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Raleigh-Cary, NC metro area · BLS May 2025 · Updated

How much does a medical secretary make in Raleigh-Cary, NC?

In the Raleigh-Cary, NC metropolitan area, medical secretaries earned a median of $46,600 a year ($22.40 an hour) in May 2025, according to the BLS Occupational Employment and Wage Statistics survey for the metro. BLS counted 7,600 of these jobs there. That is 10% below the $51,990 median for all jobs in the metro. The middle 80% earned between $37,220 and $57,180; these percentiles do not measure years of experience. Applying 2026 federal and North Carolina tax rules to the median leaves an estimated $38,272 in take-home pay.

Medical secretary pay in Raleigh-Cary, NC at a glance

Median salary

$46,600$22.40 per hour · $3,883 monthly · BLS May 2025
10th percentile$37,220$17.89/hr
25th percentile$38,830$18.67/hr
75th percentile$49,630$23.86/hr
90th percentile$57,180$27.49/hr
Jobs in this metro7,600Location quotient 1.65 (U.S. = 1.00)
Against all jobs here10% belowAll-jobs median $51,990
Against North Carolina5% aboveStatewide median $44,190
Against the U.S.1% aboveNational median $45,930

Run the numbers on your own pay

Same U.S. tax tables as the rest of the site. Change the salary, state, or filing status.

Take-home payWhat $47,000 a year leaves after tax in North CarolinaFederal tax, FICA and North Carolina withholding on that salary, with the other 49 states beside it.
By the hour$22 an hour is how much a yearWeekly, biweekly and monthly gross at 2,080 hours, plus time and a half.
HousingWhat a $47,000 salary buys at today's ratesPrice range, down payment and the monthly payment behind it, on current mortgage rates.
Local pricesWhat $47,000 is worth where you liveRent, groceries and the local price level against the national average.
Same stateEvery occupation North Carolina publishes a wage forThe biggest employers, the best paid, and what is distinctive about North Carolina.

Medical secretary salary in Raleigh-Cary, NC after taxes

$46,600
$15,000$95,000
Filing status:
Gross salary breakdown$46,600
Net 82%
Fed 7%
NC 3%
FICA 8%
Annual take-home$38,272After all taxes
Monthly deposit$3,189Estimated per month
Biweekly paycheck$1,472Every 2 weeks (26/yr)
Effective tax rate17.9%Total tax burden
Federal income tax$3,412 / yr
North Carolina state income tax$1,351 / yr
FICA (Social Security & Medicare)$3,565 / yr
Customize deductions in full North Carolina calculator

Medical secretaries pay range in Raleigh-Cary, NC, hourly and yearly

BLS May 2025 estimates for the Raleigh-Cary, NC metropolitan statistical area. Monthly and take-home figures are ours, computed from the annual wage.

What medical secretaries earned in the Raleigh-Cary, NC metro area, May 2025
PercentileHourlyMonthlyYearlyAfter tax a year (NC)
10th percentile$17.89/hr$3,102$37,220$31,110
25th percentile$18.67/hr$3,236$38,830$32,339
MedianMedian$22.40/hr$3,883$46,600$38,272
75th percentile$23.86/hr$4,136$49,630$40,586
90th percentile$27.49/hr$4,765$57,180$46,351

Is $46,600 a good salary in Raleigh-Cary, NC?

It depends on what else people there earn and what things cost. Here is the median for medical secretaries next to both.

Median household income$100,103Census Bureau ACS
Local price level (U.S. = 100)98.21.8% below national average
One paycheck vs. a household46.6%of area median income

The same job statewide and nationally, and a calculator for your own paycheck.

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Medical secretaries pay in other North Carolina metros

Metros in the same state that are closest in size to Raleigh-Cary, NC. A statewide average can hide differences this large.

Medical secretary pay in Raleigh-Cary, NC: common questions

What is the median salary for medical secretaries in Raleigh-Cary, NC?

The BLS median annual wage for medical secretaries in the Raleigh-Cary, NC metro area was $46,600 in May 2025, about $3,883 a month or $22.40 an hour. Statewide, the North Carolina median for this job is $44,190, so the metro pays 5% above the state.

What is the hourly pay for medical secretaries in Raleigh-Cary, NC?

The median hourly wage for medical secretaries in Raleigh-Cary, NC was $22.40 in the BLS survey. One in ten earned less than $17.89 an hour and one in ten earned more than $27.49.

How many medical secretaries work in Raleigh-Cary, NC?

BLS estimated 7,600 jobs for medical secretaries in the metro in May 2025, or 10.2 of every 1,000 jobs. Its location quotient of 1.65 means the job is more concentrated here than in the country as a whole.

What is the pay range for medical secretaries in Raleigh-Cary, NC?

BLS wage estimates for medical secretaries in Raleigh-Cary, NC run from $37,220 at the 10th percentile to $38,830 at the 25th, $49,630 at the 75th, and $57,180 at the 90th. These are points in the wage distribution, not experience levels.

How much do medical secretaries take home after taxes in Raleigh-Cary, NC?

On a median gross salary of $46,600, an estimated $38,272 lands in net take-home pay per year ($1,472 biweekly) for a single filer claiming the standard deduction in North Carolina in 2026. Total tax withholding equals $8,328 (an effective rate of 17.9%).

How much do medical secretaries make per month in Raleigh-Cary, NC?

On the median annual salary of $46,600, gross monthly income is $3,883. After federal, FICA, and North Carolina state income taxes, estimated net take-home pay is $3,189 per month (or $1,472 every two weeks).

Is $46,600 a good salary in Raleigh-Cary, NC?

At $46,600, the median salary for medical secretaries is 46.6% of the Raleigh-Cary, NC median household income ($100,103). It is 10% below the $51,990 median for all jobs in the metro. The BEA regional price parity is 98.2, so prices here run 1.8% below the U.S. average.