BLS metro-level wage data places Medical Secretaries and Administrative Assistants pay in Idaho Falls, ID at a median of $44,370 per year ($21.33/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $45,930, Idaho Falls pays 3% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 600 medical secretaries and administrative assistantss are employed across the Idaho Falls MSA in SOC 43-6013.

The Idaho Falls pay distribution spans from $35,210 at the 10th percentile to $57,060 at the 90th — a 1.6× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $37,390 and the 75th at $48,070, so half of Idaho Falls-based medical secretaries and administrative assistantss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Idaho Falls, ID covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide ID data, and peer-metro comparisons — a median is a starting point, not a ceiling.