Medical Assistant Pay

Los Angeles vs Sacramento: Medical Assistant Salary (2026)

Compare medical assistant salaries between Los Angeles, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

Los Angeles, CA
$50,134
$24.10/hr
Sacramento, CA
$65,050
$31.27/hr

Side-by-Side Comparison

MetricLos Angeles, CASacramento, CA
Median Salary$50,134$65,050
Hourly Rate$24.10$31.27
Entry Level (P10)$41,106$47,583
25th Percentile$48,108$51,089
75th Percentile$62,573$80,858
Top Earner (P90)$77,615$81,971
Total Employed39,7707,410
Side-by-side bar chart comparing Los Angeles ($50,134) and Sacramento ($65,050) medical assistant salaries.Los AngelesSacramentoMedian Salary$50,134$65,050Entry Level (P10)$41,106$47,583Top Earner (P90)$77,615$81,971US Median $47,961

Verdict

Sacramento, CA offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to Los Angeles.

The salary gap between Los Angeles and Sacramento is $14,916 (29.75%). Sacramento's median is +35.63% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Los Angeles spans $36,509,Sacramento spans $34,388. Los Angeles has a wider pay range, meaning more potential for high earners but also more variation.

Los Angeles
P10 (Entry)$41,106
P25$48,108
Median$50,134
P75$62,573
P90 (Top)$77,615
Sacramento
P10 (Entry)$47,583
P25$51,089
Median$65,050
P75$80,858
P90 (Top)$81,971

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($60,982 effective) pays 38.14% more than Los Angeles ($44,145 effective).

Los Angeles
Nominal: $50,134
CoL Index: 113.566
Adjusted: $44,145
Sacramento
Nominal: $65,050
CoL Index: 106.67
Adjusted: $60,982

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

Which City Is Right for You?

Choose Los Angeles if…

  • Larger job market (39,770 employed)
  • You prefer the California area and lifestyle

Choose Sacramento if…

  • Higher median salary ($65,050/year)
  • Better top-earner potential ($81,971)
  • Better purchasing power (CoL-adjusted: $60,982)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Los Angeles grew 31.7% from 2019 to 2025, compared to 55.5% growth in Sacramento over the same period.

Los Angeles, CA

+31.7%

$36,260 (2019) → $47,760 (2025)

Sacramento, CA

+55.5%

$39,850 (2019) → $61,970 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Los Angeles or Sacramento?

Sacramento has a higher median medical assistant salary at $65,050/year, compared to Los Angeles at $50,134/year — a difference of $14,916 (29.75%).

What is the hourly rate difference between Los Angeles and Sacramento?

Los Angeles medical assistants earn $24.10/hr while Sacramento hygienists earn $31.27/hr (2026 est.).

Should I relocate from Los Angeles to Sacramento as a medical assistant?

Consider more than just salary when comparing Los Angeles and Sacramento. Factor in cost of living (CoL-adjusted: Los Angeles = $44,145, Sacramento = $60,982), job availability (39,770 vs 7,410 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Los Angeles vs Sacramento?

Entry-level (10th percentile) medical assistants earn $41,106 in Los Angeles and $47,583 in Sacramento. The Sacramento area offers higher starting salaries.

Related Comparisons

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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