Medical Assistant Salaries in North Carolina — 2026 Overview
BLS 2026The median medical assistant salary in North Carolina is $42,600 per year, equivalent to $20.48/hr, based on the Bureau of Labor Statistics OEWS programme. North Carolina employs approximately 23,970 medical assistants statewide.
Medical Assistant salaries in North Carolina are below the national average by approximately $433. North Carolina has a flat state income tax rate of 4.5%.
North Carolina's expanding economy supports a healthy job market for medical assistants.
North Carolina Medical Assistant Take-Home Pay Calculator
InteractiveEnter your gross annual salary to estimate take-home pay in North Carolina after federal tax, Social Security and Medicare. North Carolina has a flat state income tax rate of 4.5%.
Estimate based on 2026 federal tax brackets, single filer, standard deduction. North Carolina has a flat state income tax rate of 4.5%. Does not account for local taxes or benefit deductions.
Am I Paid Fairly? — North Carolina Medical Assistant Check
InteractiveEnter your current salary to see how it compares to the North Carolina median of $42,600.
Medical Assistant Salary by Experience — North Carolina
Medical Assistant Salary Trend in North Carolina — 2021 to 2026
5-Year Datamedical assistants pay in North Carolina has risen approximately 13.9% since 2021, mirroring national trends across the medical assistant workforce. The growth reflects broader workforce and economic conditions in North Carolina's healthcare and physician offices.
Medical Assistant Salary by City — North Carolina
BLS Metro Data| City / Metro Area | Annual Median | Hourly | vs State | Jobs |
|---|---|---|---|---|
| Charlotte | $47,300 | $22.74 | +11.0% | 8,389 |
| Raleigh | $45,150 | $21.71 | +6.0% | 6,711 |
| Greensboro | $43,900 | $21.11 | +3.1% | 4,314 |
| Durham | $40,900 | $19.66 | -4.0% | 2,157 |
| Winston-Salem | $38,750 | $18.63 | -9.0% | 1,438 |
| Fayetteville | $37,050 | $17.81 | -13.0% | 958 |
Tip: Charlotte offers the highest medical assistant salaries in North Carolina at $47,300/yr — +11.0% above the state average.
North Carolina vs Nearby States — Purchasing Power
Cost of Living AdjustedGross salary figures don't tell the whole story. After adjusting for state income tax, North Carolina sits in the mid-range for medical assistants.
Take-home estimates based on single filer, standard deduction, 2026 federal brackets. North Carolina has a flat state income tax rate of 4.5%.
Medical Assistant Job Outlook in North Carolina
BLS ProjectionsEmployment for medical assistants in North Carolina is projected to grow over the next decade, driven by strong demand across the North Carolina job market. North Carolina's expanding economy supports a healthy job market for medical assistants.
How to Earn More as a Medical Assistant in North Carolina
1. Pursue advanced certification or licensing. Moving from entry to senior level as a medical assistant in North Carolina typically adds $34,900 to your annual salary. Additional certifications from the State Medical Board can accelerate this progression.
2. Target the highest-paying city. Charlotte pays medical assistants $47,300/yr — +11.0% above the North Carolina average. Simply relocating within North Carolina 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 North Carolina. Identifying growing niches within your field is one of the fastest paths to higher pay.
4. Consider neighbouring states. Virginia pays medical assistants $42,310/yr — -0.7% vs North Carolina.
Find Medical Assistant Jobs in North Carolina
Live ListingsSearch current medical assistant job vacancies in North Carolina:
🔍 Medical Assistant jobs in North Carolina — Indeed→ 🔍 Medical Assistant jobs in North Carolina — ZipRecruiter→ 🔍 Medical Assistant jobs — Charlotte, NC→