Medical Assistant Take-Home Pay in North Carolina (2026)
The median medical assistant wage in North Carolina is $21.70 an hour (about $45,136 a year full-time), according to the U.S. Bureau of Labor Statistics (May 2025). After 2026 federal, state and payroll taxes, that comes to about $714.35 every week, or $37,146 a year. That is 82.3% of gross pay, $562 less than the national median wage for the job, and 95% of the take-home of a typical North Carolina worker across all jobs. North Carolina ranks 26 of 51 for this job’s take-home pay.
Opens the calculator with North Carolina and this hourly wage at 40 hours filled in. The numbers stay in your browser. Last checked October 16, 2026 · How we calculate
Take-home breakdown
Single filer, standard 2020+ W-4, paid weekly, no pre-tax benefits, no local tax, 40 hours a week (2,080 a year).
| Every week | Amount | Per year |
|---|---|---|
| Gross pay | $868.00 | $45,136 |
| Federal income tax | −$62.24 | −$3,236 |
| Social Security | −$53.82 | −$2,799 |
| Medicare | −$12.59 | −$655 |
| North Carolina income tax | −$25.00 | −$1,300 |
| Take-home pay | $714.35 | $37,146 |
How it compares
| Compared with | Gross a year | Take-home a year |
|---|---|---|
| This job in North Carolina (median) | $45,136 | $37,146 |
| This job, U.S. median wage, taxed in North Carolina | $45,698 | $37,546 |
| All jobs in North Carolina (median) | $47,965 | $39,264 |
BLS counts about 23,650 medical assistants in North Carolina.
Same job in other large states
California · Texas · Florida · New York · Pennsylvania · Illinois · Ohio · Georgia · Michigan
Other jobs in North Carolina
Registered Nurse · Truck Driver (Heavy and Tractor-Trailer) · Electrician · Elementary School Teacher · High School Teacher · Software Developer · Accountant · Plumber · Licensed Practical Nurse (LPN) · Police Officer · Dental Hygienist · Pharmacist · Nursing Assistant (CNA) · Customer Service Representative · Warehouse Worker (Laborers and Material Movers) · HVAC Technician · Auto Mechanic · Physical Therapist · Retail Sales Associate
North Carolina paycheck calculator and tax rules · 2026 Take-Home Pay Index · All jobs and states
Sources
Built from public government data. We never collect what you type.
- Wages: U.S. Bureau of Labor Statistics, OEWS May 2025, occupation 31-9092, North Carolina and national estimates.
- Federal tax: IRS Pub 15-T (2026); Social Security wage base: SSA.
- North Carolina withholding: official publication.
Frequently asked questions
How much does a medical assistant take home in North Carolina?
At the North Carolina median wage of $21.70 an hour, about $37,146 a year after 2026 withholding, or $714.35 every week (single, standard W-4, no pre-tax benefits).
Where does the wage come from?
The U.S. Bureau of Labor Statistics OEWS May 2025 estimates, the latest published, for occupation code 31-9092 in North Carolina.
Estimates of what an employer would withhold under the published 2026 rules. Not tax advice, and not your final tax bill.
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