Careers

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.

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The national wage ladder (BLS OEWS, May 2024)

Pay levelAnnual wageHourly 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:

StateEmploymentJobs per 1,000Location quotientMean annualMedian annual
California5,6300.31.12$43,660$39,090
Texas4,4800.31.16$32,450$29,080
New York3,9900.41.50$43,090$42,700
Florida2,0000.20.73$40,020$38,430
Georgia1,8300.41.35$33,170$27,750
North Carolina1,6300.31.19$31,320$27,390
Illinois1,5000.20.89$38,670$36,610
New Jersey1,5000.41.26$43,010$43,280
Tennessee1,4200.41.55$40,040$40,570
Pennsylvania1,3800.20.82$38,310$36,190
Ohio1,2700.20.82$35,220$29,540
Indiana1,1000.31.24$37,550$38,240
Michigan1,0700.20.87$37,280$36,230
Arizona9200.31.03$39,420$36,360
Washington8800.20.89$43,080$37,120
Colorado7800.30.97$41,300$38,340
Wisconsin7500.30.92$47,260$48,820
Alabama7200.31.23$33,550$32,590
Missouri7200.20.88$35,280$30,060
South Carolina7100.31.13$35,450$31,480
Oregon6900.31.25$42,120$39,630
Virginia6200.20.55$38,580$37,120
Kentucky5800.31.05$36,860$37,600
Oklahoma5700.31.21$30,610$28,920
Massachusetts5500.20.54$42,430$37,850
Connecticut5400.31.15$47,700$46,800
Kansas5100.41.28$35,910$35,270
Nebraska4200.41.49$40,740$41,540
Louisiana4000.20.76$39,780$36,920
Idaho3800.41.60$35,930$36,000
Minnesota3700.10.45$52,240$52,190
South Dakota3500.82.78$47,150$45,580
Arkansas3400.30.94$33,780$31,710
District of Columbia2700.41.36$40,450$37,070
Maryland2400.10.31$47,180$44,760
Utah2400.10.51$39,630$38,900
Mississippi2300.20.72$44,420$43,950
Iowa2000.10.45$44,100$43,230
West Virginia1800.30.94$41,040$35,770
New Mexico1700.20.71$39,490$34,730
Maine1400.20.81$48,170$48,520
North Dakota1200.31.05$44,250$44,810
Rhode Island900.20.64$37,100$33,510
Alaska800.20.89$40,620$34,000
Montana800.20.59$45,500$43,560
Delaware600.10.46$42,310$36,910
New Hampshire500.10.27$42,820$43,170
Hawaii400.10.22$48,270$45,760
Wyoming300.10.41$50,710$50,510
Nevadan/pn/pn/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 areaEmploymentMean annualMedian annual
New York-Newark-Jersey City, NY-NJ3,790$44,780$43,190
Los Angeles-Long Beach-Anaheim, CA2,450$40,570$37,550
Chicago-Naperville-Elgin, IL-IN1,390$36,490$34,780
Atlanta-Sandy Springs-Roswell, GA1,290$32,490$27,530
Dallas-Fort Worth-Arlington, TX1,190$32,800$29,160
San Antonio-New Braunfels, TX760$27,130$21,930
Phoenix-Mesa-Chandler, AZ680$38,050$35,960
San Diego-Chula Vista-Carlsbad, CA660$44,850$44,410
Austin-Round Rock-San Marcos, TX570$35,990$29,500
Portland-Vancouver-Hillsboro, OR-WA520$40,800$39,230

Highest-paying metros (500+ jobs)

Metropolitan areaEmploymentMean annualMedian annual
San Francisco-Oakland-Fremont, CA520$51,360$48,070
San Diego-Chula Vista-Carlsbad, CA660$44,850$44,410
New York-Newark-Jersey City, NY-NJ3,790$44,780$43,190
Seattle-Tacoma-Bellevue, WA510$42,170$36,130
Portland-Vancouver-Hillsboro, OR-WA520$40,800$39,230
Los Angeles-Long Beach-Anaheim, CA2,450$40,570$37,550
Phoenix-Mesa-Chandler, AZ680$38,050$35,960
Chicago-Naperville-Elgin, IL-IN1,390$36,490$34,780
Austin-Round Rock-San Marcos, TX570$35,990$29,500
Dallas-Fort Worth-Arlington, TX1,190$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.

Sources and data: For Medical Transcriptionists (SOC 31-9094) the survey publishes 50 state rows and 161 metropolitan rows. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2024 estimates, released April 2, 2025: national file oesm24nat, state file oesm24st, metropolitan file oesm24ma, downloaded November 5, 2026 from bls.gov. The wages here cover the 43,070 wage and salary workers BLS counted in this occupation; the self-employed are outside the OEWS survey. See also our data methodology. Figures are estimates for planning, not financial advice.

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.