How Much Do Medical Secretaries and Administrative Assistants Make in North Carolina?
Median wage from BLS May 2025 — and the after-tax number the salary sites skip. Tax year 2026.
Quick answer
According to payandtaxes.com's analysis of BLS May 2025 data and 2026 tax law, the median Medical Secretaries and Administrative Assistants in North Carolina earns $44,190 per year and takes home $36,432 ($3,036/month) — a keep-rate of 82.4%, with 56,840 employed in the state.
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| Gross pay | $3,682.50 |
| Federal income tax | $260.23 |
| Social Security | $228.32 |
| Medicare | $53.40 |
| North Carolina state income tax | $104.54 |
| You keep | $3,036.02 |
How much do Medical Secretaries and Administrative Assistants make in North Carolina?
The median Medical Secretaries and Administrative Assistants in North Carolina earns $44,190 per year (BLS May 2025), about $21.24 per hour.
What is that after taxes?
$44,190 gross in North Carolina keeps $36,432 after federal income tax ($3,123), FICA ($3,381) and state income tax ($1,254) — $3,036 per month, a 82.4% keep-rate.
How does North Carolina compare to the national median for Medical Secretaries and Administrative Assistants?
The North Carolina median is $1,740 below the national median of $45,930.
Which state pays Medical Secretaries and Administrative Assistants the most?
Washington has the highest median gross for Medical Secretaries and Administrative Assistants at $58,100 — but compare take-home, not gross: state taxes change the order.
Medical Secretaries and Administrative Assistants salary in every state · North Carolina paycheck calculator · North Carolina minimum wage