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Medical Secretary Salary by State (2026)
Medical Secretarys (Medical Secretaries and Administrative Assistants) hold 955,630 jobs across the US. Typical pay is $45,548 per year, but the median ranges from $36,290 in Mississippi to $58,100 in Washington. Pick your state for the full pay range and an estimated take-home after taxes.
Median Medical Secretary salary in every state
| State | Median salary | Jobs |
| Washington | $58,100 | 10,960 |
| California | $54,490 | 115,050 |
| Massachusetts | $50,290 | 22,210 |
| Oregon | $50,130 | 16,840 |
| Minnesota | $50,030 | 16,860 |
| Hawaii | $49,920 | 2,160 |
| District of Columbia | $49,180 | 1,930 |
| New Jersey | $48,660 | 20,980 |
| Connecticut | $48,500 | 6,480 |
| New Hampshire | $48,410 | 3,680 |
| Wisconsin | $48,380 | 7,760 |
| Vermont | $48,200 | 2,390 |
| Alaska | $47,870 | 2,520 |
| Maryland | $47,850 | 17,290 |
| New York | $47,710 | 57,720 |
| Maine | $46,990 | 4,610 |
| Nevada | $46,990 | 7,030 |
| Colorado | $46,920 | 11,560 |
| Rhode Island | $46,860 | 2,350 |
| Illinois | $46,670 | 27,560 |
| Virginia | $46,180 | 27,600 |
| Nebraska | $46,100 | 4,110 |
| Arizona | $45,820 | 18,090 |
| South Dakota | $45,810 | 80 |
| North Dakota | $45,390 | 1,120 |
| Pennsylvania | $44,930 | 27,600 |
| Idaho | $44,920 | 5,120 |
| Delaware | $44,500 | 4,510 |
| Wyoming | $44,430 | 1,110 |
| Utah | $44,330 | 5,260 |
| Ohio | $44,280 | 29,110 |
| New Mexico | $44,230 | 4,590 |
| North Carolina | $44,190 | 56,840 |
| Indiana | $44,060 | 21,180 |
| Missouri | $43,980 | 12,260 |
| Montana | $43,740 | 4,410 |
| Georgia | $43,160 | 39,380 |
| Kansas | $43,020 | 6,470 |
| Texas | $42,910 | 78,740 |
| Florida | $41,730 | 96,000 |
| Michigan | $41,100 | 27,960 |
| Iowa | $40,980 | 10,560 |
| South Carolina | $40,170 | 15,630 |
| Tennessee | $39,940 | 41,810 |
| Kentucky | $38,750 | 26,430 |
| West Virginia | $38,430 | 1,550 |
| Oklahoma | $38,330 | 8,430 |
| Arkansas | $37,000 | 2,190 |
| Alabama | $36,930 | 16,580 |
| Louisiana | $36,930 | 2,970 |
| Mississippi | $36,290 | 0 |
Frequently asked questions
- What is the average Medical Secretary salary in the US?
- The typical (employment-weighted median) Medical Secretary salary in the US is about $45,548 per year, based on the latest BLS data covering 955,630 jobs nationwide.
- Which state pays Medical Secretarys the most?
- Washington has the highest median Medical Secretary salary at $58,100 per year. Remember that taxes and cost of living vary — a high gross salary can shrink after state taxes.
- Which state pays Medical Secretarys the least?
- Mississippi has the lowest median at $36,290 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 Secretaries and Administrative Assistants, code 43-6013). “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.