Medical Assistant · District of Columbia · SOC 31-9092
Medical Assistants in District of Columbia: 2026 Salary, Real Wage, and Cost-Adjusted Pay
BLS Occupational Employment and Wage Statistics, 2024 reference period · BEA Regional Price Parity 2023 vintage · Last synced 2026-05-07.
TL;DR
- Median MA salary in District of Columbia: $49,740 nominal, $44,927 real (BEA RPP basis).
- Quartile range $46,720 (bottom 25%) to $56,460 (top 25%); the P10-P90 envelope is $39,000 to $62,630.
- High cost of living compresses the real wage by $4,813 below the nominal — most of which goes to rent and services.
- State ranks #4 nationally on nominal wage, #21 on real (RPP-adjusted) wage.
Wage breakdown — District of Columbia
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $39,000 | $35,226 |
| P25 (lower quartile) | $46,720 | $42,199 |
| P50 (median) | $49,740 | $44,927 |
| P75 (upper quartile) | $56,460 | $50,997 |
| P90 (top tier) | $62,630 | $56,570 |
| Mean | $52,880 | $47,763 |
| Employment | 2,530 MAs in District of Columbia | |
Cost of living — BEA Regional Price Parity
| Component | District of Columbia index (US = 100) |
|---|---|
| All-items RPP | 110.7 |
| Goods | 106.5 |
| Services | 109.0 |
| Rents | 168.1 |
District of Columbia is a high-cost state — RPP 110.7 above the national 100 baseline. Most of the cost premium routes through rents (168.1) and services (109.0).
After-tax take-home — District of Columbia (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (MA) | $49,740 | nominal median |
| Federal income tax | −$3,831 | 7.7% effective; std deduction $15,750 applied |
| State income tax | −$1,908 | 4–10.75% (graduated) |
| FICA (SS 6.2% + Medicare 1.45%) | −$3,805 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $40,196 | 80.8% of gross |
| Real take-home (RPP-adjusted) | $36,306 | ÷ (110.7 / 100) BEA cost-of-living |
What the District of Columbia state-tax burden means for MA take-home
Mid-band state-tax burden at 3.8% effective. Combined with federal and FICA, take-home is $40,196 (80.8% of gross). After the 110.7 RPP, real take-home is $36,306.
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. District of Columbia sits at #4 on nominal pay and #21 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, District of Columbia falls 17 positions — the cost premium eats into the headline wage.
Frequently asked questions
- How much does an MA make in District of Columbia?
- BLS reports a median annual wage of $49,740 for MAs in District of Columbia as of the latest OES release. That is the 50th-percentile figure — half earn more, half earn less. The 25th-percentile is $46,720 and the 75th-percentile is $56,460.
- What is the real (cost-adjusted) MA salary in District of Columbia?
- After BEA RPP adjustment (regional price parity index 110.7 for District of Columbia), the real-wage equivalent is $44,927 — what the $49,740 nominal salary actually buys. Quartiles in real terms: $42,199 to $50,997.
- How many MAs does District of Columbia employ?
- BLS OES counts 2,530 MAs employed in District of Columbia 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 District of Columbia 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. District of Columbia's overall index of 110.7 reflects rents 168.1, services 109.0, and goods 106.5.
- How wide is the wage spread in District of Columbia?
- P10 to P90 spans $39,000 to $62,630. That spread captures entry-level to top-quartile pay, including specialty differentials and metro-area variance within the state.
- Should I negotiate based on the BLS median for District of Columbia?
- The BLS median is a calibration anchor, not a ceiling. Use it to validate that an offer is in-band — anything well below the P25 in this state is a flag, anything above the P75 typically requires demonstrable specialty depth, niche credentials, or a high-COL metro within District of Columbia.
- Does CMA / RMA certification raise medical assistant pay in District of Columbia?
- BLS does not split certified from uncertified medical assistants under SOC 31-9092. In District of Columbia, 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 District of Columbia 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 District of Columbia 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.