Hawaii's mean medical assistant salary of $49,730 places it above Nevada ($44,170) but below Oregon ($52,400), California ($55,100), Alaska ($56,630), and Washington ($58,590) among regional peers. This positioning means Hawaii is not the lowest-cost market in the region, but it does offer a real cost advantage over the higher-paying West Coast states. If you are competing for candidates who have offers from Washington or California employers, expect to address that gap directly in your compensation conversation.
Medical assistant salary in Hawaii (2026)
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The average medical assistant salary in Hawaii is $49,730 per year. A small pool of very high earners pulls that average upward, so the median of $48,410 gives you a more reliable starting point for most hiring decisions. Hawaii employs 3,890 medical assistants, and the $1,320 gap between the mean and median reflects real variation in the candidate pool you will be evaluating. Junior medical assistants in Hawaii typically earn around $38,580, while senior specialists typically reach or exceed the $60,030 level. Plan for a range rather than a single number when budgeting for a medical assistant hire in Hawaii, and anchor that range to the seniority and specialization of the role you are filling.
Metric / Value
Metric | Value |
Median Annual Salary | $48,410 |
Average Annual Salary | $49,730 |
vs. National Average | 7.8% above the national mean of $46,120 |
Data comes from the BLS OEWS and covers 3,890 employed medical assistants across Hawaii.
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Medical assistant salary percentiles in Hawaii
Percentile | Annual Salary |
10th Percentile | $38,580 |
25th Percentile | $45,290 |
75th Percentile | $55,940 |
90th Percentile | $60,030 |
When setting an offer for a medical assistant in Hawaii, the $45,290 to $55,940 band covering the 25th to 75th percentile represents the range where most candidates will have realistic expectations. Roles requiring more specialized clinical experience or supervisory responsibilities will push compensation toward or beyond the $60,030 mark at the 90th percentile.
Medical assistant salary by city in Hawaii
City | Average Annual Salary |
Honolulu | $49,110 |
Employers hiring in Honolulu can expect compensation levels that closely track the statewide average, giving you a reliable benchmark for offer planning in the state's primary metro market. The Honolulu average of $49,110 sits just below the statewide mean of $49,730, so the statewide figures serve as a practical proxy for budgeting in that market.
How Hawaii compares to other states
State | Average Annual Salary | Median Annual Salary |
Hawaii | $49,730 | $48,410 |
Washington | $58,590 | $59,290 |
Alaska | $56,630 | $52,560 |
California | $55,100 | $49,660 |
Oregon | $52,400 | $50,410 |
Nevada | $44,170 | $45,200 |
Hawaii sits in the middle of the regional market, making it a moderately priced state for medical assistant hiring compared to West Coast peers. Washington, Alaska, California, and Oregon all carry higher average salaries, with Washington reaching $58,590, while Nevada comes in below Hawaii at $44,170. Employers in Hawaii can use this positioning to attract candidates priced out of higher-cost markets without matching the compensation floors those states require.
Frequently asked questions about medical assistant salary in Hawaii
How does Hawaii compare to other states for medical assistant salary?
What do the top-earning medical assistants make in Hawaii?
Medical assistants at the 90th percentile in Hawaii earn $60,030 per year. Roles that reach this level typically involve specialized clinical settings, supervisory responsibilities, or significant tenure. Budget toward this figure when recruiting candidates with advanced experience or credentials.
What is the salary range for a medical assistant in Hawaii?
The salary range for a medical assistant in Hawaii runs from $38,580 at the 10th percentile to $60,030 at the 90th percentile. The middle of the market sits between $45,290 at the 25th percentile and $55,940 at the 75th percentile, which is where most competitive offers will land. Use the seniority and clinical scope of the role to determine where within that band your offer should sit.
What is the average medical assistant salary in Hawaii?
The average medical assistant salary in Hawaii is $49,730 per year, which runs 7.8% above the national mean of $46,120. The median of $48,410 is a more grounded benchmark for most hiring situations, since a smaller group of higher-compensated roles pulls the average upward. For budgeting purposes, start with the median and adjust based on the experience level and specialization you need.
Medical Assistant salary by state
Data sourced from the U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), 2025, SOC code 31-9092 (Medical Assistants).
Disclaimer
Rippling and its affiliates do not provide tax, accounting, or legal advice. This material has been prepared for informational purposes only, and is not intended to provide or be relied on for tax, accounting, or legal advice. You should consult your own tax, accounting, and legal advisors before engaging in any related activities or transactions.
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