Medical Records Specialist Salary by State (May 2025 BLS Data)
By The College Match Editorial Team · Data: May 2025 · Updated October 2026
Medical records specialists earn a median of $51,140 a year nationally, but pay depends heavily on location: from $41,500 in Mississippi to $72,040 in District of Columbia.
Medical records specialists compile, code and manage patient health information for billing and records. The table below covers all 50 states and Washington, DC, using the latest wage survey from the U.S. Bureau of Labor Statistics.
U.S. median
$51,140
Highest: District of Columbia
$72,040
Lowest: Mississippi
$41,500
Employed in the U.S.
194,720
Medical Records Specialist pay in every state
Sorted by median annual wage. "Typical range" is the 10th to 90th percentile: 80% of medical records specialists in the state earn within it.
| Rank | State | Median | Average | Typical range | Employed |
|---|---|---|---|---|---|
| 1 | District of Columbia | $72,040 | $80,250 | $46,300 – $128,010 | 270 |
| 2 | Rhode Island | $63,960 | $63,150 | $44,650 – $84,540 | 650 |
| 3 | Hawaii | $63,180 | $65,590 | $45,700 – $91,650 | 400 |
| 4 | Washington | $62,270 | $67,480 | $45,500 – $98,130 | 5,010 |
| 5 | California | $61,810 | $68,230 | $43,800 – $102,470 | 18,700 |
| 6 | New York | $61,720 | $67,200 | $40,730 – $101,940 | 9,080 |
| 7 | Minnesota | $61,530 | $63,570 | $48,120 – $83,020 | 3,150 |
| 8 | Alaska | $61,090 | $64,440 | $46,390 – $90,530 | 1,070 |
| 9 | Connecticut | $60,940 | $63,970 | $40,490 – $88,900 | 1,120 |
| 10 | Massachusetts | $60,350 | $61,560 | $43,960 – $81,620 | 3,500 |
| 11 | Wisconsin | $60,280 | $60,610 | $46,750 – $79,720 | 2,870 |
| 12 | Colorado | $59,020 | $61,810 | $45,280 – $82,980 | 1,780 |
| 13 | Oregon | $59,000 | $61,110 | $44,260 – $81,120 | 2,560 |
| 14 | Vermont | $57,560 | $57,950 | $42,130 – $77,580 | n/a |
| 15 | New Mexico | $57,470 | $56,380 | $36,600 – $76,460 | 1,400 |
| 16 | Illinois | $56,440 | $57,160 | $38,890 – $77,520 | 5,740 |
| 17 | Delaware | $56,060 | $56,540 | $36,870 – $77,500 | 610 |
| 18 | South Carolina | $54,280 | $54,810 | $37,240 – $71,280 | 2,750 |
| 19 | Maryland | $54,220 | $57,930 | $35,400 – $82,090 | 2,440 |
| 20 | Wyoming | $54,210 | $57,620 | $37,930 – $79,530 | 280 |
| 21 | Idaho | $53,460 | $57,240 | $39,930 – $77,840 | 1,490 |
| 22 | Oklahoma | $53,460 | $54,240 | $36,610 – $74,710 | 2,480 |
| 23 | Virginia | $53,290 | $56,960 | $37,630 – $78,680 | 4,630 |
| 24 | Utah | $52,870 | $57,160 | $35,720 – $82,640 | 1,910 |
| 25 | Maine | $52,090 | $56,670 | $42,210 – $76,660 | 1,000 |
| 26 | Nebraska | $51,670 | $56,720 | $38,620 – $74,990 | 1,640 |
| 27 | South Dakota | $51,610 | $54,380 | $36,920 – $76,950 | 900 |
| 28 | Georgia | $51,550 | $56,830 | $36,260 – $81,580 | 5,930 |
| 29 | Ohio | $50,990 | $56,620 | $38,060 – $79,290 | 7,440 |
| 30 | Missouri | $50,750 | $55,950 | $38,880 – $77,010 | 3,890 |
| 31 | Iowa | $50,640 | $53,470 | $38,910 – $66,390 | 2,250 |
| 32 | Nevada | $50,300 | $55,730 | $36,990 – $81,140 | 2,350 |
| 33 | New Jersey | $50,240 | $54,490 | $33,280 – $83,650 | 4,450 |
| 34 | Montana | $50,190 | $52,720 | $40,460 – $64,540 | 820 |
| 35 | North Carolina | $49,620 | $55,510 | $36,840 – $79,670 | 6,760 |
| 36 | New Hampshire | $49,210 | $53,200 | $39,120 – $68,980 | 930 |
| 37 | Texas | $48,860 | $52,880 | $34,440 – $78,390 | 17,210 |
| 38 | Tennessee | $48,780 | $55,640 | $37,320 – $79,960 | 4,440 |
| 39 | Kentucky | $48,410 | $53,520 | $36,290 – $74,520 | 4,210 |
| 40 | Kansas | $48,160 | $52,860 | $36,680 – $77,910 | 2,030 |
| 41 | Michigan | $48,120 | $52,650 | $37,180 – $77,080 | 4,890 |
| 42 | Indiana | $47,670 | $53,370 | $38,270 – $79,270 | 5,860 |
| 43 | Arizona | $47,630 | $52,670 | $36,530 – $75,430 | 3,750 |
| 44 | West Virginia | $47,360 | $50,900 | $31,610 – $75,000 | 1,260 |
| 45 | Pennsylvania | $46,840 | $53,050 | $37,490 – $77,880 | 6,970 |
| 46 | North Dakota | $46,280 | $52,850 | $39,580 – $79,800 | 520 |
| 47 | Florida | $45,760 | $50,440 | $36,330 – $76,850 | 21,490 |
| 48 | Louisiana | $44,610 | $50,240 | $32,900 – $77,080 | 2,600 |
| 49 | Alabama | $43,810 | $45,710 | $30,250 – $64,730 | 2,330 |
| 50 | Arkansas | $41,740 | $45,880 | $33,920 – $65,090 | 1,920 |
| 51 | Mississippi | $41,500 | $44,380 | $31,010 – $61,580 | 2,310 |
| United States | $51,140 | $56,790 | $37,000 – $81,150 | 194,720 |
Common questions
How much do medical records specialists make in the U.S.?
The national median annual wage for medical records specialists was $51,140 in May 2025, with an average of $56,790. The middle 80% earned between $37,000 and $81,150.
Which state pays medical records specialists the most?
District of Columbia has the highest median wage at $72,040 a year. Of the 51 areas (states plus DC) with published figures, 28 pay above the national median.
Which state pays medical records specialists the least?
Mississippi has the lowest median wage at $41,500 a year. Lower pay often comes with a lower cost of living, so compare against local living costs.
Which state employs the most medical records specialists?
Florida employs the most, about 21,490.
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Find My MatchAbout this data
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025, occupation code 29-2072. Figures are annual wages for employed medical records specialists and exclude the self-employed. Some states' figures are not published by BLS and show as n/a. See our editorial standards for how we build these pages.