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Medical Assistant Salaries in California — 2026 Overview

BLS 2026

How much does a medical assistant make in California? The Bureau of Labor Statistics reports a median salary of $48,050/yr ($23.10/hr), with around 110,350 people working in this field statewide.

Medical Assistant salaries in California are above the national average by approximately $5,017. California has the highest state income tax rate in the US at up to 13.3%.

Tech-driven growth and high cost of living combine to push medical assistant pay higher in California.

California Medical Assistant Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in California after federal tax, Social Security and Medicare. California has the highest state income tax rate in the US at up to 13.3%.

Your annual gross salary ($)
Gross Annual
$48,050
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$35,289

Estimate based on 2026 federal tax brackets, single filer, standard deduction. California has the highest state income tax rate in the US at up to 13.3%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — California Medical Assistant Check

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Enter your current salary to see how it compares to the California median of $48,050.

Your annual salary ($)

Medical Assistant Salary by Experience — California

Entry Level (0–2 years)$29,800/yr · $14.33/hr
Beginning career, developing core skills under supervision in California.
Mid-Level (3–6 years)$42,764/yr · $20.56/hr
Established professional working independently in California. Pursuing advanced certifications.
Experienced (7–12 years)$53,335/yr · $25.64/hr
Senior professional with specialised skills commanding above-average pay in California.
Senior / Expert (12+ years)$69,200+/yr · $33.27/hr
Top earner. Leadership, management or highly specialised role in California.
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Medical Assistant Salary Trend in California — 2021 to 2026

5-Year Data

Medical Assistant salaries in California have grown an estimated 13.9% over the past five years, reflecting broader workforce and economic conditions. The growth reflects broader workforce and economic conditions in California's healthcare and physician offices.

2021
$42,187
2022
$44,638
+5.8%
2023
$46,704
+4.6%
2024
$47,473
+1.6%
2026
$48,050
+1.2%

Medical Assistant Salary by City — California

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Los Angeles$53,350$25.65+11.0%38,622
San Francisco$50,950$24.50+6.0%30,898
San Diego$49,500$23.80+3.0%19,863
San Jose$46,150$22.19-4.0%9,931
Sacramento$43,750$21.03-8.9%6,621
Fresno$41,800$20.10-13.0%4,414

Tip: Los Angeles offers the highest medical assistant salaries in California at $53,350/yr — +11.0% above the state average.

California vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, California sits in the mid-range for medical assistants.

California — 13.3% state income tax$48,050 gross~$35,289 take-home
Oregon — 9.9%$49,900 gross+3.9% vs CA
Nevada — no state tax$43,450 gross-9.6% vs CA
Arizona — 2.5%$45,440 gross-5.4% vs CA

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. California has the highest state income tax rate in the US at up to 13.3%.

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Medical Assistant Job Outlook in California

BLS Projections
+10%Job growth 2026–33
110,350Currently employed
11,035+New jobs projected

Employment for medical assistants in California is projected to grow over the next decade, driven by strong demand across the California job market. Tech-driven growth and high cost of living combine to push medical assistant pay higher in California.

How to Earn More as a Medical Assistant in California

1. Pursue advanced certification or licensing. Moving from entry to senior level as a medical assistant in California typically adds $39,400 to your annual salary. Additional certifications from the State Medical Board can accelerate this progression.

2. Target the highest-paying city. Los Angeles pays medical assistants $53,350/yr — +11.0% above the California average. Simply relocating within California can meaningfully increase your income without changing careers.

3. Specialise in high-demand areas. Medical Assistants who specialise in healthcare and physician offices typically command premium rates in California. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Oregon pays medical assistants $49,900/yr — 3.9% vs California.

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Frequently Asked Questions

How much does a medical assistant make in California?
The average medical assistant salary in California is $48,050 per year, or $23.10 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $29,800 while experienced professionals earn $69,200 or more.
Where do medical assistants earn the most in California?
Los Angeles pays medical assistants the most in California at an average of $53,350 per year — +11.0% above the state average.
How does California medical assistant salary compare to the national average?
California medical assistant salaries are above the calculated national average by approximately $5,017. California has the highest state income tax rate in the US at up to 13.3%.
What is the take-home pay for a medical assistant in California?
A medical assistant earning the California average of $48,050 takes home approximately $35,289 per year after federal income tax, Social Security and Medicare. California has the highest state income tax rate in the US at up to 13.3%.
Are medical assistant jobs worth pursuing in California?
Yes. Medical Assistant is a strong career choice in California with steady demand projected over the next decade. Tech-driven growth and high cost of living combine to push medical assistant pay higher in California.
What's the licensing process for medical assistants in California?
In California, medical assistants are licensed through the State Medical Board. Requirements vary by specialisation level — contact the State Medical Board for current examination and experience requirements.
DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.