Senior Medical Assistant Salary in Keene, NH: $60,239 (2026)
Quick Answer:The top tier of medical assistants working in Keene, NH — those at or above the 90th percentile — pull in $60,239/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-9092. Strip back Keene's price premium (BEA RPP 107.3, 7% above national) and that top-decile pay carries the same buying power as $56,141 in average-cost America. The 22% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source
In Keene, New Hampshire, the experienced medical assistant salary reaches impressive heights, with top earners (P90) projected to make $60,239 in 2026. This figure not only reflects the value of seasoned professionals in the healthcare sector but also highlights a significant wage gap compared to the median salary of $49,304. Those aiming for higher tiers of pay should focus on developing specializations that are increasingly in demand within Keene and its surrounding areas. Advanced skills and accumulated experience result in a premium for those who invest in their careers. By achieving certifications and obtaining additional training, senior medical assistants can strategically position themselves to access these higher salary brackets.
About the Keene Market
Salary estimated from New Hampshire average ($44,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Keene
Experienced medical assistants at the top of the pay scale in Keene earn between $51,713 and $60,239 per year (2026 est.). This $19,361 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Keene median of $49,304 sits 2.8% above the US median.
Top MA, CMA Salary Comparison
| Level | Keene | National |
|---|---|---|
| Median (P50) | $49,304 | $47,961 |
| 75th Percentile | $51,713 | $51,624 |
| 90th Percentile (Top 10%) | $60,239 | $62,258 |
In Keene, experienced medical assistants (P90) earn 22.18% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Medical Assistant Pay in Keene
Advanced Certifications in New Hampshire
NH medical assistants with additional specialty certifications within the medical assisting field earn significantly above the $49,304 median. Expanded-scope credentials are increasingly valued by Keene employers.
Specialty Focus
Medical Assistants focusing on high-acuity or specialty areas within the medical assisting field in Keene command premium compensation, often reaching the $51,713–$60,239 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Keene metro area often pay above-market rates for experienced medical assistants who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical assistants in Keene with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Assistants in New Hampshire who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Medical Assistant Career & Wage Growth Path in Keene
Clinical Medical Assistant
0-5 yearsSenior/Lead Medical Assistant
5-10 yearsMedical Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedKeene ranks #12 of 16 New Hampshire cities for top earner medical assistant salary (90th percentile: $60,239).
Top 10% medical assistant compensation in Keene ($60,239) is 4.4% below the New Hampshire average P90 ($63,011).
2019 BLS Actual
$47,140
2025 BLS Actual
$57,387
2026 Current Est.
$60,239
2019–2027 Growth
+34.1%
Salary Trajectory for Medical Assistants in Keene (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.97% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $47,140 | Actual |
| 2020 | $48,940 | Actual |
| 2021 | $46,608 | Actual |
| 2022 | $50,033 | Actual |
| 2023 | $54,649 | Actual |
| 2024 | $55,702 | Actual |
| 2025 | $57,387 | Actual |
| 2026(current) | $60,239 | Estimated |
| 2027 | $63,233 | Projected |
Top-earning medical assistants (90th percentile) in Keene saw their compensation grow 21.7% from $47,140 in 2019 to $57,387 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 4.97% annual growth rate, senior-level pay is projected to reach $63,233 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Keene metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.97% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Medical Assistant Earnings in Keene
Compensation for senior medical assistants in Keene can vary dramatically depending on the healthcare setting. Specialties such as dermatology and pediatrics often command a premium, while roles in urgent care chains like CityMD or MedExpress might attract different compensation structures. Various paths within this profession—lead medical assistant, clinical operations supervisor, or even transitioning to nursing—can further enhance earning potential. Advanced credentials, such as a Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA), also play a vital role in boosting salary prospects. In addition to the base pay, other factors, including bilingual capabilities or the ability to perform phlebotomy and EKGs, often lead to additional financial benefits. Understanding these nuances helps experienced professionals in NH maximize their income while advancing their careers as medical assistants.
More salary data for Keene, NH:
Frequently Asked Questions
How much do experienced medical assistants make in Keene in 2026?
What drives higher medical assistant pay in Keene?
What certifications boost medical assistant salary in Keene?
Can experienced medical assistants make six figures in Keene?
How much does medical assistant salary increase over time in Keene?
Related Pages
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Written by Emma Chen, CMA
Career Analyst
Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $57,387 for medical assistants in the Keene metro area. A 4.97% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Keene is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.97%, derived from historical BLS wage trends for medical assistants (SOC 31-9092).
Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov