Practice medicine under physician supervision — diagnosing, treating, and prescribing. Median salary in Manchester: $153K/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.
Physician Assistants in Manchester earn approximately 18% higher than the US national median for this role — a $23,000 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 $14,229 per year at this salary level compared to a California Physician Assistant on the same gross pay. A Manchester Physician Assistant would need to earn $168,688 in California to net the same take-home.
Only 5% of Physician Assistant positions offer remote flexibility, meaning the Manchester salary above represents what local employers actually pay — not a remote-anywhere rate. Geographic constraints reinforce the local market, so the salary range above is more directly applicable than for remote-friendly roles.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $182K by 2030.
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The median Physician Assistant salary in Manchester, NH is $153,000 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 Physician Assistants in Manchester with 0–2 years of experience typically earn between $127,000 and $153,000 annually. Mid-career professionals with 3–7 years command $153,000 to $183,000, while senior-level practitioners with 8+ years of experience regularly earn $183,000 to $218,000 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 Physician Assistants an immediate 3–5% take-home pay advantage over workers in states like California (9.3%) or New York (6.85%).
Master's in Physician Assistant Studies; PA-C certification. 5% of these roles offer some remote flexibility.