Medical Assistant Pay

Roanoke vs Winchester: Medical Assistant Salary (2026)

Compare medical assistant salaries between Roanoke, VA and Winchester, VA. All figures are 2026 estimates projected from BLS 2025 data.

Roanoke, VA
$39,658
$19.06/hr
Winchester, VA
$42,996
$20.67/hr

Side-by-Side Comparison

MetricRoanoke, VAWinchester, VA
Median Salary$39,658$42,996
Hourly Rate$19.06$20.67
Entry Level (P10)$37,716$38,020
25th Percentile$38,576$39,647
75th Percentile$44,119$48,843
Top Earner (P90)$46,743$50,155
Total Employed670400
Side-by-side bar chart comparing Roanoke ($39,658) and Winchester ($42,996) medical assistant salaries.RoanokeWinchesterMedian Salary$39,658$42,996Entry Level (P10)$37,716$38,020Top Earner (P90)$46,743$50,155US Median $47,961

Verdict

Winchester, VA offers better overall compensation for medical assistants, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Roanoke and Winchester is $3,338 (8.42%). Winchester's median is -10.35% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $9,027,Winchester spans $12,135. Winchester has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

Roanoke
P10 (Entry)$37,716
P25$38,576
Median$39,658
P75$44,119
P90 (Top)$46,743
Winchester
P10 (Entry)$38,020
P25$39,647
Median$42,996
P75$48,843
P90 (Top)$50,155

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Winchester ($44,579 effective) pays 5.23% more than Roanoke ($42,362 effective).

Roanoke
Nominal: $39,658
CoL Index: 93.618
Adjusted: $42,362
Winchester
Nominal: $42,996
CoL Index: 96.45
Adjusted: $44,579

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

Which City Is Right for You?

Choose Roanoke if…

  • Larger job market (670 employed)
  • You prefer the Virginia area and lifestyle

Choose Winchester if…

  • Higher median salary ($42,996/year)
  • Better top-earner potential ($50,155)
  • Better purchasing power (CoL-adjusted: $44,579)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Roanoke grew 22.6% from 2019 to 2025, compared to 37.7% growth in Winchester over the same period.

Roanoke, VA

+22.6%

$30,810 (2019) → $37,780 (2025)

Winchester, VA

+37.7%

$29,740 (2019) → $40,960 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Roanoke or Winchester?

Winchester has a higher median medical assistant salary at $42,996/year, compared to Roanoke at $39,658/year — a difference of $3,338 (8.42%).

What is the hourly rate difference between Roanoke and Winchester?

Roanoke medical assistants earn $19.06/hr while Winchester hygienists earn $20.67/hr (2026 est.).

Should I relocate from Roanoke to Winchester as a medical assistant?

Consider more than just salary when comparing Roanoke and Winchester. Factor in cost of living (CoL-adjusted: Roanoke = $42,362, Winchester = $44,579), job availability (670 vs 400 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Roanoke vs Winchester?

Entry-level (10th percentile) medical assistants earn $37,716 in Roanoke and $38,020 in Winchester. The Winchester 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