Medical transcriptionists: Salary, Job Outlook, Education and Career Path

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

Short answer: Medical transcriptionists earn a national median annual wage of $40,410 (BLS, May 2025). Employment is projected to change -4.4% from 2025 to 2035 (all occupations: +3.5%), with about 6,200 openings per year. The typical entry credential is postsecondary nondegree award.

Median annual wage
$40,410
May 2025 Verified data
Projected change
-4.4%
2025 to 2035 Official projection
Openings per year
6,200
Average, 2025 to 2035 Official projection
Employment
41,550
OEWS, May 2025 Verified data

Medical transcriptionists salary

$0$20K$40KUnited States$40,410
National annual wages for medical transcriptionists, May 2025: 10th percentile $28,250, 25th $34,150, median $40,410, 75th $48,000, 90th $55,950. 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$28,250$13.58
Median (50th percentile)$40,410$19.43
Mean (average)$41,710$20.05
90th percentile$55,950$26.90

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 transcriptionists pay by state and metro area

$27.7K$50.0K
Median annual wage for medical transcriptionists by state, May 2025. Highest: Minnesota at $50,030. States in gray have no published estimate.
Table: median wage and employment for all 51 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$35,340$26,820$51,2504100.73
Alaska$48,360$33,400$54,6601101.25
Arizona$36,550$31,110$50,8507000.81
Arkansas$35,100$27,160$47,0202800.82
California$45,050$35,990$62,6205,8601.2
Colorado$43,080$32,010$62,2906100.8
Connecticut$48,190$40,050$59,3603900.86
Delaware$34,070$31,200$40,560
District of Columbia$45,110$37,460$47,370700.38
Florida$42,050$28,720$59,2402,6501
Georgia$28,330$24,530$53,7509500.73
Hawaii$44,310$31,540$52,310
Idaho$38,140$30,890$50,0304001.76
Illinois$45,490$31,760$55,0709700.6
Indiana$41,400$25,710$51,2407900.92
Iowa$45,010$25,600$52,6601800.43
Kansas$35,390$23,640$51,5804201.08
Kentucky$39,000$27,940$52,4206901.29
Louisiana$38,040$30,600$51,1604200.81
Maine$48,600$40,280$58,440800.49
Maryland$39,900$31,840$60,1402300.32
Massachusetts$36,910$36,440$47,0004000.41
Michigan$37,280$30,840$49,6701,1300.96
Minnesota$50,030$43,970$64,5802700.34
Mississippi$38,600$23,660$48,4603000.96
Missouri$37,480$29,570$49,8103100.4
Montana$41,340$31,470$56,350800.61
Nebraska$45,880$36,370$53,0802300.83
Nevada$39,350$36,400$51,7302100.5
New Jersey$39,020$32,220$55,9501,7101.49
New Mexico$37,480$30,730$55,9502100.89
New York$43,260$35,950$56,7502,7101.05
North Carolina$39,300$21,850$51,3601,0200.78
North Dakota$44,660$26,280$50,2601201.04
Ohio$37,060$28,190$51,1706800.46
Oklahoma$27,740$22,110$49,4705601.22
Oregon$46,280$37,080$68,9105100.97
Pennsylvania$41,510$32,070$52,5101,1300.7
Puerto Rico$31,200$22,430$36,4501400.58
Rhode Island$34,790$31,880$56,520800.62
South Carolina$33,870$29,020$48,3603900.63
South Dakota$46,070$36,160$59,8702402
Tennessee$44,720$26,420$60,2501,4501.65
Texas$42,900$22,540$49,4107,5202
Utah$39,630$27,460$49,4902100.45
Vermont$33,030$32,060$45,080
Virginia$35,130$27,110$43,400
Washington$38,690$35,780$59,9206200.66
West Virginia$37,440$32,360$51,550900.47
Wisconsin$49,150$38,900$57,0505900.75
Wyoming$48,100$36,440$63,960400.47

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-NJ2,910
Los Angeles-Long Beach-Anaheim, CA2,290
Dallas-Fort Worth-Arlington, TX1,300
San Antonio-New Braunfels, TX780
Chicago-Naperville-Elgin, IL-IN720
San Diego-Chula Vista-Carlsbad, CA710
Atlanta-Sandy Springs-Roswell, GA680
San Francisco-Oakland-Fremont, CA680
Washington-Arlington-Alexandria, DC-VA-MD-WV620
Phoenix-Mesa-Chandler, AZ560

Highest paying metro areas

San Francisco-Oakland-Fremont, CA$58,240
San Jose-Sunnyvale-Santa Clara, CA$57,420
Hartford-West Hartford-East Hartford, CT$54,830
Nashville-Davidson--Murfreesboro--Franklin, TN$50,400
Chico, CA$50,020
Milwaukee-Waukesha, WI$49,780
Bridgeport-Stamford-Danbury, CT$49,560
Minneapolis-St. Paul-Bloomington, MN-WI$48,960
Las Vegas-Henderson-North Las Vegas, NV$48,890
Sacramento-Roseville-Folsom, CA$48,440
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 transcriptionists

2025 (actual)42,0002035 (projected)40,200
BLS projects employment of medical transcriptionists to go from 42,000 in 2025 to 40,200 in 2035, a change of -4.4% (-1,900 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 6,200. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • 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 transcriptionists

Typical entry education
Postsecondary nondegree award
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school0.7%
High school diploma18.4%
Some college, no degree22.4%
Associate's degree13.7%
Bachelor's degree36.3%
Master's degree6%
Doctoral or professional2.6%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a bachelor's degree (36.3%).
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: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

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

Active Listening4.1
Reading Comprehension4.0
Writing3.9
Monitoring3.1
Speaking3.0
Critical Thinking3.0
Active Learning2.9
Learning Strategies2.1
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

English Language4.5
Administrative4.3
Computers and Electronics3.8
Medicine and Dentistry3.0
Customer and Personal Service2.7
Telecommunications2.1
Administration and Management2.1
Mathematics1.8
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
  • Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
  • Identify mistakes in reports and check with doctors to obtain the correct information.
  • Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
  • Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
  • Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine.
  • Set up and maintain medical files and databases, including records such as x-ray, lab, and procedure reports, medical histories, diagnostic workups, admission and discharge summaries, and clinical resumes.
  • Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.

Technology skills

  • Microsoft ASP.NET (hot technology)
  • Microsoft Access (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft Outlook (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Microsoft Windows (hot technology)
  • Microsoft Word (hot technology)
  • eClinicalWorks EHR software (hot technology)
  • Allscripts healthcare automation software
  • Boston Bar Systems Corporation Sonnet
  • Bytescribe Development Company WavPlayer
  • Calendar software
  • Corel WordPerfect Office Suite
  • Crescendo Systems Corporation MedRite-XL
  • Crescendo Systems DigiScribe-XL

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

Common job titles: Clinical Medical Transcriptionist, Documentation Specialist, Medical Language Specialist, Medical Scribe, Medical Transcriber, Medical Transcriptionist, Pathology Transcriptionist, Radiology Transcriptionist, Scribe, Transcriptionist.

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 transcriptionists make?

The national median annual wage for medical transcriptionists was $40,410 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $28,250 and the highest paid 10 percent earned more than $55,950. These figures cover all workers in the occupation, not only new entrants.

What education do medical transcriptionists need?

BLS lists postsecondary nondegree award as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is medical transcriptionists a growing career?

BLS projects employment of medical transcriptionists to change -4.4% from 2025 to 2035, compared with +3.5% for all occupations. About 6,200 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay medical transcriptionists the most?

By median annual wage in May 2025, the highest paying states were Minnesota ($50,030), Wisconsin ($49,150), Maine ($48,600). Pay differences partly reflect differences in living costs.

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