Physician assistants (PAs) continue to be among the most in-demand and well-compensated professionals in healthcare. As of 2026, the PA profession is thriving, thanks to a strong job outlook, growing healthcare needs, and expanded practice authority in many states. This guide breaks down the latest data on PA salaries, including average income, factors that influence pay, salary by experience, and job market trends.
📊 What Is the Average Physician Assistant Salary in 2026?
In 2026, the average salary for a physician assistant in the United States is approximately $121,000 per year. This marks a steady increase compared to prior years, driven by greater demand, especially in primary care, emergency medicine, and surgical specialties.
Median Salary: $120,000
Top 10% Earners: Over $155,000
Bottom 10% Earners: Around $95,000
🔍 Key Factors That Influence Physician Assistant Salary
Several factors can affect a PA’s salary in 2026:
1. Experience Level
Entry-level (0–2 years): $95,000–$105,000
Mid-level (3–7 years): $110,000–$125,000
Experienced (8+ years): $130,000–$150,000+
2. Specialty
Emergency Medicine and Surgery: $135,000–$155,000
Dermatology: $130,000–$145,000
Family Medicine/Internal Medicine: $105,000–$120,000
3. Location
Urban areas and states like California, New York, and Washington often offer higher salaries due to cost of living and demand.
Highest paying states: Alaska, California, Washington, Connecticut, and Texas
Rural areas: May offer lower base salaries but sometimes higher incentives or loan repayment benefits
4. Education and Certifications
Holding a master’s degree (required) is standard, but PAs who pursue additional certifications (e.g., CAQ – Certificate of Added Qualifications) can negotiate higher pay.
Advanced practice certifications or subspecialty training can boost income.
5. Setting
Hospitals and surgical centers: Typically higher compensation
Outpatient clinics or private practices: Lower base but more predictable hours
Academic or research roles: Often lower pay but enhanced job security and benefits
💼 Salary by Experience: A Closer Look
| Years of Experience | Average Salary (2026) |
|---|---|
| 0–2 Years | $100,000 |
| 3–5 Years | $115,000 |
| 6–10 Years | $130,000 |
| 10+ Years | $140,000–$155,000 |
📈 Job Market Trends for PAs in 2026
The job market for physician assistants in 2026 remains highly favorable, with projected growth of 27% from 2021 to 2031, according to updated BLS trends.
Why the Demand?
Aging population with chronic conditions
Physician shortages, particularly in primary care
Increased autonomy for PAs in many states
Telehealth expansion, allowing remote care delivery
🎓 Education, Certification, and Career Advancement
To become a PA, individuals must complete:
A Master’s Degree from an accredited PA program
Pass the PANCE (Physician Assistant National Certifying Exam)
Maintain certification via CME hours and PANRE every 10 years
Additional Certifications:
CAQs (Certificate of Added Qualifications) in specialties such as:
Emergency Medicine
Psychiatry
Cardiovascular Surgery
Nephrology
These can add $5,000–$15,000 to annual earnings.
💰 Take-Home Pay for a $103K Salary
Assuming standard federal and state tax withholdings (around 25–30% total), the take-home pay for a $103,000 salary would be approximately $72,000–$77,000 annually, or about $6,000/month.
✅ Benefits of Being a PA
High job satisfaction and autonomy
Work-life balance, especially in outpatient settings
Opportunities for subspecialization and growth
Comprehensive benefits packages (health insurance, retirement, PTO, and CME allowances)
🔮 The Future Outlook
With healthcare systems continuing to rely on mid-level providers to bridge care gaps, the PA profession shows no signs of slowing down. New grads and experienced clinicians alike are well-positioned to command competitive salaries and flexible work arrangements.
Conclusion:
The physician assistant salary landscape in 2026 reflects strong growth, driven by demand and professional evolution. Whether you’re a new PA or looking to maximize your earning potential through specialization, understanding these trends is key to career success.