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Medical Administrative Assistant salary in Columbia, MO

Columbia is a lower-cost market for medical administrative assistants: the median of $41,890 a year1 is 4.8% below the Missouri statewide median of $43,980, and 8.8% below the US median of $45,930. Among US areas it comes in at #272 of 516. BLS counts about 430 people in this job here, 4% of the Missouri total.

$3,491median pay per month in Columbia
$4,504employer cost per month with benefits
$20.14median pay per hour
430people in this job in Columbia

BLS occupation 43-6013, area Columbia, MO. Data from the May 2025 release, checked 2026-10-15.

Pay in Columbia against Missouri and the US

Range10thMedian90th
Columbia, MO$35,870$41,890$52,200
Missouri$35,520$43,980$55,730
United States$35,930$45,930$60,530
10th to 90th percentilemiddle half (25th to 75th)median

The middle half of medical administrative assistants in Columbia earns $37,440–$50,660. Pay is tightly grouped: the top tenth starts at $52,200, only 1.5 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 $13,220 wide, wider than in Missouri as a whole ($11,000) and the US ($12,010), so what a medical administrative assistant earns in Columbia depends more on the employer.

What to budget for a medical administrative assistant here

Point in the local rangePer yearPer monthPer hourEmployer cost per year
10th percentile$35,870$2,989$17.25$46,284
25th percentile$37,440$3,120$18.00$48,310
Median$41,890$3,491$20.14$54,052
75th percentile$50,660$4,222$24.36$65,368
90th percentile$52,200$4,350$25.10$67,355

Pay climbs faster above the median than below it here: the 75th percentile is $8,770 over the median, the 25th only $4,450 under it. An offer at the 75th percentile adds about $11,316 a year in employer cost. 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 Columbia, and the Missouri statewide median of $43,980 falls there too.

What a hire really costs in Columbia

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 $12,162 to the $41,890 median and brings it to $54,052 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.

$54,052local hire, first year incl. benefits
$13,888remote hire, first year incl. fee
$40,164difference in year one
74%of the local cost saved

Other roles in Columbia

Of the 16 roles we track in Columbia, this one ranks #12 by median pay, between sales development representatives ($46,140) and customer support specialists ($41,210). Project Coordinator is the highest at $80,870.

The 5 roles closest in pay. All 16 roles in Columbia, MO
RoleMedianvs medical administrative assistantJobs
Payroll Specialist
$47,620
+13.7%100
Sales Development Representative
$46,140
+10.1%400
Medical Administrative Assistant
$41,890
this role430
Customer Support Specialist
$41,210
-1.6%1,870
Administrative Assistant
$39,680
-5.3%1,350

Measured against the US median, medical administrative assistants rank #4 of the 16 roles we track in Columbia (-8.8%), between customer support specialists (-8.0%) and virtual receptionists (-10.5%). The typical role here is at -16.5%, so, measured against the US, medical administrative assistants cost more in Columbia than the area's general pay level would suggest. Medical administrative assistants hold 4.2% of the jobs in these 16 roles in Columbia, 4.4% across Missouri and 6.1% nationally. The job is a smaller part of the local workforce in these roles than it is nationally.

Other areas in Missouri

Across the 12 areas of Missouri with data for this job, the median runs from $36,810 in the Southeast Missouri nonmetro area to $45,620 in St. Louis, a gap of $8,810 a year. Of the 4 areas in Missouri with more medical administrative assistants than Columbia, 2 pay less: Springfield, MO ($37,150) and the Southeast Missouri nonmetro area ($36,810).

AreaMedianvs ColumbiaJobs
St. Louis, MO-IL
$45,620
+8.9%6,570
Kansas City, MO-KS
$45,160
+7.8%4,680
Columbia, MO
$41,890
this area430
Southwest Missouri (Nonmetro)
$39,580
-5.5%150
St. Joseph, MO-KS
$39,000
-6.9%210
Jefferson City, MO
$38,920
-7.1%170
Joplin, MO-KS
$38,600
-7.9%260

Columbia against other US metro areas

By number of jobs, Columbia is #332 of 514 US areas for this job. Both its size and its pay sit in the middle half of US areas. Outside Missouri, Provo-Orem and Columbus pay just above Columbia and Sioux City and Lansing-East Lansing just below. All four are within $220 a year of the median in Columbia. Of the three markets with about as many medical administrative assistants, one pays more.

Metro areaMedianvs ColumbiaJobsClose in
Corvallis, OR
$47,850
+14.2%430jobs
Columbus, IN
$42,110
+0.5%390pay
Provo-Orem, UT
$41,950
+0.1%1,160pay
Columbia, MO
$41,890
this area430
Sioux City, IA-NE
$41,890
+0.0%400pay
Lansing-East Lansing, MI
$41,880
-0.0%1,140pay
Dalton, GA
$36,200
-13.6%430jobs
Gadsden, AL
$34,670
-17.2%430jobs

Questions

How much does it cost to hire a medical administrative assistant in Columbia, MO?

About $54,052 a year at the median, or $4,504 a month: $41,890 in pay plus about $12,162 in benefits and payroll taxes. Recruiting, equipment and office space are extra.

What do medical administrative assistants earn in Columbia?

The median was $41,890 a year in the May 2025 BLS survey. The 10th percentile was $35,870, the 90th $52,200, and the middle half earned $37,440 to $50,660.

Is Columbia cheaper than the rest of Missouri for medical administrative assistants?

Yes, it costs less: a median of $41,890 against $43,980 statewide. The next area up in Missouri is Kansas City at $45,160, the next down the Southwest Missouri nonmetro area at $39,580.

How many medical administrative assistants work in Columbia?

BLS counts about 430 in the May 2025 survey. That is 4% of the Missouri total of 12,260. 4 areas in Missouri have more; the closest in size is the Southeast Missouri nonmetro area, with about 620.

Does a medical administrative assistant cost more than a customer support specialist in Columbia?

Yes: $680 a year more at the median. The medians are $41,890 and $41,210.

Sources

4 sources, with links
  1. BLS OEWS May 2025, 43-6013: bls.gov
  2. BLS Employer Costs for Employee Compensation, private industry, June 2026: bls.gov
  3. Stafka pricing: stafka.com
  4. Deel pricing, contractor management: deel.com

How these pages are built: methodology and data sources. Last updated 2026-11-12.