Medical Secretaries and Administrative Assistants in Iowa

A person arriving at a home office with a bag beside a laptop and navy coffee cup.

May 2025 wages · tax year 2026

You keep

$34,162

after federal, FICA and Iowa tax

Tax takes

$6,818

16.6% of the whole

Worth, in national money

$38,485

Iowa costs less than average

One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.

Median here

$40,980

Kept after tax

$34,162

Worth in national money

$38,485

State rank

42

of 51 states

What this pays, and what it is worth

  • The nominal figure here is modest. Iowa pays this job a middle wage of $40,980, 42 of 51 states and about 10.78% below the national middle. Hold that thought until the adjusted numbers.
  • Within Iowa this is lower-paid work. Of 493 occupations the state publishes figures for, this job ranks 401. That is the bottom quarter locally, whatever the national comparison says.
  • Here is where Iowa does better than its wage suggests. From a median of $40,980 you keep $34,162, and because things cost less here than the national average, that behaves like $38,485 would elsewhere. The average is higher, $42,790, because the best-paid pull it up.
  • Iowa's $40,980 median for medical secretaries and administrative assistants places it 42 of 51 states, about 10.78% below national. Because both the tax and price adjustments tend to favor lower-nominal states, this ranking is the least stable of the three reported here.
  • Against every occupation Iowa reports, medical secretaries and administrative assistants ranks 401 of 493, in the lowest quartile of the state's distribution. That position is set by the local labor market and is independent of how the state compares nationally for this work.
  • After federal, FICA and Iowa income tax, retained pay for medical secretaries and administrative assistants on $40,980 is $34,162. Deflating by the state's price level — below the national average — gives $38,485 in national-average terms. ⚠️ That figure is purchasing power, not a wage, and nobody is paid it; it is what the take-home buys. The mean of $42,790 sits above the median, the right skew typical of wage data.

Compare this career across states

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Pay band: Medical Secretaries and Administrative Assistants

The state median for this job

50thpercentile, roughly
Lowest tenth earn under$35,240
Half earn under$40,980
Top tenth earn over$50,130
This salary$40,980

Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.

The same pay, somewhere else

The state median for this job

Compare with
+$945take-home per year in Texas
Take-home in Iowa$34,162
Take-home in Texas$35,107
Once local prices are leveledBEA price parity−$2,357

The raise and the real gain point in opposite directions here.

State income tax and state price levels only. No city income tax, and no housing market.

What you would need there

The state median for this job

Moving to
$0$43,831
$43,831in Texas, for the same life
To match take-home only$39,803
Raise you would need+$2,851
Prices in Texas97 vs 89

State taxes and state price levels only. No city tax, and no housing market.

Sources and assumptions
  • Treat $40,980 as a midpoint for Iowa, not a promise. The tenth percentile is $35,240 and the ninetieth is $50,130 — a wide band, and where you land in it depends on far more than the state.
  • In Iowa the take-home figure of $34,162, from $40,980, assumes one filer, no dependants, and nothing paid into a pension before tax. Each of those lowers the bill, so treat it as the plain case. City and school-district income taxes are not included either, and in a few states those are real money. It ranks 401 of 493 occupations here.
  • One number stands for prices across all of Iowa, which is a simplification — big cities cost far more than small towns. Read $38,485, the adjusted value of that $40,980 median, as a way to compare states fairly, not as a quote for any particular place. The two datasets are also from different years. This job sits at 401 of 493 in the state.
  • The Iowa median of $40,980 describes the midpoint of a distribution spanning $35,240 to $50,130. Because that spread is typically larger than the interstate spread, a state median is a weak predictor for any individual worker in this occupation.
  • Take-home for Iowa is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $34,162 from $40,980. Each omitted item reduces taxable income, so the figure is a lower bound on retained pay for this household shape. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania and Maryland. The occupation ranks 401 of 493 locally.
  • Price deflation uses one statewide parity for Iowa, so $38,485 — the adjusted value of that $40,980 median — establishes comparability between states rather than accuracy within one. The wage and parity series are dated independently, each following its own publication cycle, and neither is projected forward. This occupation sits at 401 of 493 locally.

Questions people ask

Is this the average pay for the job?

No — it is the middle. Half of these workers earn more and half earn less. The average is $42,790, pulled upward by the top of the range, which is why the middle is the fairer number to plan against.

How much does pay for this job actually vary?

Less than you might expect. The bottom tenth earn $35,240 and the top tenth $50,130, so most people doing this work in Iowa sit within a fairly tight band.

What does this pay actually buy where I live?

More than the figure suggests. Prices in Iowa sit below the national level, so take-home here stretches like $38,485 would elsewhere. The wage is the same; the ground it covers is larger.

Where does the difference between the wage and my paycheck go?

Into four separate taxes, not one. Federal income tax, Social Security and Medicare apply everywhere, and Iowa adds its own income tax on top — which is why $34,162 of this wage survives to your account.

Can I compare this job across every state?

This occupation is published everywhere — all 51 of them — so comparing states measures real differences rather than gaps in the data.

How does the published median differ from the mean for this occupation?

The median is the midpoint of the distribution; the mean for this occupation in Iowa is $42,790. Wage distributions are right-skewed, so the mean exceeds the median wherever a minority earn substantially more. BLS publishes both because substituting one for the other misstates a typical worker's pay.

What is the dispersion of this occupation's wage distribution?

The tenth-to-ninetieth percentile span ($35,240 to $50,130) sits at or below the family's median dispersion, indicating relatively standardized compensation. Percentiles are published per state, so this dispersion is specific to Iowa rather than a national figure.

What is this occupation's price-adjusted compensation in this state?

Iowa's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $38,485 in national-average terms. The adjustment uses an all-items index and does not isolate housing.

What accounts for the gap between gross wage and take-home here?

Take-home of $34,162 reflects federal income tax, OASDI, Medicare and Iowa income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.

Is this occupation's state coverage complete?

State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.