Medical Assistant Pay

Rapid City vs Watertown: Medical Assistant Salary (2026)

Compare medical assistant salaries between Rapid City, SD and Watertown, SD. All figures are 2026 estimates projected from BLS 2025 data.

Rapid City, SD
$42,712
$20.53/hr
Watertown, SD
$42,795
$20.57/hr

Side-by-Side Comparison

MetricRapid City, SDWatertown, SD
Median Salary$42,712$42,795
Hourly Rate$20.53$20.57
Entry Level (P10)$37,989$35,935
25th Percentile$37,989$36,844
75th Percentile$47,268$45,069
Top Earner (P90)$50,302$52,583
Total Employed2406
Side-by-side bar chart comparing Rapid City ($42,712) and Watertown ($42,795) medical assistant salaries.Rapid CityWatertownMedian Salary$42,712$42,795Entry Level (P10)$37,989$35,935Top Earner (P90)$50,302$52,583US Median $47,961

Verdict

Watertown, SD offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to Rapid City.

The salary gap between Rapid City and Watertown is $83 (0.19%). Watertown's median is -10.77% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rapid City spans $12,313,Watertown spans $16,648. Watertown has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

Rapid City
P10 (Entry)$37,989
P25$37,989
Median$42,712
P75$47,268
P90 (Top)$50,302
Watertown
P10 (Entry)$35,935
P25$36,844
Median$42,795
P75$45,069
P90 (Top)$52,583

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($47,905 effective) pays 3.88% more than Watertown ($46,115 effective).

Rapid City
Nominal: $42,712
CoL Index: 89.16
Adjusted: $47,905
Watertown
Nominal: $42,795
CoL Index: 92.8
Adjusted: $46,115

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

Which City Is Right for You?

Choose Rapid City if…

  • Larger job market (240 employed)
  • Better purchasing power (CoL-adjusted: $47,905)
  • You prefer the South Dakota area and lifestyle

Choose Watertown if…

  • Higher median salary ($42,795/year)
  • Better top-earner potential ($52,583)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Rapid City grew 24.3% from 2019 to 2025, compared to 20.2% growth in Watertown over the same period.

Rapid City, SD

+24.3%

$32,730 (2019) → $40,690 (2025)

Watertown, SD

+20.2%

$33,908 (2024) → $40,769 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Rapid City or Watertown?

Watertown has a higher median medical assistant salary at $42,795/year, compared to Rapid City at $42,712/year — a difference of $83 (0.19%).

What is the hourly rate difference between Rapid City and Watertown?

Rapid City medical assistants earn $20.53/hr while Watertown hygienists earn $20.57/hr (2026 est.).

Should I relocate from Rapid City to Watertown as a medical assistant?

Consider more than just salary when comparing Rapid City and Watertown. Factor in cost of living (CoL-adjusted: Rapid City = $47,905, Watertown = $46,115), job availability (240 vs 6 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Rapid City vs Watertown?

Entry-level (10th percentile) medical assistants earn $37,989 in Rapid City and $35,935 in Watertown. The Rapid City 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