Medical Assistant Pay

Charlottesville vs Roanoke: Medical Assistant Salary (2026)

Compare medical assistant salaries between Charlottesville, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Charlottesville, VA
$44,234
$21.27/hr
Roanoke, VA
$39,658
$19.06/hr

Side-by-Side Comparison

MetricCharlottesville, VARoanoke, VA
Median Salary$44,234$39,658
Hourly Rate$21.27$19.06
Entry Level (P10)$39,164$37,716
25th Percentile$41,169$38,576
75th Percentile$48,265$44,119
Top Earner (P90)$51,393$46,743
Total Employed360670
Side-by-side bar chart comparing Charlottesville ($44,234) and Roanoke ($39,658) medical assistant salaries.CharlottesvilleRoanokeMedian Salary$44,234$39,658Entry Level (P10)$39,164$37,716Top Earner (P90)$51,393$46,743US Median $47,961

Verdict

Charlottesville, VA offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Charlottesville and Roanoke is $4,576 (11.54%). Charlottesville's median is -7.77% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Charlottesville spans $12,229,Roanoke spans $9,027. Charlottesville has a wider pay range, meaning more potential for high earners but also more variation.

Charlottesville
P10 (Entry)$39,164
P25$41,169
Median$44,234
P75$48,265
P90 (Top)$51,393
Roanoke
P10 (Entry)$37,716
P25$38,576
Median$39,658
P75$44,119
P90 (Top)$46,743

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Charlottesville ($44,615 effective) pays 5.32% more than Roanoke ($42,362 effective).

Charlottesville
Nominal: $44,234
CoL Index: 99.146
Adjusted: $44,615
Roanoke
Nominal: $39,658
CoL Index: 93.618
Adjusted: $42,362

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

Which City Is Right for You?

Choose Charlottesville if…

  • Higher median salary ($44,234/year)
  • Better top-earner potential ($51,393)
  • Better purchasing power (CoL-adjusted: $44,615)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (670 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Charlottesville grew 29.3% from 2019 to 2025, compared to 22.6% growth in Roanoke over the same period.

Charlottesville, VA

+29.3%

$32,600 (2019) → $42,140 (2025)

Roanoke, VA

+22.6%

$30,810 (2019) → $37,780 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Charlottesville or Roanoke?

Charlottesville has a higher median medical assistant salary at $44,234/year, compared to Roanoke at $39,658/year — a difference of $4,576 (11.54%).

What is the hourly rate difference between Charlottesville and Roanoke?

Charlottesville medical assistants earn $21.27/hr while Roanoke hygienists earn $19.06/hr (2026 est.).

Should I relocate from Charlottesville to Roanoke as a medical assistant?

Consider more than just salary when comparing Charlottesville and Roanoke. Factor in cost of living (CoL-adjusted: Charlottesville = $44,615, Roanoke = $42,362), job availability (360 vs 670 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Charlottesville vs Roanoke?

Entry-level (10th percentile) medical assistants earn $39,164 in Charlottesville and $37,716 in Roanoke. The Charlottesville area offers higher starting salaries.
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