Medical Secretaries and Administrative Assistants Salary in North Dakota
Medical secretaries and administrative assistants in North Dakota earned a median of $45,390 a year ($21.82 an hour) and a mean of $46,220 in May 2025. The median is 1.2% below the U.S. median of $45,930, ranking 25th of 54 states and territories, according to the Bureau of Labor Statistics.
- Median annual
- $45,390
- Median hourly
- $21.82
- Mean annual
- $46,220
- Jobs on record
- 1,120
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 Dakota compare on pay for medical secretaries and administrative assistants?
North Dakota ranks 25th of 54 states and territories. Washington is highest at $58,100, $12,710 more than the North Dakota median.
| State | Rank | Median | Against U.S. | Jobs |
|---|---|---|---|---|
| Arizona | 23 | $45,820 | -0% | 18,090 |
| South Dakota | 24 | $45,810 | -0% | 80 |
| North Dakota | 25 | $45,390 | -1% | 1,120 |
| Pennsylvania | 26 | $44,930 | -2% | 27,600 |
| Idaho | 27 | $44,920 | -2% | 5,120 |
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 Dakota pay go further after prices?
Prices in North Dakota run 11.0% below the U.S. average, so the $45,390 median buys about what $51,024 buys at average U.S. prices, above the $45,930 U.S. median. On this measure North Dakota ranks 5th of 51, up from 25th 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 Dakota pay medical secretaries and administrative assistants the most?
Minot, ND is highest at $48,880, 7.7% above the North Dakota median.
| Area | Median | Jobs |
|---|---|---|
| Minot, ND | $48,880 | 80 |
| Bismarck, ND | $46,710 | 190 |
| Grand Forks, ND-MN | $46,600 | 170 |
| Fargo, ND-MN | $45,540 | 490 |
| West North Dakota nonmetropolitan area | $44,960 | 120 |
| East North Dakota nonmetropolitan area | $42,410 | 150 |
Source: BLS OEWS metropolitan and nonmetropolitan area file, May 2025. Every area BLS lists for this job in North Dakota 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 Dakota?
BLS counts 1,120 jobs in North Dakota, 0.12% of the 961,610 in the U.S. That is the 49th largest count among the 53 states and territories with a published figure. That is 2.6 of every 1,000 jobs in North Dakota, a location quotient of 0.42: the occupation's share of local jobs is 0.42 times its national share, so it is less concentrated here than in the U.S. as a whole.
Source: BLS OEWS state file, May 2025 and national file.
Related jobs in North Dakota
Related occupations from O*NET; pay from BLS OEWS state file, May 2025.