When hiring a medical scribe, one of the first questions a healthcare manager or facility owner would ask is, “how much does a medical scribe make?”
Scribes are professionals who help physicians by documenting medical encounters in real-time, using electronic medical records. They capture patient history, examination findings, test results, and treatment plans, allowing physicians to focus on patients and decision-making.
They may also assist with lab tests and imaging studies, ensuring all relevant information is recorded. The work of a scribe improves documentation efficiency and accuracy, and can help reduce physician burnout.
How Much Does a Medical Scribe Make? 5 Crucial Factors
The compensation and earning potential for medical scribes can vary depending on factors such as location, experience, and employer. According to data from Payscale.com, the average hourly wage for an in-person, US-based medical scribe is around $13.88, with an average annual salary of around $36,688.
That said, hourly wages are far from standard across regions. Scribes who work in certain geographic areas or in specialized fields may have a different rate. Additionally, those who have more experience or advanced certifications may also have the potential to earn higher wages. Here are 5 factors that greatly affect how much a medical scribe gets paid.

Location
Location can play a significant role in determining the salary of a medical scribe. Some states and cities tend to pay higher salaries than others. For example, medical scribes in California, New York, and Texas tend to earn higher salaries than those in other states.
Within California, scribes working in San Francisco, Los Angeles, and San Diego tend to earn higher salaries than those working in other parts of the state. Similarly, in New York, scribes working in New York City tend to earn higher salaries than those who work out of other cities inside the state.
Another factor that can impact the salary of a medical scribe is the cost of living in a particular area. Scribes working in cities with a high cost of living may earn higher salaries to help offset their expenses. For example, in Oregon, medical scribes earn between $9 and $15 per hour. In Portland, OR a medical scribe might have an average annual salary of $32,338. Meanwhile, in Eugene, OR the average is $30,088.
Additionally, certain regions have a higher demand for medical scribes, which can also affect the salary. For instance, medical scribes earn $10 to $17 per hour in Jacksonville, FL, a city with a population of more than 950,000. Meanwhile, in Pensacola, FL, which has about 53,000 residents, medical scribes earn an average of $9 to $11 per hour. Florida as a whole meets the national average, with scribes typically earning between $12 and $14 per hour. In Miami, a medical scribe earns an average of $27,930 annually, whereas in Orlando, the salary averages about $30,530 per year. These figures illustrate how salaries can vary within the state, reflecting both demand and cost of living differences. While this example primarily focuses on Florida, it’s important to note that medical scribe salaries can differ significantly based on location. For those considering relocation or entering the field, understanding these regional disparities can be crucial in career planning.
Experience and Education
Generally, more experienced and educated medical scribes earn higher salaries than those with less experience or education. Experience plays a significant role in determining a medical scribe’s salary. As a medical scribe gains more experience working in a healthcare setting, they may be able to command a higher salary due to their increased knowledge and expertise in the field.
This can include knowledge of medical terminology, procedures, and electronic medical record systems, as well as experience working with patients and healthcare professionals.
Educational attainment is another factor that can affect a medical scribe’s salary. Medical scribes with higher levels of education, such as a bachelor’s or master’s degree in a related field, may be able to earn higher salaries than those with only a high school diploma or associate’s degree.
It is because individuals with higher levels of education typically have a greater understanding of the medical field, and may be able to perform more complex tasks and assume more responsibilities.
In addition, some states may have certain requirements for the education and certification of medical scribes, which may lead to higher salaries for those who meet these criteria.
Training and Advancement Opportunities for Medical Scribes
Comprehensive Training Programs
Medical scribes undergo extensive training to ensure they possess the necessary skills to assist healthcare professionals effectively. Typically, the training encompasses both classroom and clinical components. New recruits participate in online courses or attend structured classes to build foundational knowledge. This educational path may culminate in a final exam that they must pass to proceed.
On-the-Job Learning
In many cases, new scribes are paired with experienced trainers during their initial clinical experiences. This hands-on training helps them apply classroom lessons in real-world healthcare settings, under close supervision. It’s a pivotal step in transitioning from theoretical knowledge to practical expertise.
Opportunities for Advancement
Once medical scribes have established themselves in their roles, several advancement paths can emerge. Some companies offer clear trajectories where scribes can progress to roles like certified trainers, chief scribes, or other leadership positions. Each step up the ladder typically comes with increased responsibilities and benefits, potentially including salary raises.
Flexible and Supportive Work Environments
Flexible scheduling options are often available, particularly attractive to those balancing additional commitments like education or family. Part-time roles can evolve into full-time positions with benefits as scribes gain experience and demonstrate their capabilities.
Performance-Based Incentives
Many employers incorporate performance-based incentives, such as annual raises, into their compensation packages. These incentives encourage continuous improvement and engagement, rewarding scribes who consistently perform at high levels.
By providing a blend of thorough training, supportive environments, and structured avenues for growth, the medical scribe industry offers numerous opportunities for personal and professional development.
Specialization
Medical scribes who have specialized training and experience in certain areas may be able to earn higher salaries than those without these specialized skills. Some examples of specializations that can lead to higher salaries include:

- Emergency Medicine: Scribes with specialized training and experience in emergency medicine may be able to earn higher salaries, as they are able to work in high-pressure, fast-paced environments and have knowledge of emergency procedures and protocols.
- Cardiology: Individuals with knowledge of heart conditions, cardiac procedures, and EKG interpretation could command higher salaries.
- Oncology: Scribes with knowledge of cancer treatments, radiation therapy, and chemotherapy protocols might get a competitive salary.
- Orthopedics: Medical scribes who know their way around orthopedic procedures may be paid more than scribes with general medical knowledge, as they have knowledge of bone and joint conditions and surgeries.
- Neurology: Medical scribes with experience in neurology might be paid more, as they know a lot about procedures involving the brain and nervous system.
Medical scribes with certifications may also get paid more, since these documents demonstrate that they have met certain standards or qualifications. Organizations such as the American Medical Scribe Association (AMSA) or the National Healthcareer Association (NHA) are examples of accreditation bodies in the United States.
It is important to note that the demand and availability of specialized medical scribe positions vary by location and facility. The more specialized the area of focus, the more in demand the scribe will be and will be able to earn higher salaries.
Type of employer
Hospitals and private practices tend to have higher patient volumes than other settings, such as clinics or nursing homes, leading to a higher workload for medical scribes. Scribes working in these settings may be able to command higher salaries due to the increased demand for their services and the level of responsibility they have to handle.
Furthermore, hospitals and private practices tend to have more complex cases and procedures which require a higher level of knowledge and expertise from the medical scribe, leading to higher salaries for scribes who can handle the complexity.
Understanding the Employment Structure of Medical Scribes
Unlike traditional direct hiring by physicians or hospitals, medical scribes typically find employment through specialized agencies. These agencies handle key responsibilities such as:
- Recruitment: They manage the hiring process, sourcing candidates who fit the role.
- Training: Each agency boasts its own unique training programs to ensure scribes are adequately prepared for their responsibilities.
- Scheduling and Payment: Agencies are responsible for coordinating work schedules and managing compensation for the scribes.
This differs significantly from direct employment, where a medical professional or hospital would directly manage all these aspects. Instead, agencies offer a tailored approach, creating a streamlined framework for handling benefits and other HR functions, thereby relieving healthcare providers from these tasks.
How Much Does a Medical Scribe Make? Average Salaries
A US-based medical scribe’s hourly pay typically falls between $12.00 and $15.00, and their annual salary can range from $24,000 to $37,000, with a median of $30,500. Pay also varies by location. According to ZipRecruiter, here are the 10 states where medical scribes earn the highest salaries:

States with Highest Salaries for Medical Scribes
- New York – $36,241 ($17.42 hourly)
- Idaho – $35,160 ($16.90)
- California – $34,718 ($16.69)
- New Hampshire – $33,930 ($16.31)
- Vermont – $33,005 ($15.87)
- Maine – $32,763 ($15.75)
- Massachusetts – $32,219 ($15.49)
- Hawaii – $31,989 ($15.38)
- Tennessee – $31,741 ($15.26)
- Nevada – $31,722 ($15.25)
The states of New York, Idaho and California are known for offering higher than average salaries for Medical Scribe positions. In particular, the average salary in California is 6.3% above the national average and the average salary in New York is an additional 10.9% higher than the national average, specifically $3,573 more than the average salary of $32,668.
Salary ranges based on experience
Here is an approximate breakdown of salaries based on experience:
- Entry-level (1-3 years of experience): $12 – $15 per hour
- Intermediate (3-5 years of experience): $15 – $18 per hour
- Experienced (5-10 years of experience): $18 – $22 per hour
- Expert (10+ years of experience): $22 – $25 per hour
It’s important to note that these figures are approximate and can vary based on location, employer, and other factors. Experienced ER scribes, who thrive in the fast-paced environment of emergency rooms, typically find themselves earning at the higher end of this scale. This is especially true for Chief or Head Scribes who not only handle the pressures of the ER but also take on additional responsibilities, such as training entry-level scribes. Their skill set and leadership roles naturally command a higher salary compared to those just starting in the field, underscoring the valuable expertise they bring to healthcare teams.
Additionally, some employers may offer benefits such as health insurance and retirement plans, which can add value to the overall compensation package.
Salary Range for Medical Scribes at Leading Employment Agencies
Medical scribes play a vital role in healthcare settings, often supported by established employment agencies rather than directly by hospitals or physicians. Here’s a breakdown of the salary ranges offered by some medical scribe agencies:
- Wing Assistant: Unlike many traditional agencies, Wing Assistant offers remote medical scribe roles—a flexible, work-from-anywhere setup tailored for today’s digital healthcare environment. Scribes are matched with U.S.-based physicians, gaining experience with real-time documentation, patient histories, and EMR systems. Wing provides structured onboarding, access to long-term placements, and an international support system for career growth. Compensation varies by region, but Wing is known for competitive pay and consistent scheduling, especially for remote medical professionals seeking stability and experience.
- ScribeAmerica: This agency employs over 13,000 scribes nationwide and offers an hourly wage between $9 and $10. Full-time scribes, working over 36 hours weekly, are eligible for benefits, with room for advancement to project leader or regional manager positions.
- ProScribe: Offering both classroom and clinical training, scribes here can expect to earn around $11 per hour. Employees receive annual raises, and those working full-time are eligible for benefits packages.
- Elite Medical Scribes: Known for its comprehensive training program, this agency pays scribes approximately $8 to $9 per hour. They offer advancement opportunities and flexible schedules, making it an appealing choice for many.
- American Scribes: Specializing in recruiting pre-med students or recent graduates aspiring to enter the medical field, this agency provides a robust clinical experience. However, specific salary details are not publicly disclosed.
- PhysAssist: With training provided through an in-house educational service, the hourly pay ranges from $8 to $10, varying by location. Scribes can advance to positions like trainers or Chief Scribes, with corresponding pay increases.
- ScribeKick: This agency offers on-the-job training in medical terminology and procedures. Scribes typically earn $10 to $11 per hour, with options for both full-time and part-time work, including virtual positions handling patient files.
In summary, the salary for medical scribes across these agencies typically ranges from $8 to $11 per hour, depending on the agency, location, and the scribe’s experience level. Opportunities for advancement and benefits are available, particularly for full-time employees.
How Much Does a Medical Scribe Make? It Depends
The compensation and earning potential for medical scribes can vary depending on a number of factors. These factors can include location, where medical scribes are employed. For example, scribes working in urban areas may earn more than those working in rural areas.
Additionally, experience can also play a role in determining compensation and earning potential. A medical scribe with more experience may be able to command higher pay than a less experienced scribe. Lastly, the employer can also be a factor in determining compensation and earning potential. A medical scribe working for a large healthcare organization may earn more than one working for a smaller practice.
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Aya is Wing Assistant’s blog manager. When she’s not wrangling content briefs, editing article drafts and handling on-page SEO, she is crafting messages for Wing’s other communication materials. Aya writes about SaaS startups, marketing for startups, search engine optimization, and pop culture.