $63,960 | 650 |
| Hawaii | $63,180 | 400 |
| Washington | $62,270 | 5,010 |
| California | $61,810 | 18,700 |
| New York | $61,720 | 9,080 |
| Minnesota | $61,530 | 3,150 |
| Alaska | $61,090 | 1,070 |
| Connecticut | $60,940 | 1,120 |
| Massachusetts | $60,350 | 3,500 |
| Wisconsin | $60,280 | 2,870 |
| Colorado | $59,020 | 1,780 |
| Oregon | $59,000 | 2,560 |
| Vermont | $57,560 | 0 |
| New Mexico | $57,470 | 1,400 |
| Illinois | $56,440 | 5,740 |
| Delaware | $56,060 | 610 |
| South Carolina | $54,280 | 2,750 |
| Maryland | $54,220 | 2,440 |
| Wyoming | $54,210 | 280 |
| Idaho | $53,460 | 1,490 |
| Oklahoma | $53,460 | 2,480 |
| Virginia | $53,290 | 4,630 |
| Utah | $52,870 | 1,910 |
| Maine | $52,090 | 1,000 |
| Nebraska | $51,670 | 1,640 |
| South Dakota | $51,610 | 900 |
| Georgia | $51,550 | 5,930 |
| Ohio | $50,990 | 7,440 |
| Missouri | $50,750 | 3,890 |
| Iowa | $50,640 | 2,250 |
| Nevada | $50,300 | 2,350 |
| New Jersey | $50,240 | 4,450 |
| Montana | $50,190 | 820 |
| North Carolina | $49,620 | 6,760 |
| New Hampshire | $49,210 | 930 |
| Texas | $48,860 | 17,210 |
| Tennessee | $48,780 | 4,440 |
| Kentucky | $48,410 | 4,210 |
| Kansas | $48,160 | 2,030 |
| Michigan | $48,120 | 4,890 |
| Indiana | $47,670 | 5,860 |
| Arizona | $47,630 | 3,750 |
| West Virginia | $47,360 | 1,260 |
| Pennsylvania | $46,840 | 6,970 |
| North Dakota | $46,280 | 520 |
| Florida | $45,760 | 21,490 |
| Louisiana | $44,610 | 2,600 |
| Alabama | $43,810 | 2,330 |
| Arkansas | $41,740 | 1,920 |
| Mississippi | $41,500 | 2,310 |
Frequently asked questions
- How much does a Medical Records Specialist make?
- A Medical Records Specialist makes a median of about $52,368 per year in the US (roughly $25.00 per hour), according to the latest BLS data. Pay ranges from $41,500 in Mississippi to $72,040 in District of Columbia depending on the state.
- What is the average Medical Records Specialist salary in the US?
- The typical (employment-weighted median) Medical Records Specialist salary in the US is about $52,368 per year, based on the latest BLS data covering 194,040 jobs nationwide.
- Which state pays Medical Records Specialists the most?
- District of Columbia has the highest median Medical Records Specialist salary at $72,040 per year. Remember that taxes and cost of living vary — a high gross salary can shrink after state taxes.
- Which state pays Medical Records Specialists the least?
- Mississippi has the lowest median at $41,500 per year. Lower-paying states often also have lower living costs and, in some cases, no state income tax.
Sources and methodology
All figures: BLS OEWS May 2025 (state file, released April 2026) (Medical Records Specialists, code 29-2072). “Typical pay” is the employment-weighted average of state medians. Take-home estimates on state pages use 2026 federal and verified state tax rules from our PaycheckTally engine.