Medical Transcriptionists Salary and Pay
How much do Medical Transcriptionists make?
Median pay for Medical Transcriptionists is $37,550 a year ($18.05); the mean is $39,210. The occupation employed 43,070 people in May 2024, and its middle band runs from $31,200 to $45,680.
Medical Transcriptionists salary data without the self-reported noise: BLS surveyed the employers, and this page prints the ladder, the states, and the metros exactly as the survey published them.
Updated November 5, 2026
Salary converter for this occupation
Hourly figures use the BLS full-time convention of 2,080 hours a year. The converter loads this occupation's own ladder, median $37,550 first; type any offer into the custom box to price it against the same year.
The national wage ladder (BLS OEWS, May 2024)
| Pay level | Annual wage | Hourly wage |
|---|---|---|
| 10th percentile | $26,370 | $12.68 |
| 25th percentile | $31,200 | $15.00 |
| Median (50th) | $37,550 | $18.05 |
| 75th percentile | $45,680 | $21.96 |
| 90th percentile | $53,890 | $25.91 |
Percentiles answer the question a single average cannot: where would a given Medical Transcriptionists offer sit among all 43,070 workers doing this job? The survey top-codes at $239,200+ and withholds unreliable cells, shown as n/p in the table.
Employment and concentration
May 2024 employment stood at 43,070, or 0.03% of the U.S. total. California leads the state table with 5,630 jobs; the top three states sum to 32.7% of the occupation. The concentration measure tells the more interesting story: South Dakota posts a location quotient of 2.78, so a worker there is far more likely to meet a colleague in this field than the national pattern suggests.
Pay inside the occupation is wide: $27,520 separates the ends of its ladder. The 90th percentile ($53,890) is 2.0 times the 10th percentile ($26,370), a gap of $27,520 a year. The mean of $39,210 sitting above the median of $37,550 tells you the top end pulls the average up: most workers cluster below the mean, and the high tail is thin.
Pay by state
Sorted by employment, the table below puts California first at 5,630 jobs; sorted by median pay instead, Minnesota would lead at $52,190. Both orderings are printed in one table:
| State | Employment | Jobs per 1,000 | Location quotient | Mean annual | Median annual |
|---|---|---|---|---|---|
| California | 5,630 | 0.3 | 1.12 | $43,660 | $39,090 |
| Texas | 4,480 | 0.3 | 1.16 | $32,450 | $29,080 |
| New York | 3,990 | 0.4 | 1.50 | $43,090 | $42,700 |
| Florida | 2,000 | 0.2 | 0.73 | $40,020 | $38,430 |
| Georgia | 1,830 | 0.4 | 1.35 | $33,170 | $27,750 |
| North Carolina | 1,630 | 0.3 | 1.19 | $31,320 | $27,390 |
| Illinois | 1,500 | 0.2 | 0.89 | $38,670 | $36,610 |
| New Jersey | 1,500 | 0.4 | 1.26 | $43,010 | $43,280 |
| Tennessee | 1,420 | 0.4 | 1.55 | $40,040 | $40,570 |
| Pennsylvania | 1,380 | 0.2 | 0.82 | $38,310 | $36,190 |
| Ohio | 1,270 | 0.2 | 0.82 | $35,220 | $29,540 |
| Indiana | 1,100 | 0.3 | 1.24 | $37,550 | $38,240 |
| Michigan | 1,070 | 0.2 | 0.87 | $37,280 | $36,230 |
| Arizona | 920 | 0.3 | 1.03 | $39,420 | $36,360 |
| Washington | 880 | 0.2 | 0.89 | $43,080 | $37,120 |
| Colorado | 780 | 0.3 | 0.97 | $41,300 | $38,340 |
| Wisconsin | 750 | 0.3 | 0.92 | $47,260 | $48,820 |
| Alabama | 720 | 0.3 | 1.23 | $33,550 | $32,590 |
| Missouri | 720 | 0.2 | 0.88 | $35,280 | $30,060 |
| South Carolina | 710 | 0.3 | 1.13 | $35,450 | $31,480 |
| Oregon | 690 | 0.3 | 1.25 | $42,120 | $39,630 |
| Virginia | 620 | 0.2 | 0.55 | $38,580 | $37,120 |
| Kentucky | 580 | 0.3 | 1.05 | $36,860 | $37,600 |
| Oklahoma | 570 | 0.3 | 1.21 | $30,610 | $28,920 |
| Massachusetts | 550 | 0.2 | 0.54 | $42,430 | $37,850 |
| Connecticut | 540 | 0.3 | 1.15 | $47,700 | $46,800 |
| Kansas | 510 | 0.4 | 1.28 | $35,910 | $35,270 |
| Nebraska | 420 | 0.4 | 1.49 | $40,740 | $41,540 |
| Louisiana | 400 | 0.2 | 0.76 | $39,780 | $36,920 |
| Idaho | 380 | 0.4 | 1.60 | $35,930 | $36,000 |
| Minnesota | 370 | 0.1 | 0.45 | $52,240 | $52,190 |
| South Dakota | 350 | 0.8 | 2.78 | $47,150 | $45,580 |
| Arkansas | 340 | 0.3 | 0.94 | $33,780 | $31,710 |
| District of Columbia | 270 | 0.4 | 1.36 | $40,450 | $37,070 |
| Maryland | 240 | 0.1 | 0.31 | $47,180 | $44,760 |
| Utah | 240 | 0.1 | 0.51 | $39,630 | $38,900 |
| Mississippi | 230 | 0.2 | 0.72 | $44,420 | $43,950 |
| Iowa | 200 | 0.1 | 0.45 | $44,100 | $43,230 |
| West Virginia | 180 | 0.3 | 0.94 | $41,040 | $35,770 |
| New Mexico | 170 | 0.2 | 0.71 | $39,490 | $34,730 |
| Maine | 140 | 0.2 | 0.81 | $48,170 | $48,520 |
| North Dakota | 120 | 0.3 | 1.05 | $44,250 | $44,810 |
| Rhode Island | 90 | 0.2 | 0.64 | $37,100 | $33,510 |
| Alaska | 80 | 0.2 | 0.89 | $40,620 | $34,000 |
| Montana | 80 | 0.2 | 0.59 | $45,500 | $43,560 |
| Delaware | 60 | 0.1 | 0.46 | $42,310 | $36,910 |
| New Hampshire | 50 | 0.1 | 0.27 | $42,820 | $43,170 |
| Hawaii | 40 | 0.1 | 0.22 | $48,270 | $45,760 |
| Wyoming | 30 | 0.1 | 0.41 | $50,710 | $50,510 |
| Nevada | n/p | n/p | n/p | $43,320 | $40,000 |
The occupation in context
Ranked against all 826 published occupations, Medical Transcriptionists stands number 412 by employment and number 749 by median pay. Inside its own major group, Healthcare Support Occupations, the group median wage is $41,590 across 17 detailed occupations, so this occupation pays 10% less than its group median, and it supplies 0.6% of the group's 7,448,000 jobs. In 26 of the 50 states with a published median, the state median beats the national median of $37,550, which is the single best quick test of whether this occupation's pay is set nationally or locally: a high count means local markets regularly outbid the national figure.
Metropolitan areas: where the jobs and the pay sit
New York-Newark-Jersey City, NY-NJ is the largest metro employer with 3,790 jobs, 8.8% of the national total. Two rankings follow across the 161 metros BLS publishes for this occupation: where the jobs are, then where the money is, with the pay ranking restricted to metros employing at least 500 people in this occupation to keep small samples out of the lead.
Largest metro employers
| Metropolitan area | Employment | Mean annual | Median annual |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 3,790 | $44,780 | $43,190 |
| Los Angeles-Long Beach-Anaheim, CA | 2,450 | $40,570 | $37,550 |
| Chicago-Naperville-Elgin, IL-IN | 1,390 | $36,490 | $34,780 |
| Atlanta-Sandy Springs-Roswell, GA | 1,290 | $32,490 | $27,530 |
| Dallas-Fort Worth-Arlington, TX | 1,190 | $32,800 | $29,160 |
| San Antonio-New Braunfels, TX | 760 | $27,130 | $21,930 |
| Phoenix-Mesa-Chandler, AZ | 680 | $38,050 | $35,960 |
| San Diego-Chula Vista-Carlsbad, CA | 660 | $44,850 | $44,410 |
| Austin-Round Rock-San Marcos, TX | 570 | $35,990 | $29,500 |
| Portland-Vancouver-Hillsboro, OR-WA | 520 | $40,800 | $39,230 |
Highest-paying metros (500+ jobs)
| Metropolitan area | Employment | Mean annual | Median annual |
|---|---|---|---|
| San Francisco-Oakland-Fremont, CA | 520 | $51,360 | $48,070 |
| San Diego-Chula Vista-Carlsbad, CA | 660 | $44,850 | $44,410 |
| New York-Newark-Jersey City, NY-NJ | 3,790 | $44,780 | $43,190 |
| Seattle-Tacoma-Bellevue, WA | 510 | $42,170 | $36,130 |
| Portland-Vancouver-Hillsboro, OR-WA | 520 | $40,800 | $39,230 |
| Los Angeles-Long Beach-Anaheim, CA | 2,450 | $40,570 | $37,550 |
| Phoenix-Mesa-Chandler, AZ | 680 | $38,050 | $35,960 |
| Chicago-Naperville-Elgin, IL-IN | 1,390 | $36,490 | $34,780 |
| Austin-Round Rock-San Marcos, TX | 570 | $35,990 | $29,500 |
| Dallas-Fort Worth-Arlington, TX | 1,190 | $32,800 | $29,160 |
At the other end, San Antonio-New Braunfels, TX posts the lowest mean pay among metros with at least 500 jobs, $27,130 a year, against $51,360 in San Francisco-Oakland-Fremont, CA. The lowest-paying large metro and the highest are both real markets for this occupation; the difference between them is the geography premium, or penalty, in cash terms.
What the median pay looks like as a budget
Budget arithmetic on the median: $3,129 a month before tax, $1,444 biweekly, $722 weekly. Moving from the 25th percentile ($31,200) to the 75th ($45,680) is worth $14,480 a year, which is the realistic size of the experience and specialization premium inside this occupation. To turn any of these gross figures into spendable money, run them through the paycheck calculator; to weigh an offer against your current role, use the salary calculator; to test a raise against prices, the raise vs inflation calculator.
To place a real offer: a salary of $41,305 would sit between the median ($37,550) and the 75th percentile ($45,680), inside the top half but outside the top quarter of this occupation's ladder. An offer at the 25th percentile, $31,200, is $6,350 under the median, the typical size of the discount attached to entry-level or low-cost-market postings in this field.
Related occupations in Healthcare Support Occupations
The occupations BLS groups with this one, by size: Medical Assistants, Dental Assistants, Phlebotomists, Veterinary Assistants and Laboratory Animal Caretakers, Physical Therapist Assistants, Healthcare Support Workers, All Other. Every one of the 826 published occupations is indexed on the Careers hub.
Frequently asked questions
How much do Medical Transcriptionists make?
The median annual wage is $37,550 and the mean is $39,210 in the BLS OEWS May 2024 estimates. The middle half of workers earn between $31,200 and $45,680 a year.
Which state pays Medical Transcriptionists the most?
By median annual wage, Minnesota leads the state table at $52,190, based on 370 jobs in that state. By mean wage and by headcount the leaders can differ, so the state table on this page shows all three measures side by side.
How many Medical Transcriptionists are there in the United States?
BLS counted 43,070 wage and salary workers in this occupation in May 2024, 0.03% of all U.S. employment in the survey. The largest state employer is California with 5,630 jobs.
What do the OEWS percentiles mean for Medical Transcriptionists?
They mark points in this occupation's pay distribution. One worker in ten earns $26,370 or less and one in ten earns $53,890 or more; the median, $37,550, is the wage of the worker exactly in the middle of the 43,070 counted jobs.