Medical Administrative Assistant salary in Billings, MT
For this job Billings sits right at the Montana figure, with a median of $43,710 a year1. That is about level with the Montana statewide median of $43,740, and 4.8% below the US median of $45,930. Among US areas it comes in at #238 of 516. BLS counts about 820 people in this job here, 19% of the Montana total.
BLS occupation 43-6013, area Billings, MT. Data from the May 2025 release, checked 2026-10-15.
Pay in Billings against Montana and the US
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Billings, MT | $36,530 | $43,710 | $49,900 | |
| Montana | $35,990 | $43,740 | $51,690 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in Billings earns $39,230–$48,180. Pay is tightly grouped: the top tenth starts at $49,900, only 1.4 times the bottom tenth, against 1.7 times across the US, so the going rate is easier to read. From the 25th to the 75th percentile, the local range is $8,950 wide, between the figure for Montana ($8,770) and the US figure ($12,010).
What to budget for a medical administrative assistant here
| Point in the local range | Per year | Per month | Per hour | Employer cost per year |
|---|---|---|---|---|
| 10th percentile | $36,530 | $3,044 | $17.56 | $47,135 |
| 25th percentile | $39,230 | $3,269 | $18.86 | $50,619 |
| Median | $43,710 | $3,642 | $21.01 | $56,400 |
| 75th percentile | $48,180 | $4,015 | $23.16 | $62,168 |
| 90th percentile | $49,900 | $4,158 | $23.99 | $64,387 |
An offer at the 75th percentile instead of the median adds $4,470 a year in pay and about $5,768 in employer cost. Going down to the 25th percentile saves $4,480 in pay. These percentiles describe what people in the job earn locally, not experience levels, so place your offer by the tasks and seniority you need.
For scale, the US median of $45,930 falls between the median and the 75th percentile in Billings, and the Montana statewide median of $43,740 falls there too.
What a hire really costs in Billings
Pay is only part of it. Benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry2, which adds about $12,690 to the $43,710 median and brings it to $56,400 a year. Recruiting, equipment and office space come on top. Benefit levels vary by employer, so treat this as an estimate.
We place executive assistants, customer support and e-commerce staff today; for medical administrative assistants we answer within one business day whether we can help. Enter the monthly pay you have in mind to compare it with a local hire. The fee field shows our standard fee3; Deel's contractor plan is the default payroll tool4.
Other roles in Billings
Of the 15 roles we track in Billings, this one ranks #12 by median pay, between customer support specialists ($44,580) and administrative assistants ($43,680). Project Coordinator is the highest at $85,540.
| Role | Median | vs medical administrative assistant | Jobs |
|---|---|---|---|
| Bookkeeper | +9.4% | 1,160 | |
| Customer Support Specialist | +2.0% | 1,090 | |
| Medical Administrative Assistant | this role | 820 | |
| Administrative Assistant | -0.1% | 730 | |
| Data Entry Specialist | -8.5% | 40 |
Measured against the US median, medical administrative assistants rank #5 of the 15 roles we track in Billings (-4.8%), between data entry specialists (-3.2%) and bookkeepers (-5.6%). The typical role here is at -8.1%, so, measured against the US, medical administrative assistants cost more in Billings than the area's general pay level would suggest. Medical administrative assistants hold 11.0% of the jobs in these 15 roles in Billings, 10.6% across Montana and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.
Other areas in Montana
Across the 8 areas of Montana with data for this job, the median runs from $40,200 in the East-Central Montana nonmetro area to $47,500 in Bozeman, a gap of $7,300 a year. The one area in Montana with more medical administrative assistants, the West Montana nonmetro area ($43,080), pays less: a bigger pool at a lower median.
| Area | Median | vs Billings | Jobs |
|---|---|---|---|
| Bozeman, MT | +8.7% | 570 | |
| Great Falls, MT | +2.7% | 340 | |
| Missoula, MT | +1.4% | 650 | |
| Billings, MT | this area | 820 | |
| Helena, MT | -0.3% | 340 | |
| West Montana (Nonmetro) | -1.4% | 940 | |
| Southwest Montana (Nonmetro) | -2.0% | 300 |
Billings against other US metro areas
By number of jobs, Billings is #204 of 514 US areas for this job. Both its size and its pay sit in the middle half of US areas. Outside Montana, Tampa-St. Petersburg and Abilene pay just above Billings and Salisbury and Harrisonburg just below. All four are within $130 a year of the median in Billings. Of the three markets with about as many medical administrative assistants, one pays more.
| Metro area | Median | vs Billings | Jobs | Close in |
|---|---|---|---|---|
| Charlottesville, VA | +4.0% | 830 | jobs | |
| Abilene, TX | +0.2% | 940 | pay | |
| Tampa-St. Petersburg, FL | +0.1% | 16,350 | pay | |
| Billings, MT | this area | 820 | ||
| Salisbury, MD | +0.0% | 540 | pay | |
| Harrisonburg, VA | -0.3% | 260 | pay | |
| Paducah, KY-IL | -12.3% | 810 | jobs | |
| Daphne-Fairhope, AL | -16.6% | 820 | jobs |
Questions
How much does it cost to hire a medical administrative assistant in Billings, MT?
About $56,400 a year at the median, or $4,700 a month: $43,710 in pay plus about $12,690 in benefits and payroll taxes. Recruiting, equipment and office space are extra.
What do medical administrative assistants earn in Billings?
The median was $43,710 a year in the May 2025 BLS survey. The 10th percentile was $36,530, the 90th $49,900, and the middle half earned $39,230 to $48,180.
Is Billings cheaper than the rest of Montana for medical administrative assistants?
About the same: a median of $43,710 against $43,740 statewide. The next area up in Montana is Missoula at $44,310, the next down Helena at $43,590.
How many medical administrative assistants work in Billings?
BLS counts about 820 in the May 2025 survey. That is 19% of the Montana total of 4,410. Only the West Montana nonmetro area has more in Montana.
Does a medical administrative assistant cost more than an administrative assistant in Billings?
Yes: $30 a year more at the median. The medians are $43,710 and $43,680.
Sources
4 sources, with links
- BLS OEWS May 2025, 43-6013: bls.gov
- BLS Employer Costs for Employee Compensation, private industry, June 2026: bls.gov
- Stafka pricing: stafka.com
- Deel pricing, contractor management: deel.com
How these pages are built: methodology and data sources. Last updated 2026-11-12.