Medical Assistant · Alabama · SOC 31-9092
2026 Medical Assistant Pay in Alabama: BLS Median + Real Take-Home
BLS Occupational Employment and Wage Statistics, 2024 reference period · BEA Regional Price Parity 2023 vintage · Last synced 2026-05-07.
TL;DR
- Medical Assistants in Alabama earn a BLS median of $34,980, with real take-home of $39,261 after BEA RPP adjustment.
- Nominal: #50/51 · Real: #51/51 — ranking shifts by 1 positions after RPP.
- Below-100 RPP flips this state above its nominal rank in real-wage terms; the gap is about $4,281.
- Wage envelope: $28,280 (P10) to $43,530 (P90), with quartiles at $30,940 and $36,990.
Wage breakdown — Alabama
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $28,280 | $31,741 |
| P25 (lower quartile) | $30,940 | $34,726 |
| P50 (median) | $34,980 | $39,261 |
| P75 (upper quartile) | $36,990 | $41,517 |
| P90 (top tier) | $43,530 | $48,857 |
| Mean | $34,860 | $39,126 |
| Employment | 12,760 MAs in Alabama | |
Cost of living — BEA Regional Price Parity
| Component | Alabama index (US = 100) |
|---|---|
| All-items RPP | 89.1 |
| Goods | 94.6 |
| Services | 89.9 |
| Rents | 61.6 |
Alabama sits below the national baseline (RPP 89.1), so nominal pay translates to a higher real wage than the BLS median suggests — particularly visible in rents at 61.6.
After-tax take-home — Alabama (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (MA) | $34,980 | nominal median |
| Federal income tax | −$2,060 | 5.9% effective; std deduction $15,750 applied |
| State income tax | −$1,584 | 2-5% (graduated) |
| FICA (SS 6.2% + Medicare 1.45%) | −$2,676 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $28,660 | 81.9% of gross |
| Real take-home (RPP-adjusted) | $32,168 | ÷ (89.1 / 100) BEA cost-of-living |
What the Alabama state-tax burden means for MA take-home
Mid-band state-tax burden at 4.5% effective. Combined with federal and FICA, take-home is $28,660 (81.9% of gross). After the 89.1 RPP, real take-home is $32,168. Local-tax overlay: Birmingham, Macon County, and Bessemer assess 1% occupational privilege tax on wages.
Computed from 2026 IRS federal brackets (Rev. Proc. 2025-32), 2026 state DOR brackets, and 2026 FICA rates. Single filer, standard deduction, no other adjustments. See methodology · tax for limitations (married filers, ITM/SALT itemizers, retirement deferrals, HSA, dependent credits, etc.).
National context
Across the United States, BLS reports a national median of $44,200 for MAs with mean pay of $44,720 and total employment of 793,460. Alabama sits at #50 on nominal pay and #51 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, Alabama falls 1 positions — the cost premium eats into the headline wage.
Frequently asked questions
- How much does an MA make in Alabama?
- BLS reports a median annual wage of $34,980 for MAs in Alabama as of the latest OES release. That is the 50th-percentile figure — half earn more, half earn less. The 25th-percentile is $30,940 and the 75th-percentile is $36,990.
- What does the top of the MA pay scale look like in Alabama?
- The 90th percentile lands at $43,530. That tier typically reflects senior roles, specialty certifications, high-cost-of-living metros within the state, or union-negotiated rate cards. Below that, the P75 quartile is $36,990.
- How many MAs does Alabama employ?
- BLS OES counts 12,760 MAs employed in Alabama in the most recent release. Employment density relative to population determines whether wage tiers reflect a robust competitive market or a thinner labor pool.
- Why is the BEA RPP for Alabama different from a single CPI number?
- BEA splits regional price parity into three components — goods, services, and rents — reweighted to the BEA's national consumption basket. Alabama's overall index of 89.1 reflects rents 61.6, services 89.9, and goods 94.6.
- Where does Alabama rank for MA pay?
- On nominal BLS wages alone, Alabama ranks among the 51 states and DC by median pay. After the BEA cost-of-living adjustment the ordering changes — high-cost states fall, low-cost states rise. Both rankings are shown in the data table on this page.
- What are the limits of these MA salary numbers?
- BLS OES is an employer survey of W-2 wages — it excludes contractor pay, bonuses outside the base wage definition, equity compensation, and tip income. Self-employed practitioners and gig workers are not represented. For occupations with significant non-W-2 income, the BLS figure is a floor, not a complete picture.
- Does CMA / RMA certification raise medical assistant pay in Alabama?
- BLS does not split certified from uncertified medical assistants under SOC 31-9092. In Alabama, AAMA-certified Medical Assistant (CMA) and AMT Registered Medical Assistant (RMA) credentials typically command a 5-15% pay premium versus uncertified MAs at comparable experience. The premium is concentrated in larger health systems and specialty clinics with formal MA tier structures; smaller primary-care practices in Alabama often pay similarly regardless of certification. Phlebotomy, EKG, and limited-X-ray endorsements add additional 3-8% premiums where state scope permits.
Sources & methodology
- U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OES), SOC 31-9092, 2024 reference period.
- U.S. Bureau of Economic Analysis — Regional Price Parities, 2023 vintage (all-items, goods, services, rents).
- Real-wage figures = nominal BLS wage ÷ (state RPP / 100).
- See the methodology page for full computation details and limitations.
Cross-comparison: see how Alabama MA pay ranks against the other 254 state × occupation pages on the Real Wage Atlas → — four-way ranking by real wage, after-tax take-home, state-tax savings, and cost-of-living arbitrage.