TL;DR

  • New Hampshire pays MAs a BLS median of $48,040 — the more useful number is $45,582, what that paycheck buys after rent and services.
  • P25-P75 spread runs $43,920 to $50,930; P10 floor $38,300, P90 ceiling $57,580.
  • Cost of living tracks roughly with the national index, so nominal and real wages stay close.
  • On a real-wage basis, this state sits at #16 of 51; nominal rank is #9.

Wage breakdown — New Hampshire

Percentile Nominal (BLS) Real (BEA RPP-adjusted)
P10 (entry tier)$38,300$36,340
P25 (lower quartile)$43,920$41,673
P50 (median)$48,040$45,582
P75 (upper quartile)$50,930$48,324
P90 (top tier)$57,580$54,634
Mean$47,770$45,326
Employment2,990 MAs in New Hampshire

Cost of living — BEA Regional Price Parity

ComponentNew Hampshire index (US = 100)
All-items RPP105.4
Goods100.0
Services156.2
Rents114.5

New Hampshire is a high-cost state — RPP 105.4 above the national 100 baseline. Most of the cost premium routes through rents (114.5) and services (156.2).

After-tax take-home — New Hampshire (2024 BLS · 2024 tax year, single filer)

Layer-by-layer take-home math at the BLS median

LayerAmountNote
Gross BLS P50 (MA)$48,040nominal median
Federal income tax−$3,6277.5% effective; std deduction $15,750 applied
State income tax$0no tax on wage income (interest/dividends only, repealed 2027)
FICA (SS 6.2% + Medicare 1.45%)−$3,675SS capped at $183,600 wage base
Take-home (after-tax)$40,73884.8% of gross
Real take-home (RPP-adjusted)$38,654÷ (105.4 / 100) BEA cost-of-living

What the New Hampshire state-tax burden means for MA take-home

New Hampshire levies no state income tax on wages, which is worth roughly $2,402 a year for a MA at the BLS median compared with the national-average state burden (≈5%). After cost of living, real take-home is $38,654lower than the nominal after-tax figure because RPP exceeds 100.

Computed from 2026 IRS federal brackets (Rev. Proc. 2025-32), 2026 state DOR brackets, and 2026 FICA rates. Single filer, standard deduction, no other adjustments. See methodology · tax for limitations (married filers, ITM/SALT itemizers, retirement deferrals, HSA, dependent credits, etc.).

National context

Across the United States, BLS reports a national median of $44,200 for MAs with mean pay of $44,720 and total employment of 793,460. New Hampshire sits at #9 on nominal pay and #16 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, New Hampshire falls 7 positions — the cost premium eats into the headline wage.

Frequently asked questions

How much does an MA make in New Hampshire?
BLS reports a median annual wage of $48,040 for MAs in New Hampshire as of the latest OES release. That is the 50th-percentile figure — half earn more, half earn less. The 25th-percentile is $43,920 and the 75th-percentile is $50,930.
What is the real (cost-adjusted) MA salary in New Hampshire?
After BEA RPP adjustment (regional price parity index 105.4 for New Hampshire), the real-wage equivalent is $45,582 — what the $48,040 nominal salary actually buys. Quartiles in real terms: $41,673 to $48,324.
How wide is the wage spread in New Hampshire?
P10 to P90 spans $38,300 to $57,580. That spread captures entry-level to top-quartile pay, including specialty differentials and metro-area variance within the state.
Is New Hampshire a 'real-wage arbitrage' state for MAs?
No — New Hampshire's RPP is close to the national 100 baseline, so nominal and real wages move roughly together. Neither an arbitrage nor a penalty state.
Should I negotiate based on the BLS median for New Hampshire?
The BLS median is a calibration anchor, not a ceiling. Use it to validate that an offer is in-band — anything well below the P25 in this state is a flag, anything above the P75 typically requires demonstrable specialty depth, niche credentials, or a high-COL metro within New Hampshire.
When does this data update?
BLS OES releases a new May reference set roughly each spring; we re-run the ETL pipeline within two weeks of release. BEA RPP refreshes annually. The last-synced timestamp at the top of this page reflects the most recent build.
Does CMA / RMA certification raise medical assistant pay in New Hampshire?
BLS does not split certified from uncertified medical assistants under SOC 31-9092. In New Hampshire, AAMA-certified Medical Assistant (CMA) and AMT Registered Medical Assistant (RMA) credentials typically command a 5-15% pay premium versus uncertified MAs at comparable experience. The premium is concentrated in larger health systems and specialty clinics with formal MA tier structures; smaller primary-care practices in New Hampshire often pay similarly regardless of certification. Phlebotomy, EKG, and limited-X-ray endorsements add additional 3-8% premiums where state scope permits.

Sources & methodology

  • U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OES), SOC 31-9092, 2024 reference period.
  • U.S. Bureau of Economic Analysis — Regional Price Parities, 2023 vintage (all-items, goods, services, rents).
  • Real-wage figures = nominal BLS wage ÷ (state RPP / 100).
  • See the methodology page for full computation details and limitations.

Cross-comparison: see how New Hampshire MA pay ranks against the other 254 state × occupation pages on the Real Wage Atlas → — four-way ranking by real wage, after-tax take-home, state-tax savings, and cost-of-living arbitrage.