Medical assistant pay by city

Across the 50 largest US metros, typical medical assistant pay ranges from $36,770 in Birmingham, AL to $61,970 in Sacramento, CA. After taxes and local prices, it goes furthest in Sacramento, CA, Seattle, WA, San Jose, CA.

Source: BLS Occupational Employment and Wage Statistics, May 2025 (occupation: Medical Assistants, SOC 31-9092).

RankMetroTypical payWorth after taxes and prices
1Sacramento, CA$61,970$47,100
2Seattle, WA$61,500$46,400
3San Jose, CA$61,940$45,500
4San Francisco, CA$59,790$42,000
5Milwaukee, WI$49,590$41,900
6Portland, OR$56,240$41,000
7Minneapolis, MN$52,570$40,400
8Kansas City, MO$45,300$39,900
9Austin, TX$45,820$39,800
10Nashville, TN$44,620$39,500
11Charlotte, NC$46,520$39,300
12Indianapolis, IN$46,900$39,300
13Raleigh, NC$46,160$38,600
14St. Louis, MO$44,710$38,400
15Denver, CO$49,700$38,300
16Cincinnati, OH$44,340$38,300
17Cleveland, OH$43,830$38,200
18Providence, RI$47,020$38,100
19Louisville, KY$44,450$38,100
20Columbus, OH$44,140$37,800
21Buffalo, NY$44,650$37,800
22Phoenix, AZ$46,830$37,600
23Tampa, FL$44,480$37,600
24Las Vegas, NV$44,220$37,600
25Hartford, CT$46,880$37,600
26Boston, MA$50,740$37,500
27Atlanta, GA$46,060$37,400
28Richmond, VA$44,490$37,000
29Orlando, FL$43,800$36,900
30Salt Lake City, UT$46,080$36,800
31Chicago, IL$47,270$36,600
32Jacksonville, FL$42,600$36,600
33Memphis, TN$39,260$36,600
34Houston, TX$42,110$36,500
35Riverside, CA$46,700$36,500
36San Diego, CA$49,420$36,500
37Oklahoma City, OK$39,810$36,400
38Virginia Beach, VA$43,620$36,300
39Pittsburgh, PA$42,840$35,800
40Dallas, TX$43,100$35,700
41San Antonio, TX$39,180$35,500
42Philadelphia, PA$45,890$35,000
43Los Angeles, CA$47,760$34,900
44Washington, DC$46,640$34,900
45Baltimore, MD$46,790$34,900
46Grand Rapids, MI$39,890$33,700
47Miami, FL$44,930$33,500
48New York, NY$48,370$33,400
49Birmingham, AL$36,770$32,500
50Detroit, MI$39,410$31,400

“Worth” is take-home pay at the typical salary (single filer, 2026 income taxes), divided by local prices, so every city is in the same typical-US-city dollars.

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Common questions

Which city pays medical assistants the most?

Before taxes, Sacramento, CA has the highest typical medical assistant pay among the 50 largest US metros: $61,970 a year. The lowest is Birmingham, AL at $36,770. Source: BLS Occupational Employment and Wage Statistics, May 2025.

Where does medical assistant pay go furthest after cost of living?

After federal, state, and local income taxes and local prices, typical medical assistant pay goes furthest in Sacramento, CA, Seattle, WA, San Jose, CA. It goes the least far in Detroit, MI, where it's worth about $31,400 in typical-US-city dollars.