Medical Assistant salary in San Antonio, TX
Median pay, San Antonio metro
$39,180/year
about $18.84 an hour full-time
Middle half earns $37,410 – $45,250
Half of medical assistants in the San Antonio metro area earn more than $39,180 a year and half earn less. That's 14% lower than the national median of $45,690, and ranks #30 of the 30 big metro areas we track for this job.
Pay range
| Percentile | Yearly | Hourly* |
|---|---|---|
| 10th (entry level) | $35,950 | $17.28 |
| 25th | $37,410 | $17.99 |
| Median (50th) | $39,180 | $18.84 |
| 75th | $45,250 | $21.75 |
| 90th (top earners) | $46,870 | $22.53 |
*Yearly pay divided by 2,080 hours (40 hours × 52 weeks), the full-time basis BLS uses.
Is your offer fair?
For a medical assistant job in the San Antonio metro area, here's how an offer compares:
- Below market under $37,410 ($17.99/hr). Fine for a first job in the field, otherwise worth negotiating.
- Typical $37,410 to $45,250 ($17.99 to $21.75/hr). The middle half of what people in this job earn.
- Strong offer over $45,250 ($21.75/hr). Higher than three quarters of workers here.
Before you accept
- Certification (such as CMA or RMA) can raise pay and open more roles, and some employers pay for it.
- Check whether the role is front office, back office or both, since mixed roles are often paid like single ones.
- Ask about guaranteed hours: some clinics cut hours on slow days.
Also watch for the common warning signs in the posting itself: 15 job posting red flags.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, 2025, San Antonio metro. Occupation: Medical Assistants (SOC 31-9092). Figures cover wage and salary workers and don't include bonuses, benefits or overtime.