Medical Secretaries and Administrative Assistants Salary in North Carolina
Medical secretaries and administrative assistants in North Carolina earned a median of $44,190 a year ($21.24 an hour) and a mean of $43,790 in May 2025. The median is 3.8% below the U.S. median of $45,930, ranking 33rd of 54 states and territories, according to the Bureau of Labor Statistics.
- Median annual
- $44,190
- Median hourly
- $21.24
- Mean annual
- $43,790
- Jobs on record
- 56,840
Grey needle: U.S. median, $45,930 a year.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, state file, May 2025. Wage and salary jobs only; the self-employed are not counted. OEWS pay excludes overtime, shift differentials and non-production bonuses. Confirm any figure on bls.gov/oes. Latest BLS release: May 2025, published May 15, 2026; checked November 10, 2026.
How does North Carolina compare on pay for medical secretaries and administrative assistants?
North Carolina ranks 33rd of 54 states and territories. Washington is highest at $58,100, $13,910 more than the North Carolina median.
| State | Rank | Median | Against U.S. | Jobs |
|---|---|---|---|---|
| Ohio | 31 | $44,280 | -4% | 29,110 |
| New Mexico | 32 | $44,230 | -4% | 4,590 |
| North Carolina | 33 | $44,190 | -4% | 56,840 |
| Indiana | 34 | $44,060 | -4% | 21,180 |
| Missouri | 35 | $43,980 | -4% | 12,260 |
Source: BLS OEWS state file, May 2025. Rank 1 is the highest median among 54 states and territories with a published figure. See every state.
Does North Carolina pay go further after prices?
Prices in North Carolina run 5.7% below the U.S. average, so the $44,190 median buys about what $46,848 buys at average U.S. prices, above the $45,930 U.S. median. On this measure North Carolina ranks 20th of 51, up from 33rd before the adjustment.
Source: BLS OEWS state file, May 2025; BEA Regional Price Parities, 2024. The adjustment divides pay by the state's price level.
Which areas in North Carolina pay medical secretaries and administrative assistants the most?
Durham-Chapel Hill, NC is highest at $46,860, 6.0% above the North Carolina median.
| Area | Median | Jobs |
|---|---|---|
| Durham-Chapel Hill, NC | $46,860 | 5,820 |
| Raleigh-Cary, NC | $46,600 | 7,600 |
| Winston-Salem, NC | $46,370 | 3,980 |
| Charlotte-Concord-Gastonia, NC-SC | $45,650 | 13,380 |
| Greensboro-High Point, NC | $44,500 | 3,870 |
| Burlington, NC | $44,190 | 620 |
| Asheville, NC | $41,520 | 3,000 |
| Rocky Mount, NC | $41,480 | 420 |
| Wilmington, NC | $40,040 | 2,700 |
| Greenville, NC | $39,980 | 1,640 |
| Western North Carolina nonmetropolitan area | $38,750 | 2,340 |
| Goldsboro, NC | $38,690 | 440 |
| Jacksonville, NC | $38,580 | 530 |
| Hickory-Lenoir-Morganton, NC | $38,380 | 1,790 |
| Central North Carolina nonmetropolitan area | $38,140 | 2,350 |
| Pinehurst-Southern Pines, NC | $37,920 | 970 |
| Eastern North Carolina nonmetropolitan area | $37,860 | 2,900 |
| Fayetteville, NC | $37,600 | 1,700 |
Source: BLS OEWS metropolitan and nonmetropolitan area file, May 2025. Every area BLS lists for this job in North Carolina is shown; an area that crosses state lines is listed under the first state in its BLS title.
How many medical secretaries and administrative assistants work in North Carolina?
BLS counts 56,840 jobs in North Carolina, 5.9% of the 961,610 in the U.S. That is the 5th largest count among the 53 states and territories with a published figure. That is 11.5 of every 1,000 jobs in North Carolina, a location quotient of 1.86: the occupation's share of local jobs is 1.86 times its national share, so it is more concentrated here than in the U.S. as a whole.
Source: BLS OEWS state file, May 2025 and national file.
Related jobs in North Carolina
Related occupations from O*NET; pay from BLS OEWS state file, May 2025.