Medical Assistant salary in North Carolina
Medical Assistants in North Carolina earn a median of $20.48 per hour, about $42,600 a year, 4% below the U.S. median of $21.25. The middle half earn between $17.96 and $22.28 per hour. The highest median among North Carolina metro areas is in Charlotte-Concord-Gastonia, NC-SC, at $21.79 per hour. Source: BLS, May 2024.
- $20.48median pay per hour
- $42,600median pay per year
- 23,970medical assistants employed in North Carolina
- #27of 50 states by median pay
Medical Assistant pay in North Carolina: percentiles
| Level | North Carolina per hour | North Carolina per year | U.S. per hour |
|---|---|---|---|
| Lowest 10% | $16.79 | $34,920 | $16.84 |
| Lower quartile | $17.96 | $37,360 | $18.08 |
| Median | $20.48 | $42,600 | $21.25 |
| Upper quartile | $22.28 | $46,340 | $23.15 |
| Top 10% | $24.86 | $51,710 | $27.80 |
Medical Assistant pay by metro area in North Carolina
| Metro area | Median / hr | Median / year | Employed | vs North Carolina median | After cost of living |
|---|---|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | $21.79 | $45,330 | 6,890 | 6% above | $22.38 |
| Durham-Chapel Hill, NC | $21.69 | $45,110 | 1,930 | 6% above | $22.23 |
| Greensboro-High Point, NC | $21.26 | $44,220 | 1,490 | 4% above | $22.89 |
| Burlington, NC | $21.14 | $43,980 | 320 | 3% above | $22.68 |
| Raleigh-Cary, NC | $20.63 | $42,900 | 3,370 | 1% above | $21.02 |
| Winston-Salem, NC | $20.27 | $42,160 | 1,340 | 1% below | $22.02 |
| Greenville, NC | $19.79 | $41,160 | 550 | 3% below | $22.39 |
| Asheville, NC | $19.19 | $39,910 | 1,380 | 6% below | $19.88 |
| Pinehurst-Southern Pines, NC | $19.13 | $39,790 | 330 | 7% below | — |
| Hickory-Lenoir-Morganton, NC | $19.10 | $39,730 | 900 | 7% below | $21.59 |
| Wilmington, NC | $18.85 | $39,200 | 1,310 | 8% below | $19.55 |
| Rocky Mount, NC | $18.61 | $38,710 | 150 | 9% below | $21.14 |
| Fayetteville, NC | $18.12 | $37,700 | 730 | 12% below | $19.70 |
| Goldsboro, NC | $17.88 | $37,190 | 130 | 13% below | — |
| Jacksonville, NC | $17.34 | $36,080 | 210 | 15% below | $18.83 |
Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).
Medical Assistant pay in states next to North Carolina
| State | Median / hr | Median / year | Compared with North Carolina |
|---|---|---|---|
| Georgia | $18.75 | $39,000 | 8% below North Carolina |
| South Carolina | $18.66 | $38,820 | 9% below North Carolina |
| Tennessee | $18.34 | $38,150 | 10% below North Carolina |
| Virginia | $20.34 | $42,310 | 1% below North Carolina |
What employers are posting in North Carolina
- 64roles with published pay
- $27.32median pay per hour
- $19–$34typical published range
- 4employers hiring
| Employer | Roles | Median pay / hour |
|---|---|---|
| Advocate Health | 40 | $27.32 |
| ECU Health | 15 | $21.37 |
| Sentara Healthcare | 5 | $26.91 |
| GoHealth Urgent Care | 4 | $21.62 |
Midpoints of pay ranges in 64 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.
Medical Assistant jobs in North Carolina · Medical Assistant salary nationwide · North Carolina state guide
Common questions
How much does a medical assistant make in North Carolina?
The median is $20.48 per hour, about $42,600 a year. The lowest 10% earn under $16.79 and the top 10% earn over $24.86 (BLS, May 2024).
Which North Carolina city pays medical assistants the most?
Among North Carolina metro areas, Charlotte-Concord-Gastonia, NC-SC has the highest median at $21.79 per hour. See the metro table for the rest and for pay after cost of living.
Where does North Carolina rank for medical assistant pay?
North Carolina ranks 27th of 50 states by median medical assistant pay.
Is this the same as the pay in job postings?
No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.
What do employers near you pay medical assistants? Get the report.
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- 1Pay for your role at other hospitals
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Your Medical Assistant pay reportNorth Carolina · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Advocate HealthCharlotte, NC · 40 postings$27.32/ hr$21–$36
- Sentara HealthcareElizabeth City, NC · 5 postings$26.91/ hr$22–$32
- GoHealth Urgent CareCornelius, NC · 4 postings$21.62/ hr$19–$24
- ECU HealthGreenville, NC · 15 postings$21.37/ hr$18–$25
Median posted pay per hour, with the range each employer published.
2What they are offering now
64 Medical Assistant postings with published pay in North Carolina, 63 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 64 Medical Assistant roles
- Medical Assistant Wilkes Internal MedicinePermanent$21.85–$32.80/ hour
- Certified Medical AssistantPermanent$21.69–$32.14/ hour
+ 62 more in your report. Each one has pay, shift and start date.