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Medical Assistant Salaries in South Dakota — 2026 Overview

BLS 2026

The median medical assistant salary in South Dakota is $39,350 per year, equivalent to $18.92/hr, based on the Bureau of Labor Statistics OEWS programme. South Dakota employs approximately 1,170 medical assistants statewide.

Medical Assistant salaries in South Dakota are below the national average by approximately $3,683. South Dakota has no state income tax.

A solid industrial economy and stable population mean medical assistants in South Dakota enjoy reliable job security.

South Dakota Medical Assistant Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in South Dakota after federal tax, Social Security and Medicare. South Dakota has no state income tax.

Your annual gross salary ($)
Gross Annual
$39,350
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$34,689

Estimate based on 2026 federal tax brackets, single filer, standard deduction. South Dakota has no state income tax. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — South Dakota Medical Assistant Check

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Enter your current salary to see how it compares to the South Dakota median of $39,350.

Your annual salary ($)

Medical Assistant Salary by Experience — South Dakota

Entry Level (0–2 years)$24,400/yr · $11.73/hr
Beginning career, developing core skills under supervision in South Dakota.
Mid-Level (3–6 years)$35,021/yr · $16.84/hr
Established professional working independently in South Dakota. Pursuing advanced certifications.
Experienced (7–12 years)$43,678/yr · $21.00/hr
Senior professional with specialised skills commanding above-average pay in South Dakota.
Senior / Expert (12+ years)$56,700+/yr · $27.26/hr
Top earner. Leadership, management or highly specialised role in South Dakota.
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Medical Assistant Salary Trend in South Dakota — 2021 to 2026

5-Year Data

Medical Assistant salaries in South Dakota 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 South Dakota's healthcare and physician offices.

2021
$34,549
2022
$36,556
+5.8%
2023
$38,248
+4.6%
2024
$38,877
+1.6%
2026
$39,350
+1.2%

Medical Assistant Salary by City — South Dakota

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Sioux Falls$43,700$21.01+11.1%409
Rapid City$41,700$20.05+6.0%327
Aberdeen$40,550$19.50+3.0%210
Brookings$37,800$18.17-3.9%105
Watertown$35,800$17.21-9.0%70
Mitchell$34,250$16.47-13.0%50

Tip: Sioux Falls offers the highest medical assistant salaries in South Dakota at $43,700/yr — +11.1% above the state average.

South Dakota vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, South Dakota compares favourably for medical assistants.

South Dakota — No state income tax$39,350 gross~$34,689 take-home
North Dakota — 2.5%$41,040 gross+4.3% vs SD
Minnesota — 9.85%$49,380 gross+25.5% vs SD
Iowa — 6.0%$43,670 gross+11.0% vs SD

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. South Dakota has no state income tax.

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Medical Assistant Job Outlook in South Dakota

BLS Projections
+10%Job growth 2026–33
1,170Currently employed
117+New jobs projected

Employment for medical assistants in South Dakota is projected to grow over the next decade, driven by strong demand across the South Dakota job market. A solid industrial economy and stable population mean medical assistants in South Dakota enjoy reliable job security.

How to Earn More as a Medical Assistant in South Dakota

1. Pursue advanced certification or licensing. Moving from entry to senior level as a medical assistant in South Dakota typically adds $32,300 to your annual salary. Additional certifications from the State Medical Board can accelerate this progression.

2. Target the highest-paying city. Sioux Falls pays medical assistants $43,700/yr — +11.1% above the South Dakota average. Simply relocating within South Dakota 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 South Dakota. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. North Dakota pays medical assistants $41,040/yr — 4.3% vs South Dakota.

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Frequently Asked Questions

What's the average medical assistant salary in South Dakota?
The average medical assistant salary in South Dakota is $39,350 per year, or $18.92 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $24,400 while experienced professionals earn $56,700 or more.
Which South Dakota city has the highest medical assistant salary?
Sioux Falls pays medical assistants the most in South Dakota at an average of $43,700 per year — +11.1% above the state average.
How does South Dakota medical assistant salary compare to the national average?
South Dakota medical assistant salaries are below the calculated national average by approximately $3,683. South Dakota has no state income tax.
What's the after-tax salary for medical assistants in South Dakota?
A medical assistant earning the South Dakota average of $39,350 takes home approximately $34,689 per year after federal income tax, Social Security and Medicare. South Dakota has no state income tax.
Is medical assistant a good career in South Dakota?
Yes. Medical Assistant is a strong career choice in South Dakota with steady demand projected over the next decade. A solid industrial economy and stable population mean medical assistants in South Dakota enjoy reliable job security.
What's the licensing process for medical assistants in South Dakota?
In South Dakota, 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.