BLS metro-level wage data places Medical Transcriptionists pay in Blacksburg-Christiansburg-Radford, VA at a median of $36,210 per year ($17.41/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $40,410, Blacksburg-Christiansburg-Radford pays 10% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster.

The Blacksburg-Christiansburg-Radford pay distribution spans from $28,070 at the 10th percentile to $38,750 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 $33,220 and the 75th at $38,750, so half of Blacksburg-Christiansburg-Radford-based medical transcriptionistss 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 Blacksburg-Christiansburg-Radford, VA 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 VA data, and peer-metro comparisons — a median is a starting point, not a ceiling.