Medical Administrative Assistant salary in Roanoke, VA

Pay in Roanoke against Virginia and the US

The middle half of medical administrative assistants in Roanoke earns $37,270–$44,960. Pay is tightly grouped: the top tenth starts at $47,060, only 1.3 times the bottom tenth, against 1.7 times across the US, so the going rate is easier to read. The mean ($40,400) is 8% over the median, so a group of high earners pulls the average up; price a typical hire from the median. From the 25th to the 75th percentile, the local range is only $7,690 wide, against $9,220 across Virginia and $12,010 nationally: employers in Roanoke pay within a narrower band.

What to budget for a medical administrative assistant here

The step from the 25th percentile to the median is $0 a year; from the median to the 75th it is $7,690, or about $9,923 once benefits are added. 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 Roanoke, and the Virginia statewide median of $46,180 falls there too. An offer at the national rate would beat what three quarters of local medical administrative assistants earn.

What a hire really costs in Roanoke

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 $10,820 to the $37,270 median and brings it to $48,090 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 Roanoke

Of the 17 roles we track in Roanoke, this one ranks #16 by median pay, between e-commerce order specialists ($38,900) and virtual receptionists ($34,240). Project Coordinator is the highest at $91,170.

Measured against the US median, medical administrative assistants rank #16 of the 17 roles we track in Roanoke (-18.9%), between marketing specialists (-18.3%) and executive assistants (-19.1%). The typical role here is at -10.9%, so, measured against the US, medical administrative assistants cost less in Roanoke than the area's general pay level would suggest. Medical administrative assistants hold 10.6% of the jobs in these 17 roles in Roanoke, 6.5% across Virginia and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in Virginia

Across the 13 areas of Virginia with data for this job, the median runs from $37,270 in Roanoke to $46,130 in the Northwest Virginia nonmetro area, a gap of $8,860 a year. All 2 areas in Virginia with more medical administrative assistants than Roanoke also pay more, among them Virginia Beach-Chesapeake, VA-NC ($44,080) and Richmond, VA ($44,310).

Roanoke against other US metro areas

By number of jobs, Roanoke is #111 of 514 US areas for this job. It is one of the larger markets for this job, yet its pay sits in the bottom quarter of US areas. Outside Virginia, Cape Girardeau and Clarksville pay just above Roanoke and Lawton and Tallahassee just below. All four are within $110 a year of the median in Roanoke. Of the three markets with about as many medical administrative assistants, two pay more.

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