Executive Secretaries and Executive Administrative Assistants
Median $76,590
Occupation · SOC 43-6013
Medical Secretaries and Administrative Assistants: pay and where the jobs are
What medical secretaries and administrative assistants earn in the U.S., how pay varies across workers and states, and tools to plan around it.
National pay, May 2025
$45,930 median annual wage
- Mean (average) annual wage
- $46,800
- Median hourly wage
- $22.08
- Mean hourly wage
- $22.50
- Employment
- 961,610
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 43-6013.
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See where your pay falls among medical secretaries and administrative assistants nationally and in your state. Nothing you type leaves your browser.
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How much do medical secretaries and administrative assistants make?
The median annual wage for medical secretaries and administrative assistants was $45,930 in May 2025, so half of workers earned more and half earned less. The lowest-paid 10% earned less than $35,930 and the highest-paid 10% more than $60,530. As an hourly rate, the median is $22.08. About 961,610 people work in this occupation nationwide. The highest state medians are in Washington ($58,100), California ($54,490) and Massachusetts ($50,290). Washington also comes out on top after taxes and local prices.
Pay ladder
What each step of the pay range for medical secretaries and administrative assistants looks like per month. Take-home here includes federal tax, Social Security and Medicare for a single filer; add your state in the paycheck calculator.
| Step | Annual | Hourly | Monthly gross | Monthly after federal tax & FICA |
|---|---|---|---|---|
| 10th percentile | $35,930 | $17.27 | $2,994 | $2,587 |
| 25th percentile | $38,570 | $18.54 | $3,214 | $2,764 |
| Median | $45,930 | $22.08 | $3,828 | $3,257 |
| 75th percentile | $50,580 | $24.32 | $4,215 | $3,568 |
| 90th percentile | $60,530 | $29.10 | $5,044 | $4,235 |
Medical Secretaries and Administrative Assistants: pay by state
54 states and territories have a published median, sorted from highest to lowest. The last two columns are our estimates: the median after 2026 federal and state taxes, and that take-home restated in national-average prices.
1
$44,908 take-home in national prices
2
$44,012 take-home in national prices
3
$43,448 take-home in national prices
Where a median medical secretaries and administrative assistant paycheck goes furthest after 2026 taxes and BEA price levels.
| State | Employment | Median | 10th pct. | 90th pct. | Median after tax* | In national prices† |
|---|---|---|---|---|---|---|
| Washington | 10,960 | $58,100 | $44,980 | $73,480 | $48,057 | $44,908 |
| California | 115,050 | $54,490 | $40,650 | $76,020 | $43,945 | $39,691 |
| Massachusetts | 22,210 | $50,290 | $41,460 | $63,030 | $40,062 | $37,881 |
| Oregon | 16,840 | $50,130 | $39,900 | $63,340 | $38,945 | $37,678 |
| Minnesota | 16,860 | $50,030 | $43,390 | $61,490 | $40,280 | $40,844 |
| Hawaii | 2,160 | $49,920 | $38,750 | $59,360 | $40,022 | $36,400 |
| District of Columbia | 1,930 | $49,180 | $45,400 | $59,810 | $39,911 | $36,316 |
| New Jersey | 20,980 | $48,660 | $38,310 | $62,400 | $39,743 | $36,527 |
| Connecticut | 6,480 | $48,500 | $40,380 | $62,580 | $38,975 | $37,617 |
| New Hampshire | 3,680 | $48,410 | $39,440 | $59,600 | $41,077 | $39,435 |
| Wisconsin | 7,760 | $48,380 | $39,640 | $58,190 | $39,556 | $42,039 |
| Vermont | 2,390 | $48,200 | $40,020 | $60,010 | $39,728 | $40,556 |
| Alaska | 2,520 | $47,870 | $36,240 | $60,410 | $40,404 | $39,473 |
| Maryland | 17,290 | $47,850 | $38,070 | $61,750 | $38,721 | $36,891 |
| New York | 57,720 | $47,710 | $38,430 | $61,160 | $38,298 | $35,487 |
| Maine | 4,610 | $46,990 | $39,710 | $58,160 | $38,194 | $39,355 |
| Nevada | 7,030 | $46,990 | $36,770 | $58,360 | $39,936 | $39,945 |
| Colorado | 11,560 | $46,920 | $38,100 | $57,990 | $38,318 | $37,183 |
| Rhode Island | 2,350 | $46,860 | $40,630 | $61,330 | $38,176 | $37,325 |
| Illinois | 27,560 | $46,670 | $37,440 | $58,320 | $37,514 | $37,530 |
| Virginia | 27,600 | $46,180 | $37,180 | $58,350 | $37,444 | $37,036 |
| Nebraska | 4,110 | $46,100 | $38,100 | $57,200 | $38,003 | $42,178 |
| Arizona | 18,090 | $45,820 | $33,860 | $60,110 | $38,245 | $37,987 |
| South Dakota | 80 | $45,810 | $39,270 | $53,120 | $38,988 | $44,012 |
| North Dakota | 1,120 | $45,390 | $37,440 | $58,140 | $38,651 | $43,448 |
| Pennsylvania | 27,600 | $44,930 | $36,280 | $58,170 | $36,870 | $37,788 |
| Idaho | 5,120 | $44,920 | $35,360 | $57,870 | $37,001 | $38,747 |
| Delaware | 4,510 | $44,500 | $36,400 | $57,980 | $35,965 | $36,034 |
| Wyoming | 1,110 | $44,430 | $36,400 | $59,440 | $37,880 | $40,866 |
| Utah | 5,260 | $44,330 | $34,510 | $57,080 | $36,453 | $36,872 |
| Ohio | 29,110 | $44,280 | $36,730 | $56,830 | $36,985 | $39,865 |
| New Mexico | 4,590 | $44,230 | $36,210 | $57,790 | $36,784 | $39,891 |
| North Carolina | 56,840 | $44,190 | $35,880 | $55,290 | $36,432 | $38,624 |
| Indiana | 21,180 | $44,060 | $35,970 | $56,610 | $36,312 | $38,907 |
| Missouri | 12,260 | $43,980 | $35,520 | $55,730 | $36,388 | $40,068 |
| Montana | 4,410 | $43,740 | $35,990 | $51,690 | $36,026 | $38,064 |
| Georgia | 39,380 | $43,160 | $34,460 | $58,290 | $35,454 | $36,819 |
| Kansas | 6,470 | $43,020 | $35,590 | $53,910 | $35,146 | $39,021 |
| Texas | 78,740 | $42,910 | $33,090 | $56,570 | $36,658 | $37,770 |
| Florida | 96,000 | $41,730 | $35,900 | $56,030 | $35,710 | $34,531 |
| Michigan | 27,960 | $41,100 | $36,330 | $50,840 | $33,708 | $35,033 |
| Iowa | 10,560 | $40,980 | $35,240 | $50,130 | $34,202 | $38,971 |
| South Carolina | 15,630 | $40,170 | $34,780 | $56,890 | $33,955 | $36,219 |
| Tennessee | 41,810 | $39,940 | $31,960 | $57,670 | $34,272 | $37,305 |
| Kentucky | 26,430 | $38,750 | $30,700 | $49,770 | $32,077 | $35,578 |
| West Virginia | 1,550 | $38,430 | $30,910 | $50,690 | $32,065 | $35,828 |
| Oklahoma | 8,430 | $38,330 | $30,730 | $48,690 | $31,799 | $36,200 |
| Arkansas | 2,190 | $37,000 | $31,690 | $47,960 | $31,028 | $35,690 |
| Alabama | 16,580 | $36,930 | $29,890 | $50,900 | $30,359 | $34,180 |
| Louisiana | 2,970 | $36,930 | $30,090 | $49,050 | $31,132 | $35,294 |
| Virgin Islands | 230 | $36,710 | $28,520 | $47,580 | — | — |
| Mississippi | Not published | $36,290 | $29,890 | $49,410 | $30,619 | $35,214 |
| Guam | 310 | $31,680 | $23,000 | $43,850 | — | — |
| Puerto Rico | 8,480 | $29,620 | $21,840 | $48,420 | — | — |
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 43-6013. *Our estimate for a single filer paid biweekly with no pre-tax deductions or local tax, 2026 federal and state rules. †Take-home ÷ BEA Regional Price Parity × 100 (2024 price levels).
Sources
- OEWS May 2025 (oesm25nat.zip) — U.S. Bureau of Labor Statistics. Accessed 2026-10-09.
- OEWS May 2025 (oesm25st.zip) — U.S. Bureau of Labor Statistics. Accessed 2026-10-09.