Medical Secretaries and Administrative Assistants Salary — Roanoke, Virginia

The average Medical Secretaries and Administrative Assistants in Roanoke, Virginia earns $40,400 a year.

$40,400 / year, mean
↓ 14.4% below national average 11th percentile in Virginia

Roanoke is among the lowest-paying cities in Virginia for this specific role. That's noticeably below the national average for medical secretaries and administrative assistants, worth factoring into any relocation math. Cost of living here is close to the national average — not a major factor either way. This is a high-confidence estimate, based on a large sample of reported wages.

Percentile within Virginia

0th 50th 100th
Employment (this metro)
1,580
Estimate confidence
RSE 0.7%
Cost of living 94 #115 most expensive of 188 cities in this dataset 100 = U.S. average · Source: BEA Regional Price Parities, 2024
Crime index 1524 #67 safest of 188 cities in this dataset Per 100k residents · Source: FBI Crime Data Explorer
Median home value $301,139 #102 priciest of 188 cities in this dataset Source: zillow_real
Median household income $67,447 #124 highest of 188 cities in this dataset Source: Census Bureau ACS 5-year

Combining these four figures gives a fuller picture than salary alone: Roanoke ranks #115 for cost of living and #102 for home prices among the 188 cities in this pilot dataset, which matters as much as the headline salary number when comparing where to live.

San Jose $68,750 San Francisco $64,580 Vallejo $63,880 Napa $63,500 Santa Rosa $60,980 Seattle $60,670 Sacramento $57,130 Longview $56,320 Portland $55,450 Modesto $55,310 San Luis Obispo $55,180 San Diego $54,770 Santa Cruz $54,640 Bellingham $54,520 Olympia $54,190 Los Angeles $54,150 Kennewick $53,900 Bremerton $53,410 Mount Vernon $53,200 Bend $53,070 Riverside $53,060 Oxnard $53,000 Santa Maria $52,790 Salinas $52,540 Spokane $51,990 New York $51,870 Eugene $51,770 Albany $51,700 Walla Walla $51,700 Hanford $51,580 Stockton $51,420 Yuba City $51,180 Fresno $50,730 Grants Pass $50,580 Salem $50,500 Medford $50,350 Bakersfield $50,220 Visalia $49,930 Chico $49,920 Corvallis $49,770 Redding $49,410 Baltimore $49,200 Wenatchee $49,160 Trenton $48,980 Chicago $48,370 Merced $48,230 Philadelphia $48,130 Vineland $48,090 Yakima $47,580 El Centro $47,560 Austin $47,210 Lexington Park $46,870 Atlantic City $46,690 Kiryas Joel $46,530 Buffalo $46,340 Naples $46,090 Allentown $46,000 Sarasota $45,930 Charlottesville $45,750 Reading $45,530 Glens Falls $45,490 Kingston $45,420 Indianapolis $45,400 Dallas $45,330 Lebanon $45,240 Chambersburg $45,220 Harrisburg $45,190 Champaign $45,100 Fort Myers $44,970 Miami $44,960 Bloomington $44,950 Rockford $44,890 Albany $44,860 Ann Arbor $44,840 Syracuse $44,680 Gainesville $44,630 Lancaster $44,560 Gettysburg $44,370 Fort Wayne $44,240 Richmond $44,230 York $44,220 Staunton $44,210 Peoria $44,160 Hagerstown $44,100 Lansing $43,970 Jacksonville $43,910 Rochester $43,900 Tampa $43,890 Winchester $43,890 Traverse City $43,880 Grand Rapids $43,860 Virginia Beach $43,830 Decatur $43,790 Detroit $43,780 Lafayette $43,720 Kokomo $43,710 Utica $43,710 Harrisonburg $43,700 San Antonio $43,480 Kalamazoo $43,440 Lexington $43,370 Scranton $43,370 Springfield $43,370 Louisville $43,260 Pittsburgh $43,260 Salisbury $43,230 Midland $43,210 Houston $43,140 Lynchburg $43,100 South Bend $43,080 Binghamton $43,030 Williamsport $42,990 Erie $42,960 Port St. Lucie $42,960 Abilene $42,950 Jackson $42,860 Odessa $42,810 Palm Bay $42,810 Flint $42,800 Punta Gorda $42,800 Niles $42,790 Blacksburg $42,740 Columbus $42,690 Bloomington $42,670 Bay City $42,620 Orlando $42,620 State College $42,620 Elkhart $42,600 Elmira $42,550 Wheeling $42,420 Crestview $42,210 Michigan City $42,160 San Angelo $42,160 College Station $42,060 Sebastian $42,060 Wichita Falls $41,980 Midland $41,880 Pensacola $41,840 Sherman $41,840 Lakeland $41,800 Deltona $41,780 Dover $41,710 Evansville $41,690 Muskegon $41,620 Charleston $41,610 Killeen $41,480 Corpus Christi $41,400 Morgantown $41,360 Kankakee $41,340 Johnstown $41,320 Battle Creek $41,260 Altoona $41,100 Terre Haute $41,070 Beaumont $40,970 Monroe $40,850 Waco $40,820 Watertown $40,780 Panama City $40,730 Muncie $40,640 Saginaw $40,630 Amarillo $40,530 Ocala $40,490 Paducah $40,460 Roanoke $40,400 Weirton $40,320 Wildwood $40,310 Tyler $40,180 Beckley $39,970 Lubbock $39,860 Parkersburg $39,760 Owensboro $39,610 Elizabethtown $39,290 Victoria $39,250 Bowling Green $39,180 El Paso $39,060 Sebring $38,960 Longview $38,940 Homosassa Springs $38,720 Tallahassee $38,700 Brownsville $38,430 Huntington $38,300 Laredo $37,550 Texarkana $36,630 McAllen $36,520 Eagle Pass $36,050
CityMean salaryvs. Roanoke
Abilene, Texas$42,950+6.3%
Albany, Oregon$51,700+28.0%
Albany, New York$44,860+11.0%
Allentown, Pennsylvania$46,000+13.9%
Altoona, Pennsylvania$41,100+1.7%
Amarillo, Texas$40,530+0.3%
Ann Arbor, Michigan$44,840+11.0%
Atlantic City, New Jersey$46,690+15.6%
Austin, Texas$47,210+16.9%
Bakersfield, California$50,220+24.3%
Baltimore, Maryland$49,200+21.8%
Battle Creek, Michigan$41,260+2.1%
Bay City, Michigan$42,620+5.5%
Beaumont, Texas$40,970+1.4%
Beckley, West Virginia$39,970-1.1%
Bellingham, Washington$54,520+35.0%
Bend, Oregon$53,070+31.4%
Binghamton, New York$43,030+6.5%
Blacksburg, Virginia$42,740+5.8%
Bloomington, Illinois$44,950+11.3%
Bloomington, Indiana$42,670+5.6%
Bowling Green, Kentucky$39,180-3.0%
Bremerton, Washington$53,410+32.2%
Brownsville, Texas$38,430-4.9%
Buffalo, New York$46,340+14.7%
Fort Myers, Florida$44,970+11.3%
Chambersburg, Pennsylvania$45,220+11.9%
Champaign, Illinois$45,100+11.6%
Charleston, West Virginia$41,610+3.0%
Charlottesville, Virginia$45,750+13.2%
Chicago, Illinois$48,370+19.7%
Chico, California$49,920+23.6%
College Station, Texas$42,060+4.1%
Columbus, Indiana$42,690+5.7%
Corpus Christi, Texas$41,400+2.5%
Corvallis, Oregon$49,770+23.2%
Crestview, Florida$42,210+4.5%
Dallas, Texas$45,330+12.2%
Decatur, Illinois$43,790+8.4%
Deltona, Florida$41,780+3.4%
Detroit, Michigan$43,780+8.4%
Dover, Delaware$41,710+3.2%
Eagle Pass, Texas$36,050-10.8%
El Centro, California$47,560+17.7%
Elizabethtown, Kentucky$39,290-2.7%
Elkhart, Indiana$42,600+5.4%
Elmira, New York$42,550+5.3%
El Paso, Texas$39,060-3.3%
Erie, Pennsylvania$42,960+6.3%
Eugene, Oregon$51,770+28.1%
Evansville, Indiana$41,690+3.2%
Flint, Michigan$42,800+5.9%
Fort Wayne, Indiana$44,240+9.5%
Fresno, California$50,730+25.6%
Gainesville, Florida$44,630+10.5%
Gettysburg, Pennsylvania$44,370+9.8%
Glens Falls, New York$45,490+12.6%
Grand Rapids, Michigan$43,860+8.6%
Grants Pass, Oregon$50,580+25.2%
Hagerstown, Maryland$44,100+9.2%
Hanford, California$51,580+27.7%
Harrisburg, Pennsylvania$45,190+11.9%
Harrisonburg, Virginia$43,700+8.2%
Homosassa Springs, Florida$38,720-4.2%
Houston, Texas$43,140+6.8%
Huntington, West Virginia$38,300-5.2%
Indianapolis, Indiana$45,400+12.4%
Jackson, Michigan$42,860+6.1%
Jacksonville, Florida$43,910+8.7%
Johnstown, Pennsylvania$41,320+2.3%
Kalamazoo, Michigan$43,440+7.5%
Kankakee, Illinois$41,340+2.3%
Kennewick, Washington$53,900+33.4%
Killeen, Texas$41,480+2.7%
Kingston, New York$45,420+12.4%
Kiryas Joel, New York$46,530+15.2%
Kokomo, Indiana$43,710+8.2%
Lafayette, Indiana$43,720+8.2%
Lakeland, Florida$41,800+3.5%
Lancaster, Pennsylvania$44,560+10.3%
Lansing, Michigan$43,970+8.8%
Laredo, Texas$37,550-7.1%
Lebanon, Pennsylvania$45,240+12.0%
Lexington, Kentucky$43,370+7.4%
Lexington Park, Maryland$46,870+16.0%
Longview, Texas$38,940-3.6%
Longview, Washington$56,320+39.4%
Los Angeles, California$54,150+34.0%
Louisville, Kentucky$43,260+7.1%
Lubbock, Texas$39,860-1.3%
Lynchburg, Virginia$43,100+6.7%
McAllen, Texas$36,520-9.6%
Medford, Oregon$50,350+24.6%
Merced, California$48,230+19.4%
Miami, Florida$44,960+11.3%
Michigan City, Indiana$42,160+4.4%
Midland, Michigan$41,880+3.7%
Midland, Texas$43,210+7.0%
Modesto, California$55,310+36.9%
Monroe, Michigan$40,850+1.1%
Morgantown, West Virginia$41,360+2.4%
Mount Vernon, Washington$53,200+31.7%
Muncie, Indiana$40,640+0.6%
Muskegon, Michigan$41,620+3.0%
Napa, California$63,500+57.2%
Naples, Florida$46,090+14.1%
New York, New York$51,870+28.4%
Niles, Michigan$42,790+5.9%
Sarasota, Florida$45,930+13.7%
Ocala, Florida$40,490+0.2%
Odessa, Texas$42,810+6.0%
Olympia, Washington$54,190+34.1%
Orlando, Florida$42,620+5.5%
Owensboro, Kentucky$39,610-2.0%
Oxnard, California$53,000+31.2%
Paducah, Kentucky$40,460+0.1%
Palm Bay, Florida$42,810+6.0%
Panama City, Florida$40,730+0.8%
Parkersburg, West Virginia$39,760-1.6%
Pensacola, Florida$41,840+3.6%
Peoria, Illinois$44,160+9.3%
Philadelphia, Pennsylvania$48,130+19.1%
Pittsburgh, Pennsylvania$43,260+7.1%
Portland, Oregon$55,450+37.3%
Port St. Lucie, Florida$42,960+6.3%
Punta Gorda, Florida$42,800+5.9%
Reading, Pennsylvania$45,530+12.7%
Redding, California$49,410+22.3%
Richmond, Virginia$44,230+9.5%
Riverside, California$53,060+31.3%
Rochester, New York$43,900+8.7%
Rockford, Illinois$44,890+11.1%
Sacramento, California$57,130+41.4%
Saginaw, Michigan$40,630+0.6%
Salem, Oregon$50,500+25.0%
Salinas, California$52,540+30.0%
Salisbury, Maryland$43,230+7.0%
San Angelo, Texas$42,160+4.4%
San Antonio, Texas$43,480+7.6%
San Diego, California$54,770+35.6%
San Francisco, California$64,580+59.9%
San Jose, California$68,750+70.2%
San Luis Obispo, California$55,180+36.6%
Santa Cruz, California$54,640+35.2%
Santa Maria, California$52,790+30.7%
Santa Rosa, California$60,980+50.9%
Scranton, Pennsylvania$43,370+7.4%
Seattle, Washington$60,670+50.2%
Sebastian, Florida$42,060+4.1%
Sebring, Florida$38,960-3.6%
Sherman, Texas$41,840+3.6%
South Bend, Indiana$43,080+6.6%
Spokane, Washington$51,990+28.7%
Springfield, Illinois$43,370+7.4%
State College, Pennsylvania$42,620+5.5%
Staunton, Virginia$44,210+9.4%
Stockton, California$51,420+27.3%
Syracuse, New York$44,680+10.6%
Tallahassee, Florida$38,700-4.2%
Tampa, Florida$43,890+8.6%
Terre Haute, Indiana$41,070+1.7%
Texarkana, Texas$36,630-9.3%
Traverse City, Michigan$43,880+8.6%
Trenton, New Jersey$48,980+21.2%
Tyler, Texas$40,180-0.5%
Utica, New York$43,710+8.2%
Vallejo, California$63,880+58.1%
Victoria, Texas$39,250-2.8%
Vineland, New Jersey$48,090+19.0%
Virginia Beach, Virginia$43,830+8.5%
Visalia, California$49,930+23.6%
Waco, Texas$40,820+1.0%
Walla Walla, Washington$51,700+28.0%
Watertown, New York$40,780+0.9%
Weirton, West Virginia$40,320-0.2%
Wenatchee, Washington$49,160+21.7%
Wheeling, West Virginia$42,420+5.0%
Wichita Falls, Texas$41,980+3.9%
Wildwood, Florida$40,310-0.2%
Williamsport, Pennsylvania$42,990+6.4%
Winchester, Virginia$43,890+8.6%
Yakima, Washington$47,580+17.8%
York, Pennsylvania$44,220+9.5%
Yuba City, California$51,180+26.7%
Gross salary
40,400/yr
Estimated take-home
33,132/yr
Est. total withheld
18.0%

Single filer, federal + Virginia state tax + FICA, 2025 rates. Does not include state-specific payroll withholdings beyond income tax (see Data transparency). Not tax advice — verify with a professional for your specific situation.

View cost of living in this state All Medical Secretaries and Administrative Assistants salaries in Virginia → All Medical Secretaries and Administrative Assistants salaries →
Data transparency

Sources used for this page

Official occupation and area metadata behind the visible salary, cost, housing and safety signals.

Occupation 43-6013 SOC code
Official area Roanoke, VA BLS metro/geographic area
Area code 40220 Stable geographic key
Reference year 2025 BLS OEWS
Cost: bea_realHousing: zillow_realCrime: latest availableNet-pay source: va_tax_verificado 2025
No additional caveats are attached to this row.
Methodology

How this page is built

The salary figure is the mean annual wage reported by the BLS Occupational Employment and Wage Statistics (OEWS) program for this occupation and metro area. Percentile and national-average comparisons are calculated directly from the 188 cities currently in this dataset, not from a fixed external benchmark. Cost of living, crime and housing figures come from BEA, FBI and Zillow respectively — see "Data transparency" above for the exact sources and reference years used on this specific page.

Confidence: the RSE (relative standard error) shown under Overview indicates how reliable the salary estimate is for this metro — a lower RSE means a larger underlying sample.

On this page

Where this is

AK HI

Highlighted: Virginia

Population (metro area)
314,661