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Surgical Assistants Salary in Massachusetts: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Surgical Assistants salary really buy you in Massachusetts?

Massachusetts is 9.4% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$56,430
Median annual (2025)
-8.6%
Real Purchasing Power
$51,581
COL-adjusted (RPP=109.4)

Massachusetts Cost of Living Index

Massachusetts's Regional Price Parity (RPP) is 109.4, meaning prices are 9.4% higher the national average. A Surgical Assistants earning $56,430 in Massachusetts has the equivalent purchasing power of $51,581 in an average-cost US state.

MA: 109.4
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Massachusetts's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $36,340 $33,217 $-3,122
25th Percentile (P25) $51,650 $47,212 $-4,437
Median (P50) $56,430 $51,581 $-4,848
75th Percentile (P75) $58,370 $53,354 $-5,015
90th Percentile (P90) $62,060 $56,727 $-5,332
Key Insight

While $56,430 sounds high, Massachusetts's elevated cost of living erases 9% of that salary's purchasing power. Your real buying power is $51,581. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Massachusetts Is a High-Cost State

RPP 109.4

Massachusetts's RPP of 109.4 puts it 9.4% above the national baseline cost of living. A Surgical Assistants needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-8.6%

After applying Massachusetts's RPP, the $56,430 median salary translates to $51,581 in real terms — a 8.6% loss. That difference can cover several months of expenses over a year for a Surgical Assistants.

Bottom-Quartile COL-Adjusted Pay

#40 / 44

Massachusetts ranks #40 of 44 — bottom quartile for Surgical Assistants real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Surgical Assistants (After Cost of Living)

Where does Surgical Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

1. Arizona
$111,281
RPP 99.9
$105,823
RPP 116.6
$105,024
RPP 102.3
4. Nevada
$104,585
RPP 96.4
$94,630
RPP 89.4
$91,431
RPP 93.6
$88,932
RPP 91.8
8. Ohio
$84,644
RPP 91.5
$84,539
RPP 92.3
$83,373
RPP 108.8

Massachusetts ranks #40 out of 44 states for Surgical Assistants after cost-of-living adjustment.

How much do you actually take home? See Surgical Assistants take-home pay in Massachusetts after taxes →

Frequently Asked Questions

What is the real salary for a Surgical Assistants in Massachusetts after cost of living?

A Surgical Assistants in Massachusetts earns a median salary of $56,430 per year. After adjusting for Massachusetts's cost of living (RPP=109.4), the real purchasing power is $51,581 — a -8.6% difference.

Is Massachusetts expensive to live in?

Massachusetts's cost of living is 9.4% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Massachusetts is 109.4 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Surgical Assistants in Massachusetts: $56,430 x (100 / 109.4) = $51,581. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Massachusetts offset the salary?

Partially — a Surgical Assistants's nominal salary of $56,430 in Massachusetts has 8.6% less purchasing power due to higher living costs. The real value is $51,581. However, Massachusetts may offer better career opportunities, networking, and industry access.

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