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Salary comparison

Medical Transcriptionists vs. Nursing Assistants: Who Earns More?

Nursing Assistants out-earn Medical Transcriptionists by $2K a year at the national median, per BLS OEWS May 2025. Medical Transcriptionists land at $40,410 and Nursing Assistants at $42,260. The education gap is real: medical transcriptionist programs typically require postsecondary nondegree award, while nursing assistant programs require postsecondary nondegree award. Top-paying state for Medical Transcriptionists is Minnesota ($50,030); for Nursing Assistants it's Oregon ($49,830).

Medical Transcriptionists
Nursing Assistants
Median salary
$40,410
$42,260
Hourly rate
$19.43/hr
$20.32/hr
Entry level (10th %)
$28,250
$33,940
Senior level (90th %)
$55,950
$51,980
Education required
Postsecondary nondegree award
Postsecondary nondegree award
U.S. employment
41,550
1,448,910
Job growth (10-year)
-4.9%
2.3%
Category
Healthcare Support
Healthcare Support
Top-paying state
Minnesota
Oregon

Pay by state

States where both occupations have BLS data, sorted by Medical Transcriptionists median pay.

State
Medical Transcriptionists
Nursing Assistants
Minnesota
$50,030
$46,680
Maine
$48,600
$47,070
Alaska
$48,360
$46,370
Oregon
$46,280
$49,830
Illinois
$45,490
$45,960
District of Columbia
$45,110
$47,700
California
$45,050
$47,630
North Dakota
$44,660
$45,820
New York
$43,260
$48,590
Colorado
$43,080
$47,380
New Jersey
$39,020
$46,830
Washington
$38,690
$49,180
Massachusetts
$36,910
$46,680
Rhode Island
$34,790
$46,440
Vermont
$33,030
$47,130

Source: BLS OEWS May 2025. Highlighted value is higher in each row.

Common questions

Who earns more, Medical Transcriptionists or Nursing Assistants?

Nursing Assistants earn more nationally. The median is $40,410 for Medical Transcriptionists versus $42,260 for Nursing Assistants, a difference of $2K. Per BLS OEWS May 2025.

Which has better job growth, Medical Transcriptionists or Nursing Assistants?

Nursing Assistants has the better 10-year outlook at 2.3% projected growth, compared to -4.9% for the other field. Both are from BLS Employment Projections.

Which requires more education, Medical Transcriptionists or Nursing Assistants?

Medical Transcriptionists typically requires postsecondary nondegree award. Nursing Assistants requires postsecondary nondegree award. Education requirements vary by employer and state licensing board.

Where do Medical Transcriptionists get paid the most?

Minnesota is the top-paying state for Medical Transcriptionists at $50,030/year, per BLS OEWS May 2025. Major metro areas within that state typically pay even more than the state average.

How does Medical Transcriptionists vs. Nursing Assistants pay differ by state?

The gap varies significantly by state. In Minnesota, Medical Transcriptionists earn $50,030 vs. $46,680 for Nursing Assistants. See the state comparison table on this page for the full picture.

Full Medical Transcriptionists salary breakdownView →Full Nursing Assistants salary breakdownView →Best cities for Medical Transcriptionists by take-home payExplore →Best cities for Nursing Assistants by take-home payExplore →How to become a medical transcriptionistsGuide →How to become a nursing assistantsGuide →