Medical Assistant Pay

Austin vs San Antonio: Medical Assistant Salary (2026)

Compare medical assistant salaries between Austin, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Austin, TX
$48,097
$23.12/hr
San Antonio, TX
$41,127
$19.78/hr

Side-by-Side Comparison

MetricAustin, TXSan Antonio, TX
Median Salary$48,097$41,127
Hourly Rate$23.12$19.78
Entry Level (P10)$39,059$37,737
25th Percentile$41,484$39,269
75th Percentile$49,787$47,499
Top Earner (P90)$57,545$49,199
Total Employed5,8307,580
Side-by-side bar chart comparing Austin ($48,097) and San Antonio ($41,127) medical assistant salaries.AustinSan AntonioMedian Salary$48,097$41,127Entry Level (P10)$39,059$37,737Top Earner (P90)$57,545$49,199US Median $47,961

Verdict

Austin, TX offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Austin and San Antonio is $6,970 (16.95%). Austin's median is +0.28% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Austin spans $18,486,San Antonio spans $11,462. Austin has a wider pay range, meaning more potential for high earners but also more variation.

Austin
P10 (Entry)$39,059
P25$41,484
Median$48,097
P75$49,787
P90 (Top)$57,545
San Antonio
P10 (Entry)$37,737
P25$39,269
Median$41,127
P75$47,499
P90 (Top)$49,199

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Austin ($49,046 effective) pays 12.95% more than San Antonio ($43,421 effective).

Austin
Nominal: $48,097
CoL Index: 98.066
Adjusted: $49,046
San Antonio
Nominal: $41,127
CoL Index: 94.716
Adjusted: $43,421

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Austin if…

  • Higher median salary ($48,097/year)
  • Better top-earner potential ($57,545)
  • Better purchasing power (CoL-adjusted: $49,046)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (7,580 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Austin grew 33.9% from 2019 to 2025, compared to 25.9% growth in San Antonio over the same period.

Austin, TX

+33.9%

$34,210 (2019) → $45,820 (2025)

San Antonio, TX

+25.9%

$31,120 (2019) → $39,180 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Austin or San Antonio?

Austin has a higher median medical assistant salary at $48,097/year, compared to San Antonio at $41,127/year — a difference of $6,970 (16.95%).

What is the hourly rate difference between Austin and San Antonio?

Austin medical assistants earn $23.12/hr while San Antonio hygienists earn $19.78/hr (2026 est.).

Should I relocate from Austin to San Antonio as a medical assistant?

Consider more than just salary when comparing Austin and San Antonio. Factor in cost of living (CoL-adjusted: Austin = $49,046, San Antonio = $43,421), job availability (5,830 vs 7,580 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Austin vs San Antonio?

Entry-level (10th percentile) medical assistants earn $39,059 in Austin and $37,737 in San Antonio. The Austin area offers higher starting salaries.

Related Comparisons

EC

Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov