BLS metro-level wage data places Medical Secretaries and Administrative Assistants pay in Waterloo-Cedar Falls, IA at a median of $40,660 per year ($19.55/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $45,930, Waterloo-Cedar Falls pays 11% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 620 medical secretaries and administrative assistantss are employed across the Waterloo-Cedar Falls MSA in SOC 43-6013.

The Waterloo-Cedar Falls pay distribution spans from $35,360 at the 10th percentile to $48,410 at the 90th — a 1.4× 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 $37,650 and the 75th at $46,520, so half of Waterloo-Cedar 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 Waterloo-Cedar Falls, IA 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 IA data, and peer-metro comparisons — a median is a starting point, not a ceiling.