Medical Assistant · South Carolina · SOC 31-9092
2026 Medical Assistant Pay in South Carolina: 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 South Carolina earn a BLS median of $38,820, with real take-home of $41,529 after BEA RPP adjustment.
- Below-100 RPP flips this state above its nominal rank in real-wage terms; the gap is about $2,709.
- BLS percentile breakdown: P10 $31,240 · P25 $35,990 · P75 $44,570 · P90 $47,120.
- MA ranking: #43 on the BLS table, #42 once cost of living is in.
Wage breakdown — South Carolina
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $31,240 | $33,420 |
| P25 (lower quartile) | $35,990 | $38,501 |
| P50 (median) | $38,820 | $41,529 |
| P75 (upper quartile) | $44,570 | $47,680 |
| P90 (top tier) | $47,120 | $50,408 |
| Mean | $40,070 | $42,866 |
| Employment | 11,750 MAs in South Carolina | |
Cost of living — BEA Regional Price Parity
| Component | South Carolina index (US = 100) |
|---|---|
| All-items RPP | 93.5 |
| Goods | 95.9 |
| Services | 85.8 |
| Rents | 80.5 |
South Carolina sits below the national baseline (RPP 93.5), so nominal pay translates to a higher real wage than the BLS median suggests — particularly visible in rents at 80.5.
After-tax take-home — South Carolina (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (MA) | $38,820 | nominal median |
| Federal income tax | −$2,520 | 6.5% effective; std deduction $15,750 applied |
| State income tax | −$843 | 0–6.2% (graduated) |
| FICA (SS 6.2% + Medicare 1.45%) | −$2,970 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $32,487 | 83.7% of gross |
| Real take-home (RPP-adjusted) | $34,754 | ÷ (93.5 / 100) BEA cost-of-living |
What the South Carolina state-tax burden means for MA take-home
South Carolina's state tax is light at this income tier (~2.2% effective). The bigger compensation lever is the below-baseline cost of living (RPP 93.5), which lifts real take-home above nominal after-tax — net real after-tax $34,754.
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. South Carolina sits at #43 on nominal pay and #42 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, South Carolina climbs 1 positions — the cost of living is favorable relative to the wage.
Frequently asked questions
- What is the real (cost-adjusted) MA salary in South Carolina?
- After BEA RPP adjustment (regional price parity index 93.5 for South Carolina), the real-wage equivalent is $41,529 — what the $38,820 nominal salary actually buys. Quartiles in real terms: $38,501 to $47,680.
- Where does South Carolina rank for MA pay?
- On nominal BLS wages alone, South Carolina 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.
- How wide is the wage spread in South Carolina?
- P10 to P90 spans $31,240 to $47,120. That spread captures entry-level to top-quartile pay, including specialty differentials and metro-area variance within the state.
- Is South Carolina a 'real-wage arbitrage' state for MAs?
- Yes — the BEA RPP of 93.5 is below the national 100 baseline, so nominal $38,820 stretches to a real-wage equivalent of $41,529. 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.
- 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 South Carolina?
- BLS aggregates all medical assistants under one SOC. In South Carolina, 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 South Carolina. Federally Qualified Health Centers (FQHCs) and community-health clinics in South Carolina 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 South Carolina 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.