TL;DR

  • BLS reports Idaho MA median pay at $43,400. Adjusted for state cost of living, real purchasing power equals $47,053.
  • P25-P75 spread runs $37,870 to $47,870; P10 floor $35,340, P90 ceiling $55,700.
  • Cost of living below the national index lifts real wage by $3,653 over the nominal — a take-home arbitrage that nominal-ranking tables miss.
  • State ranks #25 nationally on nominal wage, #10 on real (RPP-adjusted) wage.

Wage breakdown — Idaho

Percentile Nominal (BLS) Real (BEA RPP-adjusted)
P10 (entry tier)$35,340$38,315
P25 (lower quartile)$37,870$41,058
P50 (median)$43,400$47,053
P75 (upper quartile)$47,870$51,899
P90 (top tier)$55,700$60,389
Mean$43,600$47,270
Employment5,090 MAs in Idaho

Cost of living — BEA Regional Price Parity

ComponentIdaho index (US = 100)
All-items RPP92.2
Goods95.9
Services68.1
Rents86.9

Idaho sits below the national baseline (RPP 92.2), so nominal pay translates to a higher real wage than the BLS median suggests — particularly visible in rents at 86.9.

After-tax take-home — Idaho (2024 BLS · 2024 tax year, single filer)

Layer-by-layer take-home math at the BLS median

LayerAmountNote
Gross BLS P50 (MA)$43,400nominal median
Federal income tax−$3,0707.1% effective; std deduction $15,750 applied
State income tax−$1,6045.8% flat (2026)
FICA (SS 6.2% + Medicare 1.45%)−$3,320SS capped at $183,600 wage base
Take-home (after-tax)$35,40681.6% of gross
Real take-home (RPP-adjusted)$38,387÷ (92.2 / 100) BEA cost-of-living

What the Idaho state-tax burden means for MA take-home

Mid-band state-tax burden at 3.7% effective. Combined with federal and FICA, take-home is $35,406 (81.6% of gross). After the 92.2 RPP, real take-home is $38,387.

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. Idaho sits at #25 on nominal pay and #10 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, Idaho climbs 15 positions — the cost of living is favorable relative to the wage.

Frequently asked questions

How many MAs does Idaho employ?
BLS OES counts 5,090 MAs employed in Idaho 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 Idaho 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. Idaho's overall index of 92.2 reflects rents 86.9, services 68.1, and goods 95.9.
Is Idaho a 'real-wage arbitrage' state for MAs?
Yes — the BEA RPP of 92.2 is below the national 100 baseline, so nominal $43,400 stretches to a real-wage equivalent of $47,053. The take-home advantage versus a higher-RPP state is meaningful for MAs comparing offers across regions.
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.
Should I negotiate based on the BLS median for Idaho?
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 Idaho.
When does this data update?
BLS OES releases a new May reference set roughly each spring; we re-run the ETL pipeline within two weeks of release. BEA RPP refreshes annually. The last-synced timestamp at the top of this page reflects the most recent build.
Specialty MA pay (cardiology / dermatology / ortho) vs primary care in Idaho?
BLS aggregates all medical assistants under one SOC. In Idaho, specialty practice MAs — particularly in dermatology, cardiology, orthopedics, and ophthalmology — typically earn 10-20% above primary-care MA pay, reflecting tighter procedural support requirements and longer training ramps. Surgical specialty MAs assisting in office-based procedures (skin biopsies, in-office injections, vascular ultrasound assist) sit at the top of the BLS band in Idaho. Federally Qualified Health Centers (FQHCs) and community-health clinics in Idaho typically pay below BLS median but offer PSLF eligibility and stronger benefits.

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 Idaho 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.