Medical Assistant Pay

Middletown vs Wilmington: Medical Assistant Salary (2026)

Compare medical assistant salaries between Middletown, DE and Wilmington, DE. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, DE
$45,067
$21.67/hr
Wilmington, DE
$48,994
$23.56/hr

Side-by-Side Comparison

MetricMiddletown, DEWilmington, DE
Median Salary$45,067$48,994
Hourly Rate$21.67$23.56
Entry Level (P10)$37,211$38,214
25th Percentile$38,341$40,553
75th Percentile$47,030$51,877
Top Earner (P90)$54,676$61,557
Total Employed610
Side-by-side bar chart comparing Middletown ($45,067) and Wilmington ($48,994) medical assistant salaries.MiddletownWilmingtonMedian Salary$45,067$48,994Entry Level (P10)$37,211$38,214Top Earner (P90)$54,676$61,557US Median $47,961

Verdict

Wilmington, DE offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Middletown and Wilmington is $3,927 (8.71%). Wilmington's median is +2.15% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $17,465,Wilmington spans $23,343. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

Middletown
P10 (Entry)$37,211
P25$38,341
Median$45,067
P75$47,030
P90 (Top)$54,676
Wilmington
P10 (Entry)$38,214
P25$40,553
Median$48,994
P75$51,877
P90 (Top)$61,557

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Wilmington ($48,175 effective) pays 8.71% more than Middletown ($44,314 effective).

Middletown
Nominal: $45,067
CoL Index: 101.7
Adjusted: $44,314
Wilmington
Nominal: $48,994
CoL Index: 101.7
Adjusted: $48,175

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

Which City Is Right for You?

Choose Middletown if…

  • You prefer the Delaware area and lifestyle

Choose Wilmington if…

  • Higher median salary ($48,994/year)
  • Better top-earner potential ($61,557)
  • Larger job market (10 employed)
  • Better purchasing power (CoL-adjusted: $48,175)
  • You prefer the Delaware area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Middletown grew 8.8% from 2024 to 2025, compared to 8.5% growth in Wilmington over the same period.

Middletown, DE

+8.8%

$39,465 (2024) → $42,933 (2025)

Wilmington, DE

+8.5%

$43,009 (2024) → $46,674 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Middletown or Wilmington?

Wilmington has a higher median medical assistant salary at $48,994/year, compared to Middletown at $45,067/year — a difference of $3,927 (8.71%).

What is the hourly rate difference between Middletown and Wilmington?

Middletown medical assistants earn $21.67/hr while Wilmington hygienists earn $23.56/hr (2026 est.).

Should I relocate from Middletown to Wilmington as a medical assistant?

Consider more than just salary when comparing Middletown and Wilmington. Factor in cost of living (CoL-adjusted: Middletown = $44,314, Wilmington = $48,175), job availability (6 vs 10 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Middletown vs Wilmington?

Entry-level (10th percentile) medical assistants earn $37,211 in Middletown and $38,214 in Wilmington. The Wilmington 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