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Medical Administrative Assistant salary in Hickory-Lenoir, NC

Hiring a medical administrative assistant costs less in Hickory-Lenoir than in North Carolina or the country as a whole. The median is $38,380 a year1: 13.1% below the North Carolina statewide median of $44,190 and 16.4% below the US median of $45,930. Nationally it ranks #382 of 516 areas. BLS counts about 1,790 people in this job here, 3% of the North Carolina total.

$3,198median pay per month in Hickory-Lenoir
$4,127employer cost per month with benefits
$18.45median pay per hour
1,790people in this job in Hickory-Lenoir

BLS occupation 43-6013, area Hickory-Lenoir-Morganton, NC. Data from the May 2025 release, checked 2026-10-15.

Pay in Hickory-Lenoir against North Carolina and the US

Range10thMedian90th
Hickory-Lenoir, NC$33,920$38,380$48,660
North Carolina$35,880$44,190$55,290
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 Hickory-Lenoir earns $36,700–$44,920. Pay is tightly grouped: the top tenth starts at $48,660, 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 only $8,220 wide, against $9,510 across North Carolina and $12,010 nationally: employers in Hickory-Lenoir pay within a narrower band.

What to budget for a medical administrative assistant here

Point in the local rangePer yearPer monthPer hourEmployer cost per year
10th percentile$33,920$2,827$16.31$43,768
25th percentile$36,700$3,058$17.64$47,355
Median$38,380$3,198$18.45$49,523
75th percentile$44,920$3,743$21.60$57,961
90th percentile$48,660$4,055$23.39$62,787

Pay climbs faster above the median than below it here: the 75th percentile is $6,540 over the median, the 25th only $1,680 under it. An offer at the 75th percentile adds about $8,439 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 75th and 90th percentiles in Hickory-Lenoir, and the North Carolina statewide median of $44,190 falls between the median and the 75th percentile. An offer at the national rate would beat what three quarters of local medical administrative assistants earn.

What a hire really costs in Hickory-Lenoir

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 $11,143 to the $38,380 median and brings it to $49,523 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.

$49,523local hire, first year incl. benefits
$13,888remote hire, first year incl. fee
$35,635difference in year one
72%of the local cost saved

Other roles in Hickory-Lenoir

Of the 17 roles we track in Hickory-Lenoir, this one ranks #14 by median pay, between administrative assistants ($41,710) and data entry specialists ($37,940). Project Coordinator is the highest at $85,490.

The 5 roles closest in pay. All 17 roles in Hickory-Lenoir, NC
RoleMedianvs medical administrative assistantJobs
E-commerce Order Specialist
$43,500
+13.3%110
Administrative Assistant
$41,710
+8.7%1,140
Medical Administrative Assistant
$38,380
this role1,790
Data Entry Specialist
$37,940
-1.1%110
Customer Support Specialist
$37,790
-1.5%2,250

Measured against the US median, medical administrative assistants rank #14 of the 17 roles we track in Hickory-Lenoir (-16.4%), between customer support specialists (-15.6%) and project coordinators (-16.4%). The typical role here is at -12.8%, so, measured against the US, medical administrative assistants cost less in Hickory-Lenoir than the area's general pay level would suggest. Medical administrative assistants hold 14.1% of the jobs in these 17 roles in Hickory-Lenoir, 10.9% across North Carolina and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in North Carolina

Across the 18 areas of North Carolina with data for this job, the median runs from $37,600 in Fayetteville to $46,860 in Durham-Chapel Hill, a gap of $9,260 a year. Of the 10 areas in North Carolina with more medical administrative assistants than Hickory-Lenoir, 2 pay less: the Eastern North Carolina nonmetro area ($37,860) and the Central North Carolina nonmetro area ($38,140).

AreaMedianvs Hickory-LenoirJobs
Western North Carolina (Nonmetro)
$38,750
+1.0%2,340
Goldsboro, NC
$38,690
+0.8%440
Jacksonville, NC
$38,580
+0.5%530
Hickory-Lenoir, NC
$38,380
this area1,790
Central North Carolina (Nonmetro)
$38,140
-0.6%2,350
Pinehurst-Southern Pines, NC
$37,920
-1.2%970
Eastern North Carolina (Nonmetro)
$37,860
-1.4%2,900

Hickory-Lenoir against other US metro areas

By number of jobs, Hickory-Lenoir is #95 of 514 US areas for this job. It is one of the larger markets for this job, with pay near the middle of the US range. Outside North Carolina, Knoxville and Youngstown-Warren pay just above Hickory-Lenoir and Paducah and Hammond just below. All four are within $60 a year of the median in Hickory-Lenoir. Of the three markets with about as many medical administrative assistants, two pay more.

Metro areaMedianvs Hickory-LenoirJobsClose in
Fort Wayne, IN
$45,030
+17.3%1,760jobs
Akron, OH
$41,740
+8.8%1,800jobs
Youngstown-Warren, OH
$38,440
+0.2%760pay
Knoxville, TN
$38,420
+0.1%6,280pay
Hickory-Lenoir, NC
$38,380
this area1,790
Paducah, KY-IL
$38,340
-0.1%810pay
Hammond, LA
$38,320
-0.2%100pay
Huntsville, AL
$37,680
-1.8%1,800jobs

Questions

How much does it cost to hire a medical administrative assistant in Hickory-Lenoir, NC?

About $49,523 a year at the median, or $4,127 a month: $38,380 in pay plus about $11,143 in benefits and payroll taxes. Recruiting, equipment and office space are extra.

What is the pay range for medical administrative assistants in Hickory-Lenoir?

The median was $38,380 a year in the May 2025 BLS survey. The 10th percentile was $33,920, the 90th $48,660, and the middle half earned $36,700 to $44,920.

Is Hickory-Lenoir cheaper than the rest of North Carolina for medical administrative assistants?

Yes, it costs less: a median of $38,380 against $44,190 statewide. The next area up in North Carolina is Jacksonville at $38,580, the next down the Central North Carolina nonmetro area at $38,140.

How many medical administrative assistants work in Hickory-Lenoir?

BLS counts about 1,790 in the May 2025 survey. That is 3% of the North Carolina total of 56,840. 10 areas in North Carolina have more; the closest in size is the Western North Carolina nonmetro area, with about 2,340.

Does a medical administrative assistant cost more than a data entry specialist in Hickory-Lenoir?

Yes: $440 a year more at the median. The medians are $38,380 and $37,940.

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.