How Much Does a Medical Assistant Make in Texas in 2026?

A typical Medical Assistant in Texas earns about $19.00 per hour ($39,520 per year), per the latest government wage data (May 2025). That works out to roughly $3,293 a month and $760 a week, calculated from the annual figure. These numbers describe the point where half of Medical Assistants in the state earn more and half earn less.

Texas pay sits 14% below the national figure of $45,690 a year for this role, which places the state 42nd out of 51 states and territories ranked. Lower pay in Texas often lines up with a lower cost of living compared with higher-paying states. Roughly 75,340 Medical Assistants work in the state, a workforce large enough to shape pay figures across dozens of cities and metro areas statewide.

Entry-level positions in Texas typically offer around $15.00 an hour, or about $31,200 a year, for those just starting out as Medical Assistants. Pay tends to move toward the typical rate of $19.00 an hour within the first few years on the job. Employers often base early pay on certification status and the type of practice, whether a small clinic or a larger hospital system.

Experienced Medical Assistants in Texas often earn upwards of $46,180 a year ($22.20 an hour), and the top 10% of earners make over $49,260 a year, or $23.68 an hour. That puts the spread between entry-level and top pay at $18,060 a year. The difference usually comes down to years on the job, additional certifications, and whether the role is in a higher-paying city like Austin or a lower-paying border community.

Texas Medical Assistant pay rose from $28,350 in 2015 to $39,520 in 2025, a gain of $11,170 over the decade. That works out to a 39% increase in typical annual pay over ten years. The rise has been fairly steady year over year, without sharp jumps or drops along the way.

Nationally, Medical Assistant pay rose 49% over the same ten years, a faster pace than the Texas increase. That means Texas pay has grown more slowly than the country as a whole, even though it has moved up every year since 2015. For someone starting out now, that history shows pay has trended upward, though it makes no promises about future increases.

Pay runs highest in the Austin area, including San Marcos and Round Rock, where Medical Assistants typically earn $45,820 a year, about 16% above the statewide figure. Midland follows closely at $44,010 a year, and the Dallas-Fort Worth-Arlington area comes in at $43,100. Each of these figures covers the full metro area around the named city, not just the city limits.

Eagle Pass sits at the bottom of the scale, with typical pay of $29,490 a year, putting the spread between the state's highest- and lowest-paying cities at $16,330. The Dallas-Fort Worth-Arlington area employs the most Medical Assistants of any metro in the state, with 20,560 working there. Cities with lower pay, like Eagle Pass, also tend to have a lower cost of living, which helps explain part of the gap.

Texas pay outpaces every bordering state. New Mexico comes closest, with Medical Assistants earning $39,230 a year, just 1% below the Texas figure. Louisiana trails furthest behind at $36,320 a year, about 8% lower than Texas. Oklahoma and Arkansas fall in between, at $38,750 and $37,760. A Medical Assistant certification earned in one of these states can often be transferred or endorsed into a neighboring one.

Medical Assistants in Texas typically earn $39,520 a year, a figure that has climbed 39% over the past decade. Pay varies by city and by employer, from border communities up to the Austin area. Readers weighing a move into the field can check Texas's licensing and registry requirements, and compare local figures on individual city pages, before deciding where to work.