SOC 31-9092 · Wilmington, NC metro

Medical Assistants Salary in Wilmington, NC

The average salary for medical assistants in Wilmington, North Carolina is $42,240 a year ($20.31 an hour), according to BLS estimates for May 2025. The median is $42,000: half of the 1,150 people in this job in the Wilmington, NC metro area earn more than that, half earn less. That average is 8% less than the U.S. average for this job ($46,120).

$42,240average per year

$20.31 / hourMedian $42,000Take-home ≈ $34,943

  • $34K10th
  • $38K25th
  • $42KMedian
  • $46K75th
  • $50K90th

median average · bar = middle 50% of workers · how to read it

1,150people in this job
-8%vs U.S. average
#8 of 15North Carolina metros
96cost of living (U.S. = 100)
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Medical Assistants pay range in Wilmington

New workers and the lowest-paid 10% earn about $34,390 a year or less, while the top 10% make $50,290 or more. The middle half of medical assistants in Wilmington earn between $37,620 and $46,330.

  • $34K10th
  • $38K25th
  • $42KMedian
  • $46K75th
  • $50K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$42,240$3,520$20.31
Median$42,000$3,500$20.19
Entry level (25th percentile)$37,620$3,135$18.09
Experienced (75th percentile)$46,330$3,861$22.27

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Medical Assistants pay in Wilmington vs. North Carolina and the U.S.

Medical assistants in Wilmington earn 4% less than the North Carolina average ($44,090) and 8% less than the U.S. average ($46,120). At the median the gap is -8% against the U.S. median of $45,690.

AreaAverageMedian10th pct.90th pct.Jobs
Wilmington$42,240$42,000$34,390$50,2901,150
North Carolina$44,090$45,140$36,010$50,85023,650
United States$46,120$45,690$36,050$59,310817,870

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Medical Assistants salary after taxes in Wilmington

On the average salary of $42,240, a single filer in Wilmington takes home about $34,943 a year, or $2,912 a month and $1,344 every two weeks. Taxes take 17% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).

North Carolina paycheck calculator: try your own salary

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Is Wilmington a good place for medical assistants? Pay vs. cost of living

Prices in the Wilmington area are 4% below the U.S. average (BEA price parity 96.4), so the average $42,240 buys what about $43,807 would buy in a typical U.S. metro. This job pays 0.9 times the median wage of all jobs in Wilmington ($45,800). A typical home costs $446,210, or 10.6 years of this average salary before tax.

See what $42,240 is worth in another city

Medical Assistants salary in other North Carolina cities

Wilmington ranks 8th of 15 North Carolina metro areas for this job; Durham pays the most ($46,420).

All Medical Assistants salaries in North Carolina

Highest-paying cities for medical assistants

Vallejo, CA pays this job the most of the metro areas we cover ($66,730).

Medical Assistants salary by city

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Reviewed before it counts. Medical Assistants in Wilmington, NC.

Medical Assistants salary in Wilmington: questions

How much do medical assistants make an hour in Wilmington?

$20.31 an hour on average, and $20.19 at the median (BLS, May 2025).

What is the entry-level medical assistants salary in Wilmington?

The lowest-paid 10% earn about $34,390 a year and the 25th percentile is $37,620, a fair guide to starting pay.

What is the medical assistants take-home pay in Wilmington?

About $34,943 a year ($2,912 a month) for a single filer on the average salary of $42,240.

Do medical assistants earn more in Wilmington than elsewhere?

The average here is 8% less than the U.S. average for this job ($46,120).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 31-9092; area Wilmington, NC (48900). Relative standard error of the mean wage: 1.5%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).
  • Job concentration: location quotient 1.15, this job is about as common as in the U.S. overall.

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