Medical secretaries and administrative assistants: Salary, Job Outlook, Education and Career Path

Perform secretarial duties using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.

Short answer: Medical secretaries and administrative assistants earn a national median annual wage of $45,930 (BLS, May 2025). Employment is projected to change +4.8% from 2025 to 2035 (all occupations: +3.5%), with about 89,200 openings per year. The typical entry credential is high school diploma or equivalent.

Median annual wage
$45,930
May 2025 Verified data
Projected change
+4.8%
2025 to 2035 Official projection
Openings per year
89,200
Average, 2025 to 2035 Official projection
Employment
961,610
OEWS, May 2025 Verified data

Medical secretaries and administrative assistants salary

$0$20K$40K$60KUnited States$45,930
National annual wages for medical secretaries and administrative assistants, May 2025: 10th percentile $35,930, 25th $38,570, median $45,930, 75th $50,580, 90th $60,530. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$35,930$17.27
Median (50th percentile)$45,930$22.08
Mean (average)$46,800$22.50
90th percentile$60,530$29.10

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Medical secretaries and administrative assistants pay by state and metro area

$29.6K$58.1K
Median annual wage for medical secretaries and administrative assistants by state, May 2025. Highest: Washington at $58,100. States in gray have no published estimate.
Table: median wage and employment for all 54 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$36,930$29,890$50,90016,5801.27
Alaska$47,870$36,240$60,4102,5201.25
Arizona$45,820$33,860$60,11018,0900.9
Arkansas$37,000$31,690$47,9602,1900.27
California$54,490$40,650$76,020115,0501.02
Colorado$46,920$38,100$57,99011,5600.65
Connecticut$48,500$40,380$62,5806,4800.62
Delaware$44,500$36,400$57,9804,5101.51
District of Columbia$49,180$45,400$59,8101,9300.44
Florida$41,730$35,900$56,03096,0001.56
Georgia$43,160$34,460$58,29039,3801.3
Guam$31,680$23,000$43,8503100.75
Hawaii$49,920$38,750$59,3602,1600.56
Idaho$44,920$35,360$57,8705,1200.97
Illinois$46,670$37,440$58,32027,5600.73
Indiana$44,060$35,970$56,61021,1801.07
Iowa$40,980$35,240$50,13010,5601.1
Kansas$43,020$35,590$53,9106,4700.73
Kentucky$38,750$30,700$49,77026,4302.14
Louisiana$36,930$30,090$49,0502,9700.25
Maine$46,990$39,710$58,1604,6101.16
Maryland$47,850$38,070$61,75017,2901.01
Massachusetts$50,290$41,460$63,03022,2100.99
Michigan$41,100$36,330$50,84027,9601.03
Minnesota$50,030$43,390$61,49016,8600.92
Mississippi$36,290$29,890$49,410
Missouri$43,980$35,520$55,73012,2600.68
Montana$43,740$35,990$51,6904,4101.39
Nebraska$46,100$38,100$57,2004,1100.65
Nevada$46,990$36,770$58,3607,0300.73
New Hampshire$48,410$39,440$59,6003,6800.87
New Jersey$48,660$38,310$62,40020,9800.79
New Mexico$44,230$36,210$57,7904,5900.85
New York$47,710$38,430$61,16057,7200.96
North Carolina$44,190$35,880$55,29056,8401.86
North Dakota$45,390$37,440$58,1401,1200.42
Ohio$44,280$36,730$56,83029,1100.85
Oklahoma$38,330$30,730$48,6908,4300.8
Oregon$50,130$39,900$63,34016,8401.38
Pennsylvania$44,930$36,280$58,17027,6000.74
Puerto Rico$29,620$21,840$48,4208,4801.46
Rhode Island$46,860$40,630$61,3302,3500.76
South Carolina$40,170$34,780$56,89015,6301.1
South Dakota$45,810$39,270$53,120800.03
Tennessee$39,940$31,960$57,67041,8102.06
Texas$42,910$33,090$56,57078,7400.9
Utah$44,330$34,510$57,0805,2600.49
Vermont$48,200$40,020$60,0102,3901.27
Virgin Islands$36,710$28,520$47,5802301.15
Virginia$46,180$37,180$58,35027,6001.09
Washington$58,100$44,980$73,48010,9600.5
West Virginia$38,430$30,910$50,6901,5500.36
Wisconsin$48,380$39,640$58,1907,7600.43
Wyoming$44,430$36,400$59,4401,1100.64

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ52,640
Los Angeles-Long Beach-Anaheim, CA40,380
Miami-Fort Lauderdale-West Palm Beach, FL27,020
Atlanta-Sandy Springs-Roswell, GA22,590
Dallas-Fort Worth-Arlington, TX21,700
Houston-Pasadena-The Woodlands, TX20,220
Chicago-Naperville-Elgin, IL-IN20,020
Washington-Arlington-Alexandria, DC-VA-MD-WV18,960
Tampa-St. Petersburg-Clearwater, FL16,350
Boston-Cambridge-Newton, MA-NH16,330

Highest paying metro areas

San Jose-Sunnyvale-Santa Clara, CA$69,350
Napa, CA$61,830
San Francisco-Oakland-Fremont, CA$61,330
Vallejo, CA$61,220
Seattle-Tacoma-Bellevue, WA$60,350
Santa Rosa-Petaluma, CA$60,240
Sacramento-Roseville-Folsom, CA$57,730
Bellingham, WA$55,670
San Luis Obispo-Paso Robles, CA$54,740
Portland-Vancouver-Hillsboro, OR-WA$54,560
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for medical secretaries and administrative assistants

2025 (actual)979,0002035 (projected)1,026,100
BLS projects employment of medical secretaries and administrative assistants to go from 979,000 in 2025 to 1,026,100 in 2035, a change of +4.8% (+47,100 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 89,200. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 0.2%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for medical secretaries and administrative assistants

Typical entry education
High school diploma or equivalent
Related work experience
None
On-the-job training
Moderate-term on-the-job training
O*NET Job Zone
Job Zone 1-2: Very Little to Some Preparation Needed

Highest education of people working in this occupation

Less than high school1.9%
High school diploma22.9%
Some college, no degree35%
Associate's degree16.5%
Bachelor's degree18.3%
Master's degree4.4%
Doctoral or professional1%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is some college (35%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Usually requires a high school diploma or GED, though some occupations may not.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Speaking4.0
Active Listening3.9
Reading Comprehension3.5
Writing3.1
Critical Thinking3.1
Monitoring3.0
Active Learning2.3
Mathematics2.1
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Customer and Personal Service4.4
English Language4.3
Administrative3.9
Medicine and Dentistry3.6
Personnel and Human Resources3.4
Computers and Electronics3.4
Administration and Management3.3
Economics and Accounting3.0
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Answer telephones and direct calls to appropriate staff.
  • Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
  • Complete insurance or other claim forms.
  • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
  • Transmit correspondence or medical records by mail, e-mail, or fax.
  • Maintain medical records, technical library, or correspondence files.
  • Receive and route messages or documents, such as laboratory results, to appropriate staff.
  • Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.

Technology skills

  • Henry Schein Dentrix (in demand)
  • Microsoft Excel (in demand)
  • Microsoft Office software (in demand)
  • Epic Systems (hot technology)
  • Google Docs (hot technology)
  • Intuit QuickBooks (hot technology)
  • MEDITECH software (hot technology)
  • Microsoft Access (hot technology)
  • Microsoft Outlook (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Microsoft Windows (hot technology)
  • Microsoft Word (hot technology)
  • eClinicalWorks EHR software (hot technology)
  • Accounts payable software
  • Accounts receivable software
  • Addressing software

Transferable skills for career changers: Service Orientation, Coordination, Complex Problem Solving, Time Management, Social Perceptiveness, Judgment and Decision Making.

Common job titles: Clinic Office Assistant, Front Desk Receptionist, Medical Office Specialist, Medical Receptionist, Medical Secretary, Physician Office Specialist, Secretary, Unit Clerk, Unit Support Representative, Ward Clerk.

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do medical secretaries and administrative assistants make?

The national median annual wage for medical secretaries and administrative assistants was $45,930 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $35,930 and the highest paid 10 percent earned more than $60,530. These figures cover all workers in the occupation, not only new entrants.

What education do medical secretaries and administrative assistants need?

BLS lists high school diploma or equivalent as the typical education needed to enter this occupation, with none of related work experience and moderate-term on-the-job training on-the-job training typically needed to become competent.

Is medical secretaries and administrative assistants a growing career?

BLS projects employment of medical secretaries and administrative assistants to change +4.8% from 2025 to 2035, compared with +3.5% for all occupations. About 89,200 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay medical secretaries and administrative assistants the most?

By median annual wage in May 2025, the highest paying states were Washington ($58,100), California ($54,490), Massachusetts ($50,290). Pay differences partly reflect differences in living costs.

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