Physician Assistant Salary Reality — What You Actually Take Home

Physician assistants practice medicine under physician supervision, examining patients, diagnosing conditions, and prescribing treatment.

Data: 2026-Q2 · BLS · HUD · KFF
National Median Salary
$130,020
Source: BLS OEWS May 2025 · SOC 29-1071
Typical range: $130-180k
25th percentile
$108,000
Median
$130,020
75th percentile
$152,000
90th percentile
$175,000

Job outlook: Much faster than average (27% growth 2024-2034)

Take-home reality

No-tax state (e.g. TX)
$8,302/mo
$99,622/yr
California (high tax)
$7,294/mo
$87,530/yr

A physician assistant earning the national median of $130,020 takes home approximately $8,302/month in a no-tax state and $7,294/month in a high-tax state like California.

The salary reality

A physician assistant earning the national median of $130,020 has excellent purchasing power in nearly all U.S. cities.

Where Physician Assistant Salary Goes Furthest

Columbus

1BR $1,194/mo

Indianapolis

1BR $1,267/mo

Raleigh

1BR $1,596/mo

Nashville

1BR $1,578/mo

Kansas City

1BR $1,197/mo

Where Physician Assistant Salary Is Most Stretched

San Francisco

1BR $2,977/mo

New York City

1BR $2,655/mo

Los Angeles

1BR $2,085/mo

Boston

1BR $2,476/mo

Seattle

1BR $2,146/mo

Housing context

At median salary, PAs can comfortably afford the median 1BR in all cities, with strong savings potential outside the most expensive metros.

Career context

PA programs require a master's degree (typically 2-3 years post-bachelor's), and the profession offers strong job security with consistent demand across specialties.

Income Reality Score — Columbus (best for this career)

Housing Pressure
Low
Financial Flexibility
High
Savings Potential
Building
Lifestyle Outlook
Abundant
Est. Monthly After Housing
approx $8,079/mo

Purchasing Power Reality

What a physician assistant salary feels like in other cities

Your salary in Columbus feels like approximately $163,339 in Indianapolis — purchasing power increases by 5%
Your salary in Columbus feels like approximately $139,037 in Pittsburgh — purchasing power decreases by 10%
Your salary in Columbus feels like approximately $158,255 in Kansas City — purchasing power increases by 2%
FAQ

Physician Assistant Salary — FAQ

What is the average physician assistant salary?

The national median is $130,020 per BLS OEWS May 2025, one of the fastest-growing healthcare occupations.

How long does it take to become a PA?

Typically 6-7 years total — a bachelor's degree plus a 2-3 year master's level PA program.

Run Salary Reality Check at $130,020 →

Salary data: BLS OEWS May 2025. This is a picture, not a verdict.

Income Reality Check is an educational tool, not financial advice. Your situation has more dimensions than any tool can capture.