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How Much Does a Medical Assistant Make in Rapid City, SD in 2026?

Typical pay for Medical Assistants in Rapid City, from federal wage data (May 2025), with the ten-year trend and how the city compares across South Dakota.

$40,690
Typical pay a year
$19.56
Typical pay an hour
-3%
vs South Dakota · -11% vs US
240
Medical Assistants employed in the area
Where Medical Assistant pay falls in Rapid City
from starting out to the top earners
$36,190
Starting out
$36,190
First years
$40,690
Typical
$45,030
Experienced
$47,920
Top 10%

BLS OES May 2025 · Rapid City metro area

A typical Medical Assistant in Rapid City, South Dakota earns $19.56 per hour, or $40,690 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $3,391 a month. Entry-level positions typically offer around $36,190, and the top 10% of earners make over $47,920.

That pay is 3% below the South Dakota figure of $41,870 and 11% below the national figure of $45,690. Rapid City ranks 2nd of 2 metro areas in South Dakota for Medical Assistant pay. About 240 Medical Assistants work in the Rapid City area.

Medical Assistant pay in Rapid City at a glance

  • Typical pay is $19.56 an hour, or $40,690 a year.
  • That is 3% below the South Dakota figure, ranking 2nd of 2 metro areas in the state.
  • Entry-level positions typically offer around $36,190; the top 10% make over $47,920.
  • Typical pay rose +49% from 2015 to 2025, against +48% for South Dakota as a whole.

BLS OES May 2025

How much does a Medical Assistant make in Rapid City?

Pay in Rapid City runs from entry-level positions at around $17.40 an hour to more than $23.04 for the top 10% of earners. The table sets each career stage against the South Dakota and national figures.

Medical Assistant pay by career stage in Rapid City

Medical Assistant pay by career stage in Rapid City
Career stageRapid CitySouth DakotaUnited States
Starting out$36,190$17.40 an hour$35,980$17.30 an hour$36,050$17.33 an hour
First years$36,190$17.40 an hour$37,730$18.14 an hour$38,470$18.50 an hour
Typical Medical Assistant$40,690$19.56 an hour$41,870$20.13 an hour$45,690$21.97 an hour
Experienced$45,030$21.65 an hour$45,870$22.05 an hour$49,180$23.65 an hour
Top 10%$47,920$23.04 an hour$48,960$23.54 an hour$59,310$28.52 an hour

BLS OES May 2025 · city figures cover the Rapid City area as BLS defines it

Medical Assistant pay growth in Rapid City

$40,690
2025 typical annual pay
+$1,880 vs 2024
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Typical (median) annual wage for Medical Assistants in the Rapid City area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change

In 2015, typical Medical Assistant pay in Rapid City was $27,270 a year. By 2025 it had reached $40,690, a change of +49%, compared with +48% for South Dakota over the same years.

How Rapid City compares with other South Dakota cities

Sioux Falls pays Medical Assistants the most in South Dakota at $43,760 a year, $3,070 more than Rapid City. The lowest-paying area in the state is Rapid City at $40,690.

Typical Medical Assistant pay by metro area in South Dakota
#CityTypical payHourlyVs Rapid CityMedical Assistants employed
1Sioux Falls$43,760$21.04+8%620
2Rapid City$40,690$19.56this city240

Every metro area in South Dakota with Medical Assistant wage data · BLS OES May 2025 · South Dakota typical pay $41,870

Is Rapid City a good place to work as a Medical Assistant?

-11%
vs national pay · -3% vs South Dakota
240
Medical Assistants employed in the Rapid City area
3.3
Medical Assistant jobs per 1,000 jobs, vs about 5.2 nationally

Medical Assistants in Rapid City earn less than the national figure: typical pay is $40,690 a year, 11% below the national rate. For every 1,000 jobs in the Rapid City area, about 3.3 are Medical Assistant positions; nationally, the figure is closer to 5.2. That makes Medical Assistants a smaller part of the local job market than usual, so employers draw from a smaller pool of qualified candidates.

Frequently asked questions

How much does a Medical Assistant make in Rapid City, SD?
A typical Medical Assistant in Rapid City earns $40,690 a year, or $19.56 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $36,190 and the top 10% earn over $47,920.
How much does a Medical Assistant make an hour in Rapid City?
Typical hourly pay for Medical Assistants in Rapid City is $19.56. Entry-level hourly pay runs about $17.40, and the top 10% earn over $23.04 an hour.
What is the starting pay for a Medical Assistant in Rapid City?
Entry-level Medical Assistant positions in Rapid City typically offer around $17.40 an hour, or $36,190 a year.
Is Medical Assistant pay in Rapid City higher than in the rest of South Dakota?
Rapid City pay is 3% below the South Dakota figure of $41,870 a year, ranking 2nd of 2 metro areas in the state. Sioux Falls pays the most in South Dakota at $43,760.

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