United States · Pay by job · Office and Admin Support
Medical Secretary salary and take-home pay
The typical US medical secretary earns $45,930 a year, or $22.08 an hour (BLS, May 2025). In Texas, where the median for this job is $42,910, a single filer keeps about $36,658 a year after federal income tax, Social Security and Medicare.
BLS title: Medical Secretaries and Administrative Assistants (SOC 43-6013). Source: U.S. Bureau of Labor Statistics, OEWS May 2025.
How much does a medical secretary earn?
| Percentile | Bar | A year | An hour |
|---|---|---|---|
| 10th | $35,930 | $17.27 | |
| 25th | $38,570 | $18.54 | |
| Median | $45,930 | $22.08 | |
| 75th | $50,580 | $24.32 | |
| 90th | $60,530 | $29.10 |
The middle half of people in this job earn $38,570 to $50,580 a year, and about 961,610 people do it across the US (BLS, May 2025).
Take-home pay tool
Medical Secretary · Texas · single · median
$36,658.19 a year after tax
$3,054.85 a month · $1,409.93 a paycheck (every two weeks)
| Pay before tax | $42,910.00 |
|---|---|
| Federal income tax | −$2,969.20 |
| Social Security and Medicare | −$3,282.62 |
| Texas tax and payroll contributions | none |
| Take-home pay | $36,658.19 |
Pay: the median for this job in Texas, $42,910 a year (BLS). One job, standard deduction, nothing taken before tax, the year’s tax spread over 26 paychecks.
What does a medical secretary take home at each pay point?
A single filer on the national figures, paid every two weeks, with nothing taken before tax:
| Pay a year | Texas | California | New York | |
|---|---|---|---|---|
| 10th | $35,930 | $31,050 | $30,197 | $29,520 |
| 25th | $38,570 | $33,171 | $32,178 | $31,487 |
| Median | $45,930 | $39,085 | $37,702 | $36,972 |
| 75th | $50,580 | $42,821 | $41,156 | $40,437 |
| 90th | $60,530 | $50,816 | $48,424 | $47,852 |
Take-home after federal income tax, Social Security, Medicare and state tax for 2026. New York is outside New York City.
Where does a medical secretary keep the most after tax?
Our 19 states, ranked by take-home pay on each state’s own median for this job (single filer). Only these 19 states have take-home figures so far.
| Rank | State | Median pay | Take-home |
|---|---|---|---|
| 1 | Washington | $58,100 | $48,057 |
| 2 | California | $54,490 | $44,012 |
| 3 | New Hampshire | $48,410 | $41,077 |
| 4 | Alaska | $47,870 | $40,404 |
| 5 | Nevada | $46,990 | $39,936 |
| 6 | New Jersey | $48,660 | $39,743 |
| 7 | South Dakota | $45,810 | $38,988 |
| 8 | New York | $47,710 | $38,298 |
| 9 | Wyoming | $44,430 | $37,880 |
| 10 | Illinois | $46,670 | $37,514 |
| 11 | Virginia | $46,180 | $37,444 |
| 12 | Ohio | $44,280 | $36,985 |
| 13 | Pennsylvania | $44,930 | $36,870 |
| 14 | Texas | $42,910 | $36,658 |
| 15 | North Carolina | $44,190 | $36,432 |
| 16 | Florida | $41,730 | $35,710 |
| 17 | Georgia | $43,160 | $35,454 |
| 18 | Tennessee | $39,940 | $34,272 |
| 19 | Michigan | $41,100 | $33,708 |
How much does a medical secretary earn in each state?
| State | Median pay | People in the job | Take-home (single) |
|---|---|---|---|
| Alabama | $36,930 | 16,580 | not yet |
| Alaska | $47,870 | 2,520 | $40,404 (#4) |
| Arizona | $45,820 | 18,090 | not yet |
| Arkansas | $37,000 | 2,190 | not yet |
| California | $54,490 | 115,050 | $44,012 (#2) |
| Colorado | $46,920 | 11,560 | not yet |
| Connecticut | $48,500 | 6,480 | not yet |
| Delaware | $44,500 | 4,510 | not yet |
| District of Columbia | $49,180 | 1,930 | not yet |
| Florida | $41,730 | 96,000 | $35,710 (#16) |
| Georgia | $43,160 | 39,380 | $35,454 (#17) |
| Hawaii | $49,920 | 2,160 | not yet |
| Idaho | $44,920 | 5,120 | not yet |
| Illinois | $46,670 | 27,560 | $37,514 (#10) |
| Indiana | $44,060 | 21,180 | not yet |
| Iowa | $40,980 | 10,560 | not yet |
| Kansas | $43,020 | 6,470 | not yet |
| Kentucky | $38,750 | 26,430 | not yet |
| Louisiana | $36,930 | 2,970 | not yet |
| Maine | $46,990 | 4,610 | not yet |
| Maryland | $47,850 | 17,290 | not yet |
| Massachusetts | $50,290 | 22,210 | not yet |
| Michigan | $41,100 | 27,960 | $33,708 (#19) |
| Minnesota | $50,030 | 16,860 | not yet |
| Mississippi | $36,290 | not released | not yet |
| Missouri | $43,980 | 12,260 | not yet |
| Montana | $43,740 | 4,410 | not yet |
| Nebraska | $46,100 | 4,110 | not yet |
| Nevada | $46,990 | 7,030 | $39,936 (#5) |
| New Hampshire | $48,410 | 3,680 | $41,077 (#3) |
| New Jersey | $48,660 | 20,980 | $39,743 (#6) |
| New Mexico | $44,230 | 4,590 | not yet |
| New York | $47,710 | 57,720 | $38,298 (#8) |
| North Carolina | $44,190 | 56,840 | $36,432 (#15) |
| North Dakota | $45,390 | 1,120 | not yet |
| Ohio | $44,280 | 29,110 | $36,985 (#12) |
| Oklahoma | $38,330 | 8,430 | not yet |
| Oregon | $50,130 | 16,840 | not yet |
| Pennsylvania | $44,930 | 27,600 | $36,870 (#13) |
| Rhode Island | $46,860 | 2,350 | not yet |
| South Carolina | $40,170 | 15,630 | not yet |
| South Dakota | $45,810 | 80 | $38,988 (#7) |
| Tennessee | $39,940 | 41,810 | $34,272 (#18) |
| Texas | $42,910 | 78,740 | $36,658 (#14) |
| Utah | $44,330 | 5,260 | not yet |
| Vermont | $48,200 | 2,390 | not yet |
| Virginia | $46,180 | 27,600 | $37,444 (#11) |
| Washington | $58,100 | 10,960 | $48,057 (#1) |
| West Virginia | $38,430 | 1,550 | not yet |
| Wisconsin | $48,380 | 7,760 | not yet |
| Wyoming | $44,430 | 1,110 | $37,880 (#9) |
Median yearly pay for this job in each state, from BLS. Take-home and its rank are for the 19 states with a take-home engine so far. Each linked state shows its highest-paying jobs after tax.
What is the job outlook for a medical secretary?
BLS expects jobs as a medical secretary to grow 4.8% from 2025 to 2035, with about 89,200 openings a year (BLS Employment Projections 2025–35).
- Job growth, 2025 to 2035
- +4.8%
- Openings a year
- about 89,200
- Usual education
- High school diploma or equivalent
- Work experience
- None
- On-the-job training
- Moderate-term on-the-job training
What do similar jobs pay?
The 10 office and admin support jobs closest in pay to a medical secretary:
- Bill and Account Collector median $47,030
- Correspondence Clerk median $46,800
- Weigher, Checker, and Sampler median $46,380
- Order Clerk median $46,170
- Interviewer median $45,920
- Other Office Support Worker median $45,670
- Shipping and Receiving Clerk median $45,260
- General Office Clerk median $45,010
- Customer Service Representative median $44,770
- Reservation and Ticket Agent median $44,390
Every job in the group: Office and Admin Support jobs. Not sure which job suits you? Try the free career test.
What else can I work out?
- Your paycheck on $45,930, with any pay schedule, 401(k) or HSA.
- Hourly to salary: $22.08 an hour as a yearly salary.
- Your 2026 tax refund on $45,930, with the new deductions for tips and overtime.
Where do these figures come from?
Pay is the BLS estimate for all employers in May 2025 (the latest), and the outlook is from BLS Employment Projections 2025–35. Your own pay depends on your employer, area and experience. Take-home is our estimate for 2026: one job, the standard deduction, nothing taken before tax, from the same engine as our paycheck calculator.
Source: U.S. Bureau of Labor Statistics, OEWS May 2025: Occupational Employment and Wage Statistics tables (BLS); Employment Projections tables (BLS). This site is independent and not part of the BLS.
Questions about medical secretary pay
How much does a medical secretary make an hour?
The median is $22.08 an hour (BLS, May 2025). The middle half earn $18.54 to $24.32, and the top 10% earn $29.10 or more.
Which state pays a medical secretary the most?
Among the 50 states and DC, Washington has the highest median for this job: $58,100 a year (BLS). After tax, of the 19 states we cover, Washington leaves the most: $48,057 a year for a single filer on its median of $58,100.
What is a medical secretary’s take-home pay?
On the national median of $45,930, a single filer keeps about $39,085 a year in Texas (no state income tax), $37,702 in California and $36,972 in New York outside New York City, after federal income tax, Social Security, Medicare and state tax. Pick your state in the tool above.
What education do you need to be a medical secretary?
BLS lists a high school diploma or equivalent as the usual way in, with no work experience in a related job and moderate-term on-the-job training (more than a month, up to a year).
Is the number of medical secretary jobs growing?
BLS expects jobs as a medical secretary to grow 4.8% from 2025 to 2035, with about 89,200 openings a year (BLS Employment Projections 2025–35).