Best Cities for Medical Transcriptionistss

Cities ranked by purchasing power — where medical transcriptionistss get the most value from their salary after accounting for cost of living. A score above 1.00 means better than national average.

How we calculate this: City Score = (Local Salary ÷ National Median) ÷ (Local Cost ÷ National Avg Cost). A score of 1.20 means 20% better purchasing power than average.

#	Location	Score	Raw Salary	Adjusted Salary	Rent/Income
1	WisconsinState	1.32	$49,150	$53,250	26%
2	Nashville-Davidson--Murfreesboro--Franklin, TNMetro	1.30	$50,400	$52,391	37%
3	WyomingState	1.28	$48,100	$51,720	25%
4	Pittsburgh, PAMetro	1.27	$47,530	$51,384	30%
5	MinnesotaState	1.26	$50,030	$51,051	31%
6	South DakotaState	1.26	$46,070	$50,738	25%
7	IowaState	1.25	$45,010	$50,460	25%
8	NebraskaState	1.24	$45,880	$50,142	27%
9	Minneapolis-St. Paul-Bloomington, MN-WIMetro	1.22	$48,960	$49,206	36%
10	MaineState	1.21	$48,600	$48,697	32%
11	TennesseeState	1.21	$44,720	$48,874	34%
12	North DakotaState	1.19	$44,660	$48,229	26%
13	San Jose-Sunnyvale-Santa Clara, CAMetro	1.18	$57,420	$47,770	66%
14	IllinoisState	1.16	$45,490	$46,704	35%
15	Charlotte-Concord-Gastonia, NC-SCMetro	1.16	$44,770	$46,733	40%
16	AlaskaState	1.15	$48,360	$46,366	34%
17	IndianaState	1.13	$41,400	$45,746	31%
18	MississippiState	1.13	$38,600	$45,519	28%
19	ConnecticutState	1.11	$48,190	$44,786	39%
20	OregonState	1.11	$46,280	$44,932	41%
21	TexasState	1.11	$42,900	$44,874	39%
22	West VirginiaState	1.10	$37,440	$44,466	27%
23	KentuckyState	1.09	$39,000	$44,068	29%
24	Portland-Vancouver-Hillsboro, OR-WAMetro	1.09	$47,370	$43,942	45%
25	MontanaState	1.06	$41,340	$42,884	33%
26	PennsylvaniaState	1.06	$41,510	$42,794	37%
27	Kansas City, MO-KSMetro	1.06	$39,600	$42,672	39%
28	MissouriState	1.05	$37,480	$42,302	33%
29	Miami-Fort Lauderdale-West Palm Beach, FLMetro	1.05	$46,240	$42,618	53%
30	LouisianaState	1.04	$38,040	$42,220	33%
31	FloridaState	1.03	$42,050	$41,429	49%
32	North CarolinaState	1.03	$39,300	$41,631	40%
33	Baltimore-Columbia-Towson, MDMetro	1.03	$44,230	$41,805	46%
34	Columbus, OHMetro	1.03	$38,870	$41,572	40%
35	ArkansasState	1.01	$35,100	$40,672	30%
36	CaliforniaState	1.01	$45,050	$40,696	60%
37	ColoradoState	1.01	$43,080	$40,873	51%
38	New MexicoState	1.01	$37,480	$40,739	34%
39	OhioState	1.01	$37,060	$40,996	34%
40	Detroit-Warren-Dearborn, MIMetro	1.01	$37,170	$40,757	39%
41	AlabamaState	1.00	$35,340	$40,574	33%
42	HawaiiState	1.00	$44,310	$40,282	65%
43	MichiganState	1.00	$37,280	$40,390	36%
44	District of ColumbiaState	0.98	$45,110	$39,466	56%
45	IdahoState	0.98	$38,140	$39,523	38%
46	UtahState	0.98	$39,630	$39,551	45%
47	KansasState	0.97	$35,390	$39,322	35%
48	NevadaState	0.97	$39,350	$39,271	44%
49	Tampa-St. Petersburg-Clearwater, FLMetro	0.97	$38,680	$39,269	53%
50	New YorkState	0.95	$43,260	$38,453	51%
51	South CarolinaState	0.91	$33,870	$36,815	44%
52	Philadelphia-Camden-Wilmington, PA-NJ-DE-MDMetro	0.91	$38,220	$36,928	50%
53	ArizonaState	0.90	$36,550	$36,224	49%
54	MarylandState	0.90	$39,900	$36,538	50%
55	New JerseyState	0.89	$39,020	$35,864	55%
56	WashingtonState	0.89	$38,690	$36,058	59%
57	Dallas-Fort Worth-Arlington, TXMetro	0.89	$34,910	$35,916	54%
58	Rhode IslandState	0.86	$34,790	$34,617	52%
59	Boston-Cambridge-Newton, MA-NHMetro	0.85	$39,010	$34,370	79%
60	Washington-Arlington-Alexandria, DC-VA-MD-WVMetro	0.85	$38,540	$34,167	62%
61	MassachusettsState	0.84	$36,910	$34,018	73%
62	VirginiaState	0.84	$35,130	$33,942	54%
63	DelawareState	0.83	$34,070	$33,733	48%
64	Los Angeles-Long Beach-Anaheim, CAMetro	0.82	$38,650	$33,176	70%
65	VermontState	0.80	$33,030	$32,224	52%
66	Seattle-Tacoma-Bellevue, WAMetro	0.79	$36,270	$31,732	73%
67	OklahomaState	0.78	$27,740	$31,345	42%
68	GeorgiaState	0.75	$28,330	$30,332	60%
69	San Antonio-New Braunfels, TXMetro	0.74	$27,400	$29,783	57%
70	Atlanta-Sandy Springs-Roswell, GAMetro	0.72	$28,330	$29,267	68%

Data Sources: Salary: U.S. Bureau of Labor Statistics (OEWS). Cost of Living: BEA Regional Price Parities (2024). Rent: HUD Fair Market Rents (FY2025).