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Medical Administrative Assistant salary in Sioux City, IA-NE

For this job Sioux City sits between the state and national figures, with a median of $41,890 a year1. That is 2.2% above the Iowa statewide median of $40,980, and 8.8% below the US median of $45,930. Among US areas it comes in at #273 of 516. BLS counts about 400 people in this job here.

$3,491median pay per month in Sioux City
$4,504employer cost per month with benefits
$20.14median pay per hour
400people in this job in Sioux City

BLS occupation 43-6013, area Sioux City, IA-NE-SD. Data from the May 2025 release, checked 2026-10-15.

Pay in Sioux City against Iowa and the US

Range10thMedian90th
Sioux City, IA-NE$36,170$41,890$48,720
Iowa$35,240$40,980$50,130
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 Sioux City earns $38,180–$46,210. Pay is tightly grouped: the top tenth starts at $48,720, only 1.3 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 $8,030 wide, against $9,420 across Iowa and $12,010 nationally: employers in Sioux City 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$36,170$3,014$17.39$46,671
25th percentile$38,180$3,182$18.36$49,265
Median$41,890$3,491$20.14$54,052
75th percentile$46,210$3,851$22.22$59,626
90th percentile$48,720$4,060$23.42$62,865

An offer at the 75th percentile instead of the median adds $4,320 a year in pay and about $5,574 in employer cost. Going down to the 25th percentile saves $3,710 in pay. 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 Sioux City, and the Iowa statewide median of $40,980 falls between the 25th percentile and the median.

What a hire really costs in Sioux City

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 Sioux City

Of the 15 roles we track in Sioux City, this one ranks #13 by median pay, between data entry specialists ($44,550) and customer support specialists ($41,010). Project Coordinator is the highest at $85,130.

The 5 roles closest in pay. All 15 roles in Sioux City, IA-NE
RoleMedianvs medical administrative assistantJobs
Administrative Assistant
$45,950
+9.7%640
Data Entry Specialist
$44,550
+6.3%40
Medical Administrative Assistant
$41,890
this role400
Customer Support Specialist
$41,010
-2.1%1,110
Virtual Receptionist
$38,380
-8.4%330

Measured against the US median, medical administrative assistants rank #8 of the 15 roles we track in Sioux City (-8.8%), between customer support specialists (-8.4%) and paralegals (-10.8%). The typical role here is at -8.8%, so this job follows the area's general pay level. Medical administrative assistants hold 7.5% of the jobs in these 15 roles in Sioux City, 7.8% across Iowa and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in Iowa

Across the 12 areas of Iowa with data for this job, the median runs from $38,290 in the Southeast Iowa nonmetro area to $50,130 in Iowa City, a gap of $11,840 a year. Of the 11 areas in Iowa with more medical administrative assistants than Sioux City, 9 pay less, the largest of them the Southeast Iowa nonmetro area ($38,290), Davenport-Moline, IA-IL ($39,270) and Cedar Rapids, IA ($38,830).

AreaMedianvs Sioux CityJobs
Iowa City, IA
$50,130
+19.7%1,290
Des Moines-West Des Moines, IA
$42,160
+0.6%2,350
Sioux City, IA-NE
$41,890
this area400
Waterloo-Cedar Falls, IA
$40,660
-2.9%620
Ames, IA
$40,210
-4.0%420
Northeast Iowa (Nonmetro)
$39,460
-5.8%640
Dubuque, IA
$39,340
-6.1%410

Sioux City against other US metro areas

By number of jobs, Sioux City is #348 of 514 US areas for this job. Both its size and its pay sit in the middle half of US areas. Outside Iowa, Columbia and Provo-Orem pay just above Sioux City and Lansing-East Lansing and Decatur just below. All four are within $70 a year of the median in Sioux City. Of the three markets with about as many medical administrative assistants, one pays more.

Metro areaMedianvs Sioux CityJobsClose in
Winchester, VA-WV
$42,710
+2.0%410jobs
Provo-Orem, UT
$41,950
+0.1%1,160pay
Columbia, MO
$41,890
+0.0%430pay
Sioux City, IA-NE
$41,890
this area400
Lansing-East Lansing, MI
$41,880
-0.0%1,140pay
Decatur, IL
$41,820
-0.2%220pay
Battle Creek, MI
$40,130
-4.2%390jobs
Baton Rouge, LA
$38,280
-8.6%390jobs

Questions

How much does it cost to hire a medical administrative assistant in Sioux City, IA-NE?

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 Sioux City?

The median was $41,890 a year in the May 2025 BLS survey. The 10th percentile was $36,170, the 90th $48,720, and the middle half earned $38,180 to $46,210.

Is Sioux City cheaper than the rest of Iowa for medical administrative assistants?

No, it costs more: a median of $41,890 against $40,980 statewide. The next area up in Iowa is Des Moines-West Des Moines at $42,160, the next down Waterloo-Cedar Falls at $40,660.

How many medical administrative assistants work in Sioux City?

BLS counts about 400 in the May 2025 survey. 11 areas in Iowa have more; the closest in size is Dubuque, with about 410.

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

Yes: $880 a year more at the median. The medians are $41,890 and $41,010.

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.