Medical Assistant · Washington · SOC 31-9092
Medical Assistants in Washington: 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 Washington: $55,120 nominal, $50,863 real (BEA RPP basis).
- P25-P75 spread runs $47,320 to $60,730; P10 floor $43,810, P90 ceiling $69,320.
- Cost of living tracks roughly with the national index, so nominal and real wages stay close.
- On a real-wage basis, this state sits at #3 of 51; nominal rank is #1.
Wage breakdown — Washington
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $43,810 | $40,426 |
| P25 (lower quartile) | $47,320 | $43,665 |
| P50 (median) | $55,120 | $50,863 |
| P75 (upper quartile) | $60,730 | $56,039 |
| P90 (top tier) | $69,320 | $63,966 |
| Mean | $55,050 | $50,798 |
| Employment | 18,430 MAs in Washington | |
Cost of living — BEA Regional Price Parity
| Component | Washington index (US = 100) |
|---|---|
| All-items RPP | 108.4 |
| Goods | 106.9 |
| Services | 84.0 |
| Rents | 125.5 |
Washington is a high-cost state — RPP 108.4 above the national 100 baseline. Most of the cost premium routes through rents (125.5) and services (84.0).
After-tax take-home — Washington (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (MA) | $55,120 | nominal median |
| Federal income tax | −$4,476 | 8.1% effective; std deduction $15,750 applied |
| State income tax | $0 | no state income tax (capital gains tax above $262K) |
| FICA (SS 6.2% + Medicare 1.45%) | −$4,217 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $46,427 | 84.2% of gross |
| Real take-home (RPP-adjusted) | $42,841 | ÷ (108.4 / 100) BEA cost-of-living |
What the Washington state-tax burden means for MA take-home
Washington levies no state income tax on wages, which is worth roughly $2,756 a year for a MA at the BLS median compared with the national-average state burden (≈5%). After cost of living, real take-home is $42,841 — lower than the nominal after-tax figure because RPP exceeds 100.
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. Washington sits at #1 on nominal pay and #3 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, Washington falls 2 positions — the cost premium eats into the headline wage.
Frequently asked questions
- How much does an MA make in Washington?
- BLS reports a median annual wage of $55,120 for MAs in Washington as of the latest OES release. That is the 50th-percentile figure — half earn more, half earn less. The 25th-percentile is $47,320 and the 75th-percentile is $60,730.
- What does the top of the MA pay scale look like in Washington?
- The 90th percentile lands at $69,320. 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 $60,730.
- Why is the BEA RPP for Washington 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. Washington's overall index of 108.4 reflects rents 125.5, services 84.0, and goods 106.9.
- 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.
- Does CMA / RMA certification raise medical assistant pay in Washington?
- BLS does not split certified from uncertified medical assistants under SOC 31-9092. In Washington, 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 Washington often pay similarly regardless of certification. Phlebotomy, EKG, and limited-X-ray endorsements add additional 3-8% premiums where state scope permits.
- Is the medical assistant role still a viable RN-bridge path in Washington?
- MA → RN remains a common pathway in Washington. The financial logic: an MA earning at the Washington BLS median while completing an associate-degree RN program (typically 2 years post-prerequisites, $5K-$25K tuition at community college) sees an average BLS-reported wage roughly 2-2.5× higher post-licensure. BSN-direct programs ($40K-$120K) extend payback timeline but open hospital and management tracks. Many Washington health systems offer tuition support or ladder programs that effectively eliminate program cost — making the MA-to-RN economic transition substantially more favorable than the headline tuition implies.
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 Washington 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.