Medical Administrative Assistant salary and cost of hiring in North Carolina
The median medical administrative assistant in North Carolina earned $44,190 a year in May 2025[1], 3.8% below the US median of $45,930. That puts North Carolina at #33 of 51 states for this job.
BLS occupation 43-6013. Data from the May 2025 release, checked 2026-10-16.
Salary range
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| North Carolina | $35,880 | $44,190 | $55,290 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in North Carolina earns $37,930–$47,440; the top tenth earns $55,290 or more, 1.5 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 North Carolina median that makes about $63,129 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 North Carolina
| Area | Median | 75th percentile | Jobs |
|---|---|---|---|
| Durham-Chapel Hill, NC | $49,830 | 5,820 | |
| Raleigh-Cary, NC | $49,630 | 7,600 | |
| Winston-Salem, NC | $47,310 | 3,980 | |
| Charlotte-Concord-Gastonia, NC-SC | $48,120 | 13,380 | |
| Greensboro-High Point, NC | $45,600 | 3,870 | |
| Burlington, NC | $46,280 | 620 | |
| Asheville, NC | $46,870 | 3,000 | |
| Rocky Mount, NC | $45,020 | 420 | |
| Wilmington, NC | $46,730 | 2,700 | |
| Greenville, NC | $44,290 | 1,640 | |
| Western North Carolina nonmetropolitan area | $45,140 | 2,340 | |
| Goldsboro, NC | $44,390 | 440 | |
| Jacksonville, NC | $44,830 | 530 | |
| Hickory-Lenoir-Morganton, NC | $44,920 | 1,790 | |
| Central North Carolina nonmetropolitan area | $44,900 | 2,350 | |
| Pinehurst-Southern Pines, NC | $44,590 | 970 | |
| Eastern North Carolina nonmetropolitan area | $44,810 | 2,900 | |
| Fayetteville, NC | $44,620 | 1,700 |
Durham-Chapel Hill, NC pays the most ($46,860) and Fayetteville, NC the least ($37,600): $9,260 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 North Carolina |
|---|---|---|
| Ohio | +0.2% | |
| New Mexico | +0.1% | |
| North Carolina | +0.0% | |
| Indiana | -0.3% | |
| Missouri | -0.5% |
Questions
How much does a medical administrative assistant earn in North Carolina?
The median was $44,190 a year in the May 2025 BLS survey; the middle half earned $37,930 to $47,440.
What does it cost to employ a medical administrative assistant in North Carolina?
About $63,129 a year at the median wage once benefits are added, using the 30% benefits share of US private industry (June 2026).
Where in North Carolina do medical administrative assistants earn the most?
Durham-Chapel Hill, NC, with a median of $46,860 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. Data checked 2026-10-16.