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With nearly one-half of Business Office Managers in the United States reporting more than 10 years of experience in the field, this area is heavily weighted toward experienced professionals. Pay ranges from $29K to $64K per year and averages out to $46K annually. Incomes of Business Office Managers vary widely depending on performance components; bonuses and profit sharing that can occasionally exceed $5K cause paychecks to spread between $29K on the low end and $64K on the high end. This group's pay is mainly influenced by the specific employer, followed by geography and tenure.