Medical Administrative Assistant salary and cost of hiring in Iowa
The median medical administrative assistant in Iowa earned $40,980 a year in May 2025[1], 10.8% below the US median of $45,930. That puts Iowa at #42 of 51 states for this job.
BLS occupation 43-6013. Data from the May 2025 release, checked 2026-10-15.
Salary range
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Iowa | $35,240 | $40,980 | $50,130 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in Iowa earns $37,560–$46,980; the top tenth earns $50,130 or more, 1.4 times the bottom tenth.
What a hire really costs
Benefits and payroll taxes are 30.0% of total compensation in US private industry[2]. At the Iowa median that makes about $58,543 a year before recruiting, equipment and office space. 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 fee[3]; Deel's contractor plan is the default payroll tool[4].
Pay by metro area in Iowa
| Area | Median | 75th percentile | Jobs |
|---|---|---|---|
| Iowa City, IA | $50,130 | 1,290 | |
| Des Moines-West Des Moines, IA | $46,840 | 2,350 | |
| Sioux City, IA-NE-SD | $46,210 | 400 | |
| Waterloo-Cedar Falls, IA | $46,520 | 620 | |
| Ames, IA | $45,980 | 420 | |
| Northeast Iowa nonmetropolitan area | $46,760 | 640 | |
| Dubuque, IA | $46,140 | 410 | |
| Northwest Iowa nonmetropolitan area | $47,370 | 840 | |
| Southwest Iowa nonmetropolitan area | $45,310 | 470 | |
| Davenport-Moline-Rock Island, IA-IL | $45,880 | 1,150 | |
| Cedar Rapids, IA | $46,350 | 920 | |
| Southeast Iowa nonmetropolitan area | $44,350 | 1,190 |
Iowa City, IA pays the most ($50,130) and Southeast Iowa nonmetropolitan area the least ($38,290): $11,840 a year apart for the same job.
What a medical administrative assistant does
A medical administrative assistant handles a clinic's front and back office: scheduling, insurance checks, referrals, patient messages and records.
Neighbours in the ranking
| State | Median | vs Iowa |
|---|---|---|
| Florida | +1.8% | |
| Michigan | +0.3% | |
| Iowa | +0.0% | |
| South Carolina | -2.0% | |
| Tennessee | -2.5% |
Questions
How much does a medical administrative assistant earn in Iowa?
The median was $40,980 a year in the May 2025 BLS survey; the middle half earned $37,560 to $46,980.
What does it cost to employ a medical administrative assistant in Iowa?
About $58,543 a year at the median wage once benefits are added, using the 30% benefits share of US private industry (June 2026).
Where in Iowa do medical administrative assistants earn the most?
Iowa City, IA, with a median of $50,130 a year.
Sources
- BLS OEWS May 2025, 43-6013: https://www.bls.gov/oes/current/oes436013.htm
- BLS Employer Costs for Employee Compensation, private industry, June 2026: https://www.bls.gov/news.release/ecec.nr0.htm
- Silkstaff pricing: https://silkstaff.com/#pricing
- Deel pricing, contractor management: https://www.deel.com/pricing/
How these pages are built: methodology and data sources. Last updated 2026-11-05.