Home Health Aide Salary in Boston, MA — 2026
Home Health Aide salary data for Boston, MA — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.
The median Home Health Aide salary in Boston, MA is $48,640 per year ($4,053/month, $23/hr). This reflects the local cost of living index of 152, which is 52% above the national average.
Home Health Aide Take-Home Pay in Boston
Tax Breakdown (Median Salary)
| Gross Annual | $48,640 |
| Federal Tax | -$3,657 |
| State Tax (5.0%) | -$2,432 |
| FICA (SS + Medicare) | -$3,721 |
| Annual Take-Home | $38,830 |
| Monthly Take-Home | $3,236 |
Living Cost Comparison
Home Health Aide Requirements
Key Skills
Boston Job Market Overview
Boston, Massachusetts has a population of 675,647 and an unemployment rate of 3.5%. The top industries are Healthcare, Education, Technology. The local job growth rate is 2.0%, and the average commute time is 31 minutes.
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Home Health Aide Salary in Nearby Massachusetts Cities
Salary Percentile Breakdown — Home Health Aide in Boston
Based on the cost-of-living-adjusted distribution for Home Health Aide in Boston, MA, here's how earnings break down across the workforce:
| Percentile | Annual Salary | Hourly Equivalent | Career Stage |
|---|---|---|---|
| 10th (lowest) | $39,520 | $19/hr | Entry-level, < 1 yr exp. |
| 25th | $44,080 | $21/hr | Junior, 1-3 yrs exp. |
| 50th (median) | $48,640 | $23/hr | Mid-career, 0 years |
| 75th | $57,760 | $28/hr | Senior, 5-10 yrs exp. |
| 90th (top) | $68,400 | $33/hr | Lead/Principal, 10+ yrs |
Percentiles estimated using a log-normal salary distribution model calibrated to Home Health Aide compensation data. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Boston's Healthcare sector.
5-Year Salary Trajectory
Home Health Aide salaries in Boston have grown approximately 5.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:
Year-over-year, an average Home Health Aide can expect a 10.0% annual increase moving from entry to senior level over 4 years in Boston. Negotiation, certifications (State Certification, CPR/First Aid), and changing employers strategically can accelerate this trajectory.
Boston vs National Average
The national median Home Health Aide salary is $32,000. In Boston, the cost-of-living-adjusted median of $48,640 is 52.0% above the national figure. This reflects Boston's cost of living index of 152 (higher than the national average of 100).
For Home Health Aides, this means: rent typically consumes 86.5% of take-home pay (households spending >30% are considered rent-burdened), and a median home in Boston costs about 17.5× annual take-home. Homeownership in Boston on this salary is challenging — most experts recommend keeping home costs to 3-4× income.
Industry Context: Healthcare in Boston
Boston's economy is anchored by Healthcare, Education, Technology, with 675,647 residents and 3.5% unemployment as of 2026. Home Health Aides working in the Healthcare sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 2.0%, and Home Health Aide occupations specifically are projected to grow 25.0% nationally through 2034 (BLS Occupational Outlook Handbook).
Methodology & Data Sources
How we calculate Home Health Aide salaries in Boston, MA:
- Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available. For niche titles, we do not treat a broader SOC family as an exact job-title wage.
- Cost-of-living adjustment applied using the Boston index of 152 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
- Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
- Take-home pay calculated using 2026 federal tax brackets (10%-37%), MA state income tax of 5.0%, and FICA (Social Security 6.2% + Medicare 1.45%).
- Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.
Authoritative data sources:
- BLS Occupational Employment and Wage Statistics — national and metro-area salary data
- O*NET OnLine — occupation tasks, alternate job titles, skills, and SOC crosswalks
- BLS Occupational Outlook Handbook — occupation outlook where a matching profile is available
- BLS Consumer Price Index (CPI-U) — regional inflation and cost-of-living data
- U.S. Census Bureau — Boston QuickFacts — population and demographic data
- IRS Revenue Procedure 2025-32 summary — 2026 federal tax brackets and standard deductions
- BLS Local Area Unemployment Statistics — Boston unemployment rate
Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Home Health Aide salaries can vary significantly based on employer, sector (Healthcare vs others in Boston), specific skill set (Patient Care, Vital Signs, Hygiene Assistance), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.
Frequently Asked Questions
What is the average Home Health Aide salary in Boston, MA?
How much does a Home Health Aide take home in Boston after taxes?
Is Boston a good city for Home Health Aides?
What skills are needed for a Home Health Aide in Boston?
How does Home Health Aide salary in Boston compare to the national average?
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Frequently Asked Questions
What is the average Home Health Aide salary in Boston, MA?
The median Home Health Aide salary in Boston, MA is $48,640 per year as of 2026. This is adjusted for the local cost of living index of 152. Entry-level Home Health Aides earn around $39,520, while senior-level professionals can earn $57,760 or more.
How much does a Home Health Aide take home in Boston after taxes?
A Home Health Aide earning the median salary of $48,640 in Boston, MA takes home approximately $38,830 per year ($3,236/month) after federal, state, and local taxes. The effective tax rate is 20.2%.
Is Boston a good city for Home Health Aides?
Boston, MA has a cost of living index of 152 (above national average). Home Health Aides here earn below the city median. The local unemployment rate is 3.5% and top industries include Healthcare, Education, Technology.
What skills are needed for a Home Health Aide in Boston?
Key skills for Home Health Aides include Patient Care, Vital Signs, Hygiene Assistance, Medication Reminders, Mobility Support. Typical education requirement is Certificate. Valuable certifications include State Certification, CPR/First Aid.
How does Home Health Aide salary in Boston compare to the national average?
The national median Home Health Aide salary is $32,000. In Boston, the adjusted salary is $48,640, which is 52.0% higher than the national average, reflecting the local cost of living.