What medical transcriptionists earn across the U.S., in every state and in the top-paying metro areas (May 2025 BLS data).
a year, or $19.43 an hour, for medical transcriptionists nationally. The average (mean) is $41,710 ($20.05 an hour).
The middle half earn $34,150 to $48,000. Median means half earn more and half earn less.
Medical Transcriptionists employed across the U.S.. Most work in Texas, California, New York.
$50,030 a year. Lowest: Oklahoma at $27,740.
Darker states pay more. Select a state for its cities and how it compares.
Medical Transcriptionists pay by state (median a year, May 2025)
Pay a year is the median, or the average where BLS publishes no median (marked "(avg)"). Click a column to sort.
| State | Pay a year | Hourly | Jobs | Per 1,000 jobs |
|---|---|---|---|---|
| Alabama | $16.99 | 410 | 0.2 | |
| Alaska | $23.25 | 110 | 0.33 | |
| Arizona | $17.57 | 700 | 0.22 | |
| Arkansas | $16.87 | 280 | 0.22 | |
| California | $21.66 | 5,860 | 0.32 | |
| Colorado | $20.71 | 610 | 0.21 | |
| Connecticut | $23.17 | 390 | 0.23 | |
| Delaware | $16.38 | – | – | |
| Florida | $20.22 | 2,650 | 0.27 | |
| Georgia | $13.62 | 950 | 0.2 | |
| Hawaii | $21.30 | – | – | |
| Idaho | $18.34 | 400 | 0.47 | |
| Illinois | $21.87 | 970 | 0.16 | |
| Indiana | $19.90 | 790 | 0.25 | |
| Iowa | $21.64 | 180 | 0.11 | |
| Kansas | $17.02 | 420 | 0.29 | |
| Kentucky | $18.75 | 690 | 0.35 | |
| Louisiana | $18.29 | 420 | 0.22 | |
| Maine | $23.36 | 80 | 0.13 | |
| Maryland | $19.18 | 230 | 0.09 | |
| Massachusetts | $17.75 | 400 | 0.11 | |
| Michigan | $17.93 | 1,130 | 0.26 | |
| Minnesota | $24.05 | 270 | 0.09 | |
| Mississippi | $18.56 | 300 | 0.26 | |
| Missouri | $18.02 | 310 | 0.11 | |
| Montana | $19.88 | 80 | 0.16 | |
| Nebraska | $22.06 | 230 | 0.22 | |
| Nevada | $18.92 | 210 | 0.13 | |
| New Jersey | $18.76 | 1,710 | 0.4 | |
| New Mexico | $18.02 | 210 | 0.24 | |
| New York | $20.80 | 2,710 | 0.28 | |
| North Carolina | $18.89 | 1,020 | 0.21 | |
| North Dakota | $21.47 | 120 | 0.28 | |
| Ohio | $17.82 | 680 | 0.12 | |
| Oklahoma | $13.34 | 560 | 0.33 | |
| Oregon | $22.25 | 510 | 0.26 | |
| Pennsylvania | $19.96 | 1,130 | 0.19 | |
| Rhode Island | $16.72 | 80 | 0.17 | |
| South Carolina | $16.29 | 390 | 0.17 | |
| South Dakota | $22.15 | 240 | 0.54 | |
| Tennessee | $21.50 | 1,450 | 0.44 | |
| Texas | $20.62 | 7,520 | 0.53 | |
| Utah | $19.05 | 210 | 0.12 | |
| Vermont | $15.88 | – | – | |
| Virginia | $16.89 | – | – | |
| Washington | $18.60 | 620 | 0.18 | |
| West Virginia | $18.00 | 90 | 0.13 | |
| Wisconsin | $23.63 | 590 | 0.2 | |
| Wyoming | $23.12 | 40 | 0.13 |
Metro areas with at least 50 medical transcriptionists, by pay a year. Rural (nonmetropolitan) areas are not included.
| Metro area | Pay a year | Hourly | Jobs |
|---|---|---|---|
| San Francisco-Oakland-Fremont, CA | $28.00 | 680 | |
| San Jose-Sunnyvale-Santa Clara, CA | $27.61 | 200 | |
| Hartford-West Hartford-East Hartford, CT | $26.36 | 100 | |
| Santa Rosa-Petaluma, CA | $25.64 | 50 | |
| Nashville-Davidson--Murfreesboro--Franklin, TN | $24.23 | 310 | |
| Madison, WI | $24.19 | 80 | |
| Chico, CA | $24.05 | 120 | |
| Milwaukee-Waukesha, WI | $23.93 | 190 | |
| Bridgeport-Stamford-Danbury, CT | $23.83 | 110 | |
| Minneapolis-St. Paul-Bloomington, MN-WI | $23.54 | 130 | |
| Las Vegas-Henderson-North Las Vegas, NV | $23.51 | 140 | |
| Evansville, IN | $23.48 | 70 | |
| Modesto, CA | $23.31 | 50 | |
| Sacramento-Roseville-Folsom, CA | $23.29 | 170 | |
| Oxnard-Thousand Oaks-Ventura, CA | $23.21 | 70 |
| Metro area | Jobs | Pay a year |
|---|---|---|
| New York-Newark-Jersey City, NY-NJ | $44,010 | |
| Los Angeles-Long Beach-Anaheim, CA | $38,650 | |
| Dallas-Fort Worth-Arlington, TX | $34,910 | |
| San Antonio-New Braunfels, TX | $27,400 | |
| Chicago-Naperville-Elgin, IL-IN | $38,700 | |
| San Diego-Chula Vista-Carlsbad, CA | $45,420 | |
| Atlanta-Sandy Springs-Roswell, GA | $28,330 | |
| San Francisco-Oakland-Fremont, CA | $58,240 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $38,540 | |
| Phoenix-Mesa-Chandler, AZ | $36,360 | |
| Detroit-Warren-Dearborn, MI | $37,170 | |
| Riverside-San Bernardino-Ontario, CA | $42,990 | |
| Miami-Fort Lauderdale-West Palm Beach, FL | $46,240 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | $38,220 | |
| Tampa-St. Petersburg-Clearwater, FL | $38,680 |
Other jobs in healthcare support, with national pay a year.
The median pay for medical transcriptionists in the U.S. was $40,410 a year ($19.43 an hour) in May 2025, according to the Bureau of Labor Statistics. The middle half earned between $34,150 and $48,000.
The highest pay was in Minnesota ($50,030), Wisconsin ($49,150), Maine ($48,600), Alaska ($48,360), Connecticut ($48,190). The lowest was in Oklahoma ($27,740), Georgia ($28,330), Vermont ($33,030).
The best-paid 10% of medical transcriptionists earned more than $55,950 a year, while the lowest-paid 10% earned less than $28,250. Pay usually rises with experience, specialty, shift and location.
Among metro areas with at least 50 medical transcriptionists, San Francisco-Oakland-Fremont, CA pays the most, with median pay of $58,240 a year (May 2025).
About 41,550 people were employed as medical transcriptionists in May 2025.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, all industries. Median pay is the middle wage; where BLS publishes no median, the average (mean) is shown, marked "(avg)". BLS doesn't publish exact figures above its reporting limit; those are shown with a "+". Metro areas with fewer than 50 jobs in this occupation are left out. Pay doesn't reflect cost of living, overtime or shift differentials.