Medical Assistant Salary in Hawaii
The median medical assistant salary in Hawaii is $68,121 per year, which is 78.0% above the national median of $38,270.
Medical Assistant Salary Overview in Hawaii (2026)
Hawaii ranks #1 out of 50 states for medical assistant compensation. This places Hawaii in the top tier nationally, making it one of the best states for medical assistants seeking high pay. At $68,121 per year, medical assistants in Hawaii earn $29,851 more than the national median of $38,270.
It's worth noting that Hawaii's cost of living is 170% of the national average, which reduces the real purchasing power of the $68,121 salary. After adjusting for cost of living, the effective salary is closer to $40,071.
The salary spread in Hawaii is significant: medical assistants at the 10th percentile earn $52,332, while those at the 90th percentile bring home $92,560 — a $40,228 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Hawaii for this role is Honolulu, where the median reaches $70,034.
Nationally, medical assistant employment is projected to grow 14% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in Hawaii and beyond.
Medical Assistant Salary in Hawaii by Experience
In Hawaii, an entry-level medical assistant earns around $53,400, while experienced professionals earn up to $85,440 per year. The cost of living index in Hawaii is 170% of the national average.
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See Investment Options →Salary Percentiles in Hawaii
| Percentile | HI Salary |
|---|---|
| 10th Percentile | $52,332 |
| 25th Percentile | $59,096 |
| Median (50th) | $68,121 |
| 75th Percentile | $79,744 |
| 90th Percentile | $92,560 |
Medical Assistant Salary by City in Hawaii
The largest employment areas for medical assistants in Hawaii include Honolulu, Pearl City, Hilo, and Kailua. Salaries vary by city based on local cost of living and demand.
How to Become a Medical Assistant in Hawaii
Education
Most medical assistant positions require a postsecondary nondegree award. Hawaii has several accredited institutions offering relevant programs.
Key Skills
Job Outlook in Hawaii
Nationally, medical assistant employment is projected to grow 14% over the next decade (much faster than average). Hawaii's demand may vary based on local industry trends.
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