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Medical Assistant Salaries in Texas — 2026 Overview

BLS 2026

The median medical assistant salary in Texas is $38,930 per year, equivalent to $18.71/hr, based on the Bureau of Labor Statistics OEWS programme. Texas employs approximately 72,280 medical assistants statewide.

Medical Assistant salaries in Texas are below the national average by approximately $4,103. Texas has no state income tax.

Pro-business policies and steady migration into Texas keep demand strong for medical assistants.

Texas Medical Assistant Take-Home Pay Calculator

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

Your annual gross salary ($)
Gross Annual
$38,930
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$34,352

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

Am I Paid Fairly? — Texas Medical Assistant Check

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Enter your current salary to see how it compares to the Texas median of $38,930.

Your annual salary ($)

Medical Assistant Salary by Experience — Texas

Entry Level (0–2 years)$24,100/yr · $11.59/hr
Beginning career, developing core skills under supervision in Texas.
Mid-Level (3–6 years)$34,647/yr · $16.66/hr
Established professional working independently in Texas. Pursuing advanced certifications.
Experienced (7–12 years)$43,212/yr · $20.77/hr
Senior professional with specialised skills commanding above-average pay in Texas.
Senior / Expert (12+ years)$56,100+/yr · $26.97/hr
Top earner. Leadership, management or highly specialised role in Texas.
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Medical Assistant Salary Trend in Texas — 2021 to 2026

5-Year Data

Medical Assistant salaries in Texas 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 Texas's healthcare and physician offices.

2021
$34,180
2022
$36,165
+5.8%
2023
$37,839
+4.6%
2024
$38,462
+1.6%
2026
$38,930
+1.2%

Medical Assistant Salary by City — Texas

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Houston$43,200$20.77+11.0%25,298
Dallas$41,250$19.83+6.0%20,238
Austin$40,100$19.28+3.0%13,010
San Antonio$37,350$17.96-4.1%6,505
Fort Worth$35,450$17.04-8.9%4,336
El Paso$33,850$16.27-13.0%2,891

Tip: Houston offers the highest medical assistant salaries in Texas at $43,200/yr — +11.0% above the state average.

Texas vs Nearby States — Purchasing Power

Cost of Living Adjusted

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

Texas — No state income tax$38,930 gross~$34,352 take-home
New Mexico — 5.9%$39,000 gross+0.2% vs TX
Oklahoma — 4.75%$37,580 gross-3.5% vs TX
Arkansas — 4.4%$37,150 gross-4.6% vs TX

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

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Medical Assistant Job Outlook in Texas

BLS Projections
+10%Job growth 2026–33
72,280Currently employed
7,228+New jobs projected

Employment for medical assistants in Texas is projected to grow over the next decade, driven by strong demand across the Texas job market. Pro-business policies and steady migration into Texas keep demand strong for medical assistants.

How to Earn More as a Medical Assistant in Texas

1. Pursue advanced certification or licensing. Moving from entry to senior level as a medical assistant in Texas typically adds $32,000 to your annual salary. Additional certifications from the State Medical Board can accelerate this progression.

2. Target the highest-paying city. Houston pays medical assistants $43,200/yr — +11.0% above the Texas average. Simply relocating within Texas 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 Texas. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. New Mexico pays medical assistants $39,000/yr — 0.2% vs Texas.

Find Medical Assistant Jobs in Texas

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Frequently Asked Questions

How much do medical assistants earn in Texas?
The average medical assistant salary in Texas is $38,930 per year, or $18.71 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $24,100 while experienced professionals earn $56,100 or more.
Where do medical assistants earn the most in Texas?
Houston pays medical assistants the most in Texas at an average of $43,200 per year — +11.0% above the state average.
How does Texas stack up nationally for medical assistant pay?
Texas medical assistant salaries are below the calculated national average by approximately $4,103. Texas has no state income tax.
What's the after-tax salary for medical assistants in Texas?
A medical assistant earning the Texas average of $38,930 takes home approximately $34,352 per year after federal income tax, Social Security and Medicare. Texas has no state income tax.
Are medical assistant jobs worth pursuing in Texas?
Yes. Medical Assistant is a strong career choice in Texas with steady demand projected over the next decade. Pro-business policies and steady migration into Texas keep demand strong for medical assistants.
How do you become a licensed medical assistant in Texas?
In Texas, 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.