Physician Assistant.
Manchester.
$130,000
median salary, 10% above the national average
$112,000 to $152,000. Last updated April 2026.
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Data points to own the conversation.
A Physician Assistant in Manchester earns a median of $130,000 in 2026. That is 10% above the national average. The range runs from $112,000 to $152,000, and where you land depends on your experience, your skills, and how well you negotiate. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $117,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$85,000
to $104,000
Mid (3-5 yrs)
$111,000
to $137,000
Senior (6-9 yrs)
$143,000
to $169,000
Lead (10+ yrs)
$163,000
to $202,000
Salary trend
+7% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $35,000 to the total package.
Base
$130,000
Equity
$20,000
Bonus
$12,000
Signing
$3,000
Estimated total: $165,000
How Manchester compares
Manchester, NH
$130,000
Cost of living: 6% above average
National Average
$118,000
Manchester is $12,000 above
Physician Assistant salary by city
Salary by role in Manchester
What you should know
The Physician Assistant landscape in Manchester is not what most salary sites will tell you. Manchester is New Hampshire's largest city and a growing satellite hub for Boston's tech economy. The lack of state income tax and sales tax makes it highly attractive for professionals who commute to or work remotely for Boston area employers. Defense, healthcare, and small tech firms anchor the local economy. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Geographic location matters significantly, with rural and underserved areas offering premium pay to attract talent. Experience in procedural skills and first-assist certification further boost compensation.
Entry-level PAs earn $95,000 to $105,000 in their first role. Mid-career PAs with specialty experience reach $120,000 to $135,000. Senior PAs in surgical specialties or leadership positions can command $145,000 to $165,000 with additional administrative responsibilities. In Manchester, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. PAs commonly receive productivity bonuses, CME allowances of $2,000 to $5,000 annually, malpractice insurance, and relocation assistance. Hospital systems often add shift differentials for nights, weekends, and call coverage. And on the tax side: new Hampshire has no state income tax on wages and no sales tax. Manchester has no city income tax. This makes it one of the lowest taxed metros in the Northeast. When someone quotes you $130,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Use the no income tax advantage to negotiate. Many professionals live in Manchester and work remotely for Boston companies, keeping the higher salary with zero state tax. The range for Physician Assistants in Manchester runs from $112,000 to $152,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A Product Designer in Manchester earns $131,000 (1% more)
- The highest-paying role in Manchester is Chief AI Officer at $325,000
Common questions.
Physician Assistant salary in other cities
Other salaries in Manchester
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