Updated · 2026 tax rules · Data: IRS, BLS, BEA, HUD · How we calculate

Medical Transcriptionist Salary

Medical Transcriptionists earn a median $40,410 a year nationally. Healthcare Support Occupations

U.S. median
$40,410
$19.43 per hour
Range
$28,250 – $55,950
10th to 90th percentile
Employed
41,550
across the U.S.
▲7.6%
Pay trend: The median for medical transcriptionists in the U.S. rose from $37,550 (May 2024) to $40,410 (May 2025). That beat inflation (2.4%), a real raise of about 5.2%.

What medical transcriptionists do

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

Typical education
Postsecondary nondegree award
Work experience
None required
On-the-job training
None
Job outlook, 2025–35
-4.4% (declining)
Openings per year
6,200

Employment of medical transcriptionists is projected to shrink 4.4% from 2025 to 2035, slower than the 3.5% average for all occupations. About 6,200 openings are expected each year, on average, including jobs left by workers who retire or switch careers.

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

Medical Transcriptionist take-home pay calculator

Starts at the national median. Pick your state to see your real paycheck.

Medical Transcriptionist
Deductions, kids & local tax

2026 tax year. Federal brackets from IRS Rev. Proc. 2025-32.

Your take-home pay
$34,649
per year · effective tax rate 14.3%
$2,887Monthly
$1,444Twice a month
$1,333Every 2 weeks
$16.66Hourly
  • Federal income tax$2,669
  • Social Security (6.2%)$2,505
  • Medicare (1.45%)$586
  • Texas income tax$0
  • Take-home pay$34,649

Marginal rate: 12% federal + 0.00% state

Pay by experience

PercentileSalaryHourlyTake-home (no state tax)
10th percentile (entry level)$28,250$13.58$24,874
25th percentile$34,150$16.42$29,620
Median (50th)$40,410$19.43$34,649
75th percentile$48,000$23.08$40,748
90th percentile (top earners)$55,950$26.90$47,136

Best cities for medical transcriptionists (after tax & cost of living)

#Metro areaMedianTake-homeReal value*Jobs
1New York, NY$44,010$35,762$31,7712,910

*Take-home pay in U.S.-average dollars (BEA Regional Price Parities).

Highest-paying cities

Medical Transcriptionist salary by state

StateMedian1-yr changeTake-homeRangeJobs
Minnesota $50,030−4.1%$40,500 $43,970 – $64,580270
Wisconsin $49,150+0.7%$40,290 $38,900 – $57,050590
Maine $48,600+0.2%$39,131 $40,280 – $58,44080
Alaska $48,360+42.2%$41,037 $33,400 – $54,660110
Connecticut $48,190+3.0%$39,657 $40,050 – $59,360390
Wyoming $48,100−4.8%$40,828 $36,440 – $63,96040
Oregon $46,280+16.8%$36,146 $37,080 – $68,910510
South Dakota $46,070+1.1%$39,197 $36,160 – $59,870240
Nebraska $45,880+10.4%$37,837 $36,370 – $53,080230
Illinois $45,490+24.3%$36,624 $31,760 – $55,070970
District of Columbia $45,110+21.7%$36,885 $37,460 – $47,37070
California $45,050+15.2%$37,001 $35,990 – $62,6205,860
Iowa $45,010+4.1%$37,287 $25,600 – $52,660180
Tennessee $44,720+10.2%$38,113 $26,420 – $60,2501,450
North Dakota $44,660−0.3%$38,064 $26,280 – $50,260120
Hawaii $44,310−3.2%$35,909 $31,540 – $52,310—
New York $43,260+1.3%$35,200 $35,950 – $56,7502,710
Colorado $43,080+12.4%$35,608 $32,010 – $62,290610
Texas $42,900+47.5%$36,650 $22,540 – $49,4107,520
Florida $42,050+9.4%$35,967 $28,720 – $59,2402,650
Pennsylvania $41,510+14.7%$34,259 $32,070 – $52,5101,130
Indiana $41,400+8.3%$34,253 $25,710 – $51,240790
Montana $41,340−5.1%$34,210 $31,470 – $56,35080
Maryland $39,900−10.9%$32,708 $31,840 – $60,140230
Utah $39,630+1.9%$33,205 $27,460 – $49,490210
Nevada $39,350−1.6%$33,798 $36,400 – $51,730210
North Carolina $39,300+43.5%$32,698 $21,850 – $51,3601,020
New Jersey $39,020−9.8%$32,884 $32,220 – $55,9501,710
Kentucky $39,000+3.7%$32,269 $27,940 – $52,420690
Washington $38,690+4.2%$33,267 $35,780 – $59,920620
Mississippi $38,600−12.2%$32,383 $23,660 – $48,460300
Idaho $38,140+5.9%$31,912 $30,890 – $50,030400
Louisiana $38,040+3.0%$31,990 $30,600 – $51,160420
Missouri $37,480+24.7%$31,471 $29,570 – $49,810310
New Mexico $37,480+7.9%$31,651 $30,730 – $55,950210
West Virginia $37,440+4.7%$31,249 $32,360 – $51,55090
Michigan $37,280+2.9%$30,801 $30,840 – $49,6701,130
Ohio $37,060+25.5%$31,721 $28,190 – $51,170680
Massachusetts $36,910−2.5%$30,212 $36,440 – $47,000400
Arizona $36,550+0.5%$30,843 $31,110 – $50,850700
Kansas $35,390+0.3%$29,439 $23,640 – $51,580420
Alabama $35,340+8.4%$29,074 $26,820 – $51,250410
Virginia $35,130−5.4%$29,201 $27,110 – $43,400—
Arkansas $35,100+10.7%$29,227 $27,160 – $47,020280
Rhode Island $34,790+3.8%$29,446 $31,880 – $56,52080
Delaware $34,070−7.7%$28,341 $31,200 – $40,560—
South Carolina $33,870+7.6%$28,519 $29,020 – $48,360390
Vermont $33,030—$28,047 $32,060 – $45,080—
Georgia $28,330+2.1%$24,092 $24,530 – $53,750950
Oklahoma $27,740−4.1%$23,751 $22,110 – $49,470560

Related jobs

JobMedian salaryEducationGrowth 2025–35
Veterinary Assistant and Laboratory Animal Caretaker$38,150High school diploma or equivalent+9.1%
Pharmacy Aide$37,680High school diploma or equivalent-0.7%
Phlebotomist$45,230Postsecondary nondegree award+6.8%
Medical Assistant$45,690Postsecondary nondegree award+12.9%
Medical Equipment Preparer$47,700High school diploma or equivalent+10.8%
Dental Assistant$48,070Postsecondary nondegree award+7.4%
Healthcare Support Workers, All Other$48,430High school diploma or equivalent+4.8%
Massage Therapist$58,450Postsecondary nondegree award+15.3%
Occupational Therapy Aide$39,160High school diploma or equivalent+3.6%
Nursing Assistant$42,260Postsecondary nondegree award+2.6%

Frequently asked questions

How much does a medical transcriptionist make?

The national median salary for medical transcriptionists is $40,410 a year ($19.43 an hour). The lowest-paid 10% earn under $28,250 and the top 10% earn over $55,950. Source: BLS, May 2025.

Which state pays medical transcriptionists the most?

Minnesota has the highest median pay at $50,030. After taxes and local prices, New York, NY offers the best real take-home pay of any metro area.

How many medical transcriptionists are there in the U.S.?

About 41,550 people work as medical transcriptionists nationwide.