Medical Assistant salary in South Dakota

Medical Assistants in South Dakota earn a median of $41,870 a year ($20.13 an hour), based on BLS data for 1,340 workers.

Median salary
$41,870
Hourly
$20.13
Average
$42,170
Top 10% earn
$48,960
Workers
1,340

Pay ranges from $35,980 for the lowest-paid 10% to $48,960 for the top 10%. That is 8% lower than the national median of $45,690. South Dakota ranks 35th of 51 states for medical assistants pay. There are 2.9 medical assistants per 1,000 jobs here — the job is less common than nationally (location quotient 0.56). The average (mean) salary is $42,170, above the median because a few high earners pull it up.

Pay range for medical assistants in South Dakota

$0$70,000
Pay levelYearlyHourly
10th percentile (entry level)$35,980$17.30
25th percentile$37,730$18.14
Median$41,870$20.13
75th percentile$45,870$22.05
90th percentile (top earners)$48,960$23.54
Average (mean)$42,170$20.28

Half of medical assistants earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.

Median paycheck, before taxes

Pay periodAmount
Monthly$3,489.17
Semi-monthly (24 a year)$1,744.58
Biweekly (26 a year)$1,610.38
Weekly$805.19
Hourly$20.13

Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.

Buying a home? On a $41,870 salary, see how much house you can afford in South Dakota at today's mortgage rates, or work out a payment with the mortgage calculator.

Medical Assistant salary in cities in South Dakota

Metro areaMedian salaryWorkers
Sioux City, IA-NE-SD$45,650280
Sioux Falls, SD-MN$43,760620
Rapid City, SD$40,690240

Highest-paying states for medical assistants

StateMedian salary
Washington$59,290
Alaska$52,560
District of Columbia$51,050
Minnesota$50,480
Oregon$50,410
California$49,660
Massachusetts$49,460
Wisconsin$48,680
Hawaii$48,410
Colorado$48,400

See Medical Assistant pay in every state.

Related jobs in South Dakota

More: Healthcare Support Occupations · all salaries in South Dakota

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 31-9092. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.

Frequently asked questions

How much does a medical assistant make in South Dakota?

The median salary for medical assistants in South Dakota is $41,870 a year, or $20.13 an hour. Pay ranges from $35,980 for the lowest-paid 10% to $48,960 for the top 10%.

How much do the highest-paid medical assistants make in South Dakota?

The top 10% of medical assistants in South Dakota earn at least $48,960 a year. The top 25% earn $45,870 or more.

What is the starting pay for medical assistants in South Dakota?

Entry-level pay (the 10th percentile) is about $35,980 a year, and a quarter of medical assistants earn $37,730 or less.

How many medical assistants work in South Dakota?

About 1,340 medical assistants are employed in South Dakota, not counting the self-employed.