How Much Does a Medical Assistant Make in Hawaii in 2026?
Typical pay for Medical Assistants in Hawaii, from federal wage data (May 2025), with pay by city, the ten-year trend, and how the state compares.
BLS OES May 2025 · Hawaii · typical annual pay from the lowest-paid tenth to the highest-paid tenth
A typical Medical Assistant in Hawaii earns about $23.28 per hour ($48,410 per year), according to the latest government wage data (May 2025). Based on that annual figure, pay works out to roughly $4,034 a month and $931 a week. These figures represent the typical position, with actual pay varying by employer, city, and experience level.
Hawaii's typical pay runs 6% above the national figure of $45,690 per year, ranking the state 9th out of 51 states for Medical Assistant pay. Nationally, Medical Assistants earn a typical $21.97 an hour. Hawaii employs 3,890 Medical Assistants, a modest workforce compared with the 817,870 counted nationwide, giving local pay figures a smaller base to draw from.
Medical Assistant pay in Hawaii at a glance
- Medical Assistants in Hawaii typically earn $23.28 per hour, or about $48,410 per year, according to May 2025 government wage data.
- Hawaii pay runs about 6% above the national figure, placing the state 9th out of 51 states for Medical Assistant pay.
- The Kahului-Wailuku metro area pays Medical Assistants the most in Hawaii, with typical pay near $51,200 per year.
- Entry-level Medical Assistants in Hawaii typically start around $38,580 a year, while the top 10% of earners make over $60,030.
- Over the past decade, typical Medical Assistant pay in Hawaii climbed 44%, gaining nearly $14,790 a year.
BLS OES May 2025
How much does a Medical Assistant make in Hawaii?
Medical Assistant pay by career stage in Hawaii
| Career stage | Hawaii | United States |
|---|---|---|
| Starting out | $38,580$18.55 an hour | $36,050$17.33 an hour |
| First years | $45,290$21.77 an hour | $38,470$18.50 an hour |
| Typical Medical Assistant | $48,410$23.28 an hour | $45,690$21.97 an hour |
| Experienced | $55,940$26.89 an hour | $49,180$23.65 an hour |
| Top 10% | $60,030$28.86 an hour | $59,310$28.52 an hour |
BLS OES May 2025 · starting out is the 10th percentile, first years the 25th, typical the median, experienced the 75th, top 10% the 90th
Medical Assistant pay by experience level in Hawaii
Entry-level Medical Assistants in Hawaii typically start around $18.55 an hour, or about $38,580 a year, according to May 2025 wage data. Pay tends to move up toward the typical $23.28-an-hour figure within the first few years on the job. Newcomers to the field can expect wages closer to this entry range while building clinical experience.
Experienced Medical Assistants in Hawaii often earn upwards of $26.89 an hour, with the top 10% of earners making over $28.86 an hour, or $60,030 a year. That leaves a spread of $21,450 between entry-level and top-tier pay. Setting, years of experience, and city all factor into where an individual lands within that range.
Medical Assistant pay growth in Hawaii
Typical (median) annual wage for Medical Assistants in Hawaii · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change
Hawaii Medical Assistant pay has climbed steadily over the past decade, from $33,620 a year in 2015 to $48,410 in 2025. That is a gain of $14,790, or a 44% rise over ten years. Pay dipped slightly in 2021 before resuming its climb through 2022 and 2023.
Nationally, Medical Assistant pay rose 49% over the same decade, a slightly steeper climb than Hawaii's 44% gain. Hawaii's rise still added nearly $14,790 to typical yearly pay. For someone starting out now, that decade of steady increases suggests pay has moved in the right direction, though past gains are no guarantee of future increases in any single year.
Medical Assistant salary by city in Hawaii
Pay runs highest in the Kahului-Wailuku metro area, where Medical Assistants typically earn $51,200 a year ($24.62 an hour), about 6% above the statewide figure. Both cities post identical figures for pay and employment, each with 410 Medical Assistants. Urban Honolulu, Hawaii's most populous metro, trails slightly by comparison.
Urban Honolulu posts the lowest typical pay in the state at $47,720 a year ($22.94 an hour), a spread of $3,480 between the highest- and lowest-paying metro areas. Honolulu also has by far the largest Medical Assistant workforce, with 2,700 professionals, compared with 410 each in Kahului and Wailuku. Hawaii's high cost of living factors into pay across all three metro areas, and figures here reflect each city's full metro area.
| # | City | Typical pay | Hourly | Vs Hawaii | Medical Assistants employed |
|---|---|---|---|---|---|
| 1 | Kahului metro incl. Wailuku | $51,200 | $24.62 | +6% | 410 |
| 2 | Urban Honolulu | $47,720 | $22.94 | -1% | 2,700 |
Each row is one BLS metro area; cities that share a metro share its figures · BLS OES May 2025 · Hawaii typical pay $48,410
Is Hawaii a good state for Medical Assistants?
Medical Assistants in Hawaii earn a strong wage by national standards: typical pay is $48,410 a year, 6% above the national figure and the 9th highest of 51. For every 1,000 jobs in Hawaii, about 6.2 are Medical Assistant positions; nationally, the figure is closer to 5.3. That makes the local economy more reliant on Medical Assistants than most places, and turnover keeps positions opening through the year. Taken together, Hawaii is one of the better-paying states for Medical Assistants.
Summary
Medical Assistants in Hawaii typically earn $48,410 a year, up 44% over the past decade from $33,620 in 2015. Pay runs about 6% above the national figure, with the highest local pay found in the Kahului-Wailuku area. Readers considering this path can check Hawaii's state licensing or registry page for certification requirements, and the city-level pages for local pay figures before deciding where to work.
Frequently asked questions
- How much does a Medical Assistant make in Hawaii?
- A typical Medical Assistant in Hawaii earns about **$23.28 an hour**, or **$48,410 a year**, according to May 2025 government wage data. That works out to roughly $4,034 a month or $931 a week. Pay varies by city, employer, and experience level across the state.
- How much does a Medical Assistant make an hour in Hawaii?
- Medical Assistants in Hawaii typically earn **$23.28 an hour**, according to May 2025 wage data. Entry-level workers start closer to $18.55 an hour, while the top 10% of earners make over $28.86 an hour.
- What is the starting pay for a Medical Assistant in Hawaii?
- Entry-level Medical Assistants in Hawaii typically start around **$18.55 an hour**, or about $38,580 a year, according to May 2025 wage data. Pay tends to rise toward the statewide typical figure of $48,410 a year within the first few years of experience.
- Which city in Hawaii pays Medical Assistants the most?
- The Kahului-Wailuku metro area pays the most, with typical pay of **$51,200 a year** ($24.62 an hour), about 6% above the statewide figure. Urban Honolulu, home to the largest Medical Assistant workforce, pays somewhat less at $47,720 a year.
- Is Medical Assistant pay in Hawaii higher than the national rate?
- Yes. Hawaii's typical Medical Assistant pay of $48,410 a year runs about **6% above** the national figure of $45,690, ranking the state 9th out of 51 states for this occupation.