Medical Administrative Assistant Salary US 2026: Hourly, Monthly & Entry-Level Pay by State

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Medical Administrative Assistants are essential to the operation of a healthcare facility. Their responsibilities include ensuring patient flow, performing insurance verifications, recording appointments, EHR, and managing office staff. 

They are essential workers for doctors’ offices, clinics, and hospitals. Where would a healthcare facility manage an appointment with the front office staff? A front office/administrative assistant manages many roles and ensures the flow of a healthcare facility is efficient.

In what capacity are you likely to be employed in 2026? The average employee in the U.S., in the capacity of Medical Administrative Assistant, is likely to earn $44,460 a year. 

It is $3,705 a month which is equivalent to $21.38 an hour. In comparison, a Medical Administrative Assistant salary will be at an annual rate of $44,460.

Determining an individual salary is a function of the healthcare facility of employment, the cost of the area of employment, and the number of years of experience.

It can be expected that a healthcare facility employed in a high cost of living area would attract an annual salary of $50,000. An entry level Medical Administrative Assistant is likely to earn an annual salary of $37,000.

This guide will include the impending average national salary (hourly, monthly, and annually); a salary overview by experience with entry vs. advanced comparison; the highest and lowest paying states and cities, variables impacting salary, and authentic job listings with visible salary salaries.

Also see: Respiratory Therapist Salary in the United States (2026): Monthly & Hourly Pay by State

National Average Medical Administrative Assistant Salary (2026)

Before we break things down by state and experience, let’s establish the national baseline.

The Big Picture Numbers

Based on salary data aggregated from multiple sources for 2026, here is what medical administrative assistants across the United States typically earn:

Pay PeriodAverage Earnings
Hourly$21.38
Monthly$3,705
Annually$44,460

Source: ZipRecruiter

Other sources report slightly different figures depending on job titles and data collection methods. Salary.com reports an average of 46,065 per year (46,065 per year (22 per hour) for a “Medical Administrator Medical Assistant

Salary by Percentile

To understand where you might land on the pay scale, it helps to look at percentiles. Here is how medical administrative assistant salaries break down:

PercentileAnnual SalaryMonthly SalaryHourly Rate
10th Percentile (Entry-Level)$36,200$3,017$17.40
25th Percentile37,000−37,000−41,5003,083−3,083−3,45817.79−17.79−19.95
Average (Median)$44,460$3,705$21.38
75th Percentile48,500−48,500−50,3754,042−4,042−4,19823.32−23.32−24.22
90th Percentile (Top Earners)54,299−54,299−55,5004,525−4,525−4,62526.10−26.10−26.68

Sources: ZipRecruiter , Salary.com 

As you can see, there is significant room for growth. The top 10% of medical administrative assistants earn nearly $20,000 more annually than entry-level professionals. This gap reflects differences in experience, specialization, location, and employer.

Entry-Level vs. Experienced Salaries

If you are just starting your career, your salary will likely be on the lower end of the spectrum. Here is how pay typically progresses with experience:

Experience LevelEstimated Annual SalaryEstimated Hourly Rate
Entry-Level (less than 1 year)37,400−37,400−45,40018.00−18.00−21.80
Early Career (1-2 years)45,900−45,900−51,30022.00−22.00−24.70
Mid-Level (2-4 years)46,800−46,800−54,80022.50−22.50−26.30
Senior-Level (5-8 years)47,000−47,000−55,30022.60−22.60−26.60
Expert (over 8 years)47,100−47,100−55,60022.65−22.65−26.70

Sources: Salary.com

Hourly Wages for Medical Administrative Assistants

Hourly rates are particularly important for medical administrative assistants because many positions are part-time, hourly, or include shift differentials.

National Average Hourly Wage

The average hourly wage for a medical administrative assistant in the United States is approximately $21.38 per hour . However, this varies significantly:

  • 10th Percentile (Entry-Level): $17.40 per hour 
  • 25th Percentile: 17.79−19.95 per hour 
  • Median: $21.38 per hour 
  • 75th Percentile: 23.32−24.22 per hour 
  • 90th Percentile (Top Earners): 26.10−26.68 per hour

Factors That Affect Hourly Pay

Several factors influence your hourly rate:

  1. Geographic location – Urban areas and states with higher costs of living pay more.
  2. Experience level – Each year of experience adds to your hourly rate.
  3. Employer type – Hospitals typically pay more than small private practices.
  4. Certifications – Certified Medical Administrative Assistants (CMAA) earn higher rates.
  5. Shift differentials – Evening or weekend shifts may include additional pa

Monthly Salary Breakdown

Understanding monthly pay is crucial for budgeting, rent payments, and financial planning.

Average Monthly Pay

The average monthly salary for a medical administrative assistant in the United States is approximately $3,705 . However, like hourly rates, this varies significantly based on experience and location.

Here is a more detailed monthly breakdown:

CategoryMonthly Salary Range
10th Percentile (Entry-Level)3,000−3,000−3,100
25th Percentile3,100−3,100−3,500
Average (Median)3,700−3,700−3,800
75th Percentile4,000−4,000−4,200
90th Percentile (Top Earners)4,500−4,500−4,600

Sources: ZipRecruiter , Salary.com

Entry-Level Medical Administrative Assistant Pay (2026)

If you are just starting your career or considering entering this field, entry-level pay is likely your primary concern.

What Is Considered “Entry-Level”?

In the medical administrative assistant field, “entry-level” typically means:

  • Less than 1 year of professional experience
  • New graduates of certificate or associate degree programs
  • Career changers with transferable administrative skills

Entry-Level Salary Ranges

Different data sources report different entry-level figures. Here is a consolidated view:

SourceEntry-Level DefinitionAnnual SalaryHourly Rate
ZipRecruiter10th Percentile (all entry-level)$36,200$17.40
Salary.comLess than 1 year experience$45,403$21.83
Salary Expert1-3 years experience$33,102$15.91

Sources: ZipRecruiter , Salary.com , Salary Expert

Why the Wide Range?

The range of estimates (from 33,000 to 45 ,000) represents the following.

  • Different levels of experience are considered as “entry level.” The range is less than 1 year to 1 to 3 years.
  • Entry-level salaries differ from one region to another. For example, rural Maine would have lower salaries compared to New York City.
  • Different paying employers. For example, large hospitals have higher salaries for their entry-level employees than smaller clinics.
  • Different criteria do determine if an employee is entry level. Some include only employed people, and others include everyone looking for work.

Realistic Expectation for New Graduates

Based on the available data, a reasonable starting salary for a new medical administrative assistant with a certificate or associate degree in 2026 is:

  • Annual:  35,000−38,000
  • Hourly:  16.80−18.30
  • Monthly: 2,900−3,200

With a bachelor’s degree or prior administrative experience, you may start at the higher end of this range (38,000−42,000).

Salary by Experience Level (Year-by-Year Breakdown)

Experience is an important salary determinant for this profession. The following fits the medical administrative assistant profession from Salary.com data with the New Rochelle, NY location as an example.

Year-by-Year Progression

According to Salary.com data for Medical Administrative Assistants (New Rochelle, NY location shown as example, but growth patterns are nationally consistent) :

Experience LevelYears of ExperienceAnnual Salary RangeHourly Rate Range
Entry-LevelLess than 1 year$49,540$23.82
Early Career1-2 years$51,289$24.66
Mid-Level2-4 years$54,816$26.35
Senior-Level5-8 years$55,333$26.60
ExpertOver 8 years$55,591$26.73

Source: Salary.com 

Note: These figures are from a high-cost location (New Rochelle, NY) and are higher than national averages. However, the percentage increases between levels are applicable nationally.

Percentage Growth from Entry-Level to Expert

Using the national average data, here is the growth trajectory:

Career StageNational Average SalaryIncrease from Previous Stage
Entry-Level (0-1 year)$37,400
Early Career (1-2 years)$45,900+22.7%
Mid-Level (2-4 years)$46,800+2.0%
Senior-Level (5-8 years)$47,000+0.4%
Expert (8+ years)$47,100+0.2%

Salary by State and City (Geographic Variation)

Location is one of the biggest factors affecting your salary. States and cities with higher costs of living, larger healthcare sectors, or stronger labor markets pay significantly more.

Highest-Paying States

Based on available data, here are states where medical administrative assistants earn the highest salaries:

RankStateAverage Annual SalaryNotes
1New York
52,000−56,000+
Highest due to NYC cost of living
2California50,000−55,000High demand in urban areas
3Massachusetts48,000−52,000Strong healthcare sector
4Washington47,000−51,000Seattle market drives wages
5Oregon46,000−50,000University positions pay well

Highest-Paying Cities

Specific metropolitan areas often pay significantly more than their states’ averages:

CityAverage Annual SalaryAverage Hourly Rate
New Rochelle, NY49,540−55,59123.82−26.73
New York, NY$52,000+$25.00+
Los Angeles, CA50,000−55,00024.00−26.44
San Francisco, CA$55,000+$26.44+
Seattle, WA48,000−52,00023.08−25.00

Source: Salary.com 

Lower-Paying Regions

Conversely, rural areas and states with lower costs of living pay less:

LocationAverage Annual SalaryDifference from National Average
Presque Isle, Maine$43,971-1.1%
Arnot Health (NY system)$35,835-21.5%
Rural Southeast35,000−38,000-15% to -20%

Sources: Salary Expert , ZipRecruiter

Factors That Influence Medical Administrative Assistant Salaries

Beyond location and experience, several other factors affect how much you can earn.

1. Certification

Professional certification can significantly boost your earning potential. The most recognized credential is the Certified Medical Administrative Assistant (CMAA) offered by the National Healthcareer Association (NHA).

  • Certified professionals typically earn 10-15% more than non-certified peers.
  • Many employers offer tuition reimbursement for certification exams.

2. Employer Type

Different healthcare settings pay different wages:

Employer TypeTypical Pay LevelNotes
Large Hospital SystemsHighestUnion benefits, shift differentials
Specialty ClinicsMedium-HighCardiology, oncology, orthopedics
University Health CentersMedium-HighOften includes tuition benefits 
Primary Care PracticesMediumSmaller budgets
Dental OfficesMediumSimilar to primary care 
Small Private PracticesLowestLimited resources

3. Education Level

While a high school diploma may be sufficient for some entry-level positions, additional education increases earning potential:

Education LevelTypical Starting Salary
High School Diploma32,000−35,000
Certificate Program (6-12 months)35,000−38,000
Associate Degree (2 years)37,000−42,000
Bachelor’s Degree42,000−48,000+

4. Specialized Skills

Certain skills command higher wages:

SkillSalary Boost
Electronic Health Records (EHR) expertise+5-10%
Medical coding knowledge+10-15%
Bilingual (Spanish/English)+5-10%
Insurance verification specialist+5-10%
Practice management software+5-8%

5. Facility Size

Larger healthcare organizations typically pay more than small practices:

Facility SizeAverage Annual Salary
1,000+ employees46,000−50,000
100-999 employees
42,000−46,000
Under 100 employees36,000−42,000

Frequently Asked Questions

Q1: Why is Medical Administrative Assistant a Good Career in 2026?

It is a good career because the healthcare industry is large and growing. Administrative functions are in every medical office, and the Bureau of Labor Statistics shows increasing demand for medical secretaries and administrative assistants because healthcare is being used more as the population continues to age.

Q2: Is Medical Administrative Assistance Salary hourly or Monthly salary?

Most Medical Administrative Assistants are paid hourly, and because of it, many can receive overtime pay. Only senior and supervisory positions are salary positions.

Q3: Can Medical Administrative Assistants make six figures?

Most likely, no. However, the top 90th percentile would make about $55,000 a year. In order to achieve a greater salary, a career change to office manager, practice administrator, or to positions in healthcare management would be necessary.

Q4: What is the difference in Medical Administrative Assistant vs Clinical Medical Assistant salaries?

Due to the job functions being clerical and office-facing, Medical Administrative Assistants typically earn a lower salary than Clinical Medical Assistants, who are able to perform both administrative functions as well as clinical functions that include taking patient vitals and helping out with physical exams.

Q5: What is Education for Medical Administrative Assistants?

The minimum education that would be acceptable to be a Medical Administrative Assistant is a high school diploma. Further education that is looked on more favorably would be either an Associate’s degree or completion of a certificate program of 6 to 12 months. Earning the CMAA certification can be financially rewarding as well.

Q6: What state has the highest pay for Medical Administrative Assistants?

New York has the highest average salaries, especially in the New York City metropolitan area, where salaries can be more than $55,000 for people with more experience.

Q7: What are the employee benefits for Medical Administrative Assistants?

For the most part, full-time jobs in Medical Administrative Assistance provide health insurance that includes medical, dental, and vision, as well as paid vacation and retirement plan  (401k or similar) sick leave.

How to Maximize Your Salary as a Medical Administrative Assistant

If you want to earn above the average, here are actionable strategies:

Strategy 1: Obtaining New Certifications.

NHA’s Certified Medical Administrative Assistant (CMAA) credential, for example, pays dividends to those who have it. Employers who reimburse the certification fee, typically set at $155, will reimburse certified employees.

Strategy 2: Move to More Pay.

The salary difference for those who choose to leave rural areas for urban job locations is about $10,000-15,000 per year. Medical administration jobs that allow remote work with the pay location set to headquarters are an option.

Strategy 3: Gain Skill in EHRs.

Becoming skilled in key EHR systems such Epic, Cerner, Athenahealth, and eClinicalWorks will assist in getting higher starting salaries and will be a positive and much needed skill on your CV.

Strategy 4: Go for Larger Employers

The larger private practices, hospitals, and built health systems offer much wider remuneration than smaller organizations. Direct your focus to employers who have 500+ employees.

Conclusion: Your Earning Potential as a Medical Administrative Assistant

A medical administrative assistant career in health administration offers a pathway to a secure career in the health sector. There is room for professional development. 

The requirement of health administration assistants continues to be strong. There is no diminishing the need for healthcare and each and every medical clinic, doctor’s surgery and hospital will have a requirement for efficient operations management of their front office professionals.


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