Medical Assistant Pay

Columbia vs Nashville: Medical Assistant Salary (2026)

Compare medical assistant salaries between Columbia, TN and Nashville, TN. All figures are 2026 estimates projected from BLS 2025 data.

Columbia, TN
$38,760
$18.63/hr
Nashville, TN
$46,838
$22.52/hr

Side-by-Side Comparison

MetricColumbia, TNNashville, TN
Median Salary$38,760$46,838
Hourly Rate$18.63$22.52
Entry Level (P10)$30,375$38,430
25th Percentile$31,990$40,245
75th Percentile$42,143$49,945
Top Earner (P90)$50,065$54,448
Total Employed106,340
Side-by-side bar chart comparing Columbia ($38,760) and Nashville ($46,838) medical assistant salaries.ColumbiaNashvilleMedian Salary$38,760$46,838Entry Level (P10)$30,375$38,430Top Earner (P90)$50,065$54,448US Median $47,961

Verdict

Nashville, TN offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Columbia.

The salary gap between Columbia and Nashville is $8,078 (20.84%). Nashville's median is -2.34% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Columbia spans $19,690,Nashville spans $16,018. Columbia has a wider pay range, meaning more potential for high earners but also more variation.

Columbia
P10 (Entry)$30,375
P25$31,990
Median$38,760
P75$42,143
P90 (Top)$50,065
Nashville
P10 (Entry)$38,430
P25$40,245
Median$46,838
P75$49,945
P90 (Top)$54,448

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Nashville ($48,618 effective) pays 15.15% more than Columbia ($42,222 effective).

Columbia
Nominal: $38,760
CoL Index: 91.8
Adjusted: $42,222
Nashville
Nominal: $46,838
CoL Index: 96.338
Adjusted: $48,618

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

Which City Is Right for You?

Choose Columbia if…

  • You prefer the Tennessee area and lifestyle

Choose Nashville if…

  • Higher median salary ($46,838/year)
  • Better top-earner potential ($54,448)
  • Larger job market (6,340 employed)
  • Better purchasing power (CoL-adjusted: $48,618)
  • You prefer the Tennessee area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Columbia grew 11.6% from 2024 to 2025, compared to 32.1% growth in Nashville over the same period.

Columbia, TN

+11.6%

$33,101 (2024) → $36,925 (2025)

Nashville, TN

+32.1%

$33,780 (2019) → $44,620 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Columbia or Nashville?

Nashville has a higher median medical assistant salary at $46,838/year, compared to Columbia at $38,760/year — a difference of $8,078 (20.84%).

What is the hourly rate difference between Columbia and Nashville?

Columbia medical assistants earn $18.63/hr while Nashville hygienists earn $22.52/hr (2026 est.).

Should I relocate from Columbia to Nashville as a medical assistant?

Consider more than just salary when comparing Columbia and Nashville. Factor in cost of living (CoL-adjusted: Columbia = $42,222, Nashville = $48,618), job availability (10 vs 6,340 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Columbia vs Nashville?

Entry-level (10th percentile) medical assistants earn $30,375 in Columbia and $38,430 in Nashville. The Nashville 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