Assess risk of genetic disorders and counsel patients and families on testing and options. Median salary in Manchester: $106K/year. Data from BLS, O*NET, and H-1B disclosures.
Figures represent annual base salary in Manchester, New Hampshire. Reviewed by SalaryOptics Editorial · How we calculate this →
Analysis derived from the salary, COL, tax, and labor-market figures above — specific to this role and city.
Genetic Counselors in Manchester earn approximately 18% higher than the US national median for this role — a $16,000 premium on annual base salary. This reflects Manchester's position as a higher-cost labor market where employers must match local wage norms.
New Hampshire has no state income tax, which is worth roughly $9,858 per year at this salary level compared to a California Genetic Counselor on the same gross pay. A Manchester Genetic Counselor would need to earn $116,869 in California to net the same take-home.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $106K by 2030.
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The median Genetic Counselor salary in Manchester, NH is $106,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Manchester–NH metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.
Entry-level Genetic Counselors in Manchester with 0–2 years of experience typically earn between $85,000 and $106,000 annually. Mid-career professionals with 3–7 years command $106,000 to $130,000, while senior-level practitioners with 8+ years of experience regularly earn $130,000 to $159,000 or more.
Manchester has a cost of living index of 118 compared to the US national average of 100. Manchester's cost of living is above the US average, so the salary figures above reflect local market rates. Crucially, New Hampshire has no state income tax — giving Manchester-based Genetic Counselors an immediate 3–5% take-home pay advantage over workers in states like California (9.3%) or New York (6.85%).
Master's in Genetic Counseling; ABGC certification. 35% of these roles offer some remote flexibility.