United States · Pay by job · Healthcare Support

Medical Transcriptionist salary and take-home pay

The typical US medical transcriptionist earns $40,410 a year, or $19.43 an hour (BLS, May 2025). In Texas, where the median for this job is $42,900, a single filer keeps about $36,650 a year after federal income tax, Social Security and Medicare.

BLS title: Medical Transcriptionists (SOC 31-9094). Source: U.S. Bureau of Labor Statistics, OEWS May 2025.

How much does a medical transcriptionist earn?

Medical Transcriptionist pay in the US: the 10th to 90th percentile
Percentile Bar A year An hour
10th $28,250 $13.58
25th $34,150 $16.42
Median $40,410 $19.43
75th $48,000 $23.08
90th $55,950 $26.90

The middle half of people in this job earn $34,150 to $48,000 a year, and about 41,550 people do it across the US (BLS, May 2025).

Take-home pay tool

The 10th percentile is where pay starts for most people in this job; the 90th, near the top.

Medical Transcriptionist · Texas · single · median

$36,650.15 a year after tax

$3,054.18 a month · $1,409.62 a paycheck (every two weeks)

Pay and taxes for the year
Pay before tax$42,900.00
Federal income tax−$2,968.00
Social Security and Medicare−$3,281.85
Texas tax and payroll contributionsnone
Take-home pay$36,650.15

Pay: the median for this job in Texas, $42,900 a year (BLS). One job, standard deduction, nothing taken before tax, the year’s tax spread over 26 paychecks.

What does a medical transcriptionist take home at each pay point?

A single filer on the national figures, paid every two weeks, with nothing taken before tax:

Medical Transcriptionist take-home pay at each percentile, 2026
Pay a yearTexasCaliforniaNew York
10th $28,250 $24,874$24,332$23,792
25th $34,150 $29,620$28,861$28,194
Median $40,410 $34,649$33,559$32,859
75th $48,000 $40,748$39,256$38,514
90th $55,950 $47,136$45,078$44,439

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 transcriptionist 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.

Medical Transcriptionist: states ranked by take-home pay at the median
RankStateMedian payTake-home
1 Wyoming $48,100 $40,828
2 Alaska $48,360 $40,795
3 South Dakota $46,070 $39,197
4 Tennessee $44,720 $38,113
5 California $45,050 $37,042
6 Texas $42,900 $36,650
7 Illinois $45,490 $36,624
8 Florida $42,050 $35,967
9 New York $43,260 $34,982
10 Pennsylvania $41,510 $34,230
11 Nevada $39,350 $33,798
12 Washington $38,690 $32,731
13 North Carolina $39,300 $32,698
14 New Jersey $39,020 $32,555
15 Ohio $37,060 $31,389
16 Michigan $37,280 $30,801
17 Virginia $35,130 $29,201
18 Georgia $28,330 $24,275

Not ranked, because BLS released no median there: New Hampshire.

How much does a medical transcriptionist earn in each state?

Medical Transcriptionist median pay and employment in every state and DC (BLS, May 2025)
StateMedian payPeople in the jobTake-home (single)
Alabama $35,340 410 not yet
Alaska $48,360 110 $40,795 (#2)
Arizona $36,550 700 not yet
Arkansas $35,100 280 not yet
California $45,050 5,860 $37,042 (#5)
Colorado $43,080 610 not yet
Connecticut $48,190 390 not yet
Delaware $34,070 not released not yet
District of Columbia $45,110 70 not yet
Florida $42,050 2,650 $35,967 (#8)
Georgia $28,330 950 $24,275 (#18)
Hawaii $44,310 not released not yet
Idaho $38,140 400 not yet
Illinois $45,490 970 $36,624 (#7)
Indiana $41,400 790 not yet
Iowa $45,010 180 not yet
Kansas $35,390 420 not yet
Kentucky $39,000 690 not yet
Louisiana $38,040 420 not yet
Maine $48,600 80 not yet
Maryland $39,900 230 not yet
Massachusetts $36,910 400 not yet
Michigan $37,280 1,130 $30,801 (#16)
Minnesota $50,030 270 not yet
Mississippi $38,600 300 not yet
Missouri $37,480 310 not yet
Montana $41,340 80 not yet
Nebraska $45,880 230 not yet
Nevada $39,350 210 $33,798 (#11)
New Hampshire not released not released –
New Jersey $39,020 1,710 $32,555 (#14)
New Mexico $37,480 210 not yet
New York $43,260 2,710 $34,982 (#9)
North Carolina $39,300 1,020 $32,698 (#13)
North Dakota $44,660 120 not yet
Ohio $37,060 680 $31,389 (#15)
Oklahoma $27,740 560 not yet
Oregon $46,280 510 not yet
Pennsylvania $41,510 1,130 $34,230 (#10)
Rhode Island $34,790 80 not yet
South Carolina $33,870 390 not yet
South Dakota $46,070 240 $39,197 (#3)
Tennessee $44,720 1,450 $38,113 (#4)
Texas $42,900 7,520 $36,650 (#6)
Utah $39,630 210 not yet
Vermont $33,030 not released not yet
Virginia $35,130 not released $29,201 (#17)
Washington $38,690 620 $32,731 (#12)
West Virginia $37,440 90 not yet
Wisconsin $49,150 590 not yet
Wyoming $48,100 40 $40,828 (#1)

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 transcriptionist?

BLS expects jobs as a medical transcriptionist to shrink 4.4% from 2025 to 2035, with about 6,200 openings a year (BLS Employment Projections 2025–35).

Job growth, 2025 to 2035
-4.4%
Openings a year
about 6,200
Usual education
Postsecondary nondegree award
Work experience
None
On-the-job training
None

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What else can I work out?

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 transcriptionist pay

How much does a medical transcriptionist make an hour?

The median is $19.43 an hour (BLS, May 2025). The middle half earn $16.42 to $23.08, and the top 10% earn $26.90 or more.

Which state pays a medical transcriptionist the most?

Among the 50 states and DC, Minnesota has the highest median for this job: $50,030 a year (BLS). After tax, of the 19 states we cover, Wyoming leaves the most: $40,828 a year for a single filer on its median of $48,100.

What is a medical transcriptionist’s take-home pay?

On the national median of $40,410, a single filer keeps about $34,649 a year in Texas (no state income tax), $33,559 in California and $32,859 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 transcriptionist?

BLS lists a postsecondary nondegree award as the usual way in, with no work experience in a related job and no on-the-job training once hired.

Is the number of medical transcriptionist jobs growing?

BLS expects jobs as a medical transcriptionist to shrink 4.4% from 2025 to 2035, with about 6,200 openings a year (BLS Employment Projections 2025–35).