Physician assistant pay by city

Across the 50 largest US metros, typical physician assistant pay ranges from $105,440 in Birmingham, AL to $223,640 in San Jose, CA. After taxes and local prices, it goes furthest in San Jose, CA, Seattle, WA, San Antonio, TX.

Source: BLS Occupational Employment and Wage Statistics, May 2025 (occupation: Physician Assistants, SOC 29-1071).

RankMetroTypical payWorth after taxes and prices
1San Jose, CA$223,640$135,200
2Seattle, WA$167,290$113,100
3San Antonio, TX$140,160$113,100
4Oklahoma City, OK$138,920$111,200
5San Francisco, CA$184,380$107,600
6Houston, TX$137,240$106,600
7Riverside, CA$165,490$106,400
8Austin, TX$134,550$105,200
9Cleveland, OH$135,860$104,100
10Sacramento, CA$161,470$103,900
11Columbus, OH$137,550$103,500
12Kansas City, MO$133,350$103,500
13Nashville, TN$129,050$103,300
14Las Vegas, NV$134,660$103,100
15Portland, OR$163,810$102,600
16Memphis, TN$121,900$102,600
17St. Louis, MO$136,120$102,500
18Jacksonville, FL$132,350$102,200
19San Diego, CA$165,160$101,000
20Milwaukee, WI$135,040$100,900
21Dallas, TX$134,900$100,400
22Louisville, KY$130,830$100,300
23Charlotte, NC$133,140$100,200
24Providence, RI$139,930$100,100
25Indianapolis, IN$131,950$99,200
26Cincinnati, OH$128,520$98,600
27New York, NY$167,650$98,500
28Grand Rapids, MI$131,930$98,500
29Los Angeles, CA$161,890$97,800
30Tampa, FL$127,820$97,800
31Hartford, CT$138,680$97,300
32Minneapolis, MN$145,030$97,200
33Phoenix, AZ$134,650$96,900
34Orlando, FL$127,200$96,900
35Buffalo, NY$126,360$95,200
36Washington, DC$148,200$94,500
37Pittsburgh, PA$125,230$94,200
38Boston, MA$142,410$93,900
39Salt Lake City, UT$130,240$93,600
40Raleigh, NC$124,300$93,500
41Richmond, VA$126,810$93,400
42Virginia Beach, VA$126,430$93,200
43Detroit, MI$131,830$92,600
44Denver, CO$134,540$92,600
45Philadelphia, PA$135,640$92,300
46Baltimore, MD$138,790$91,300
47Chicago, IL$127,940$89,300
48Miami, FL$132,360$89,100
49Birmingham, AL$105,440$84,000
50Atlanta, GA$111,810$82,200

“Worth” is take-home pay at the typical salary (single filer, 2026 income taxes), divided by local prices, so every city is in the same typical-US-city dollars.

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Common questions

Which city pays physician assistants the most?

Before taxes, San Jose, CA has the highest typical physician assistant pay among the 50 largest US metros: $223,640 a year. The lowest is Birmingham, AL at $105,440. Source: BLS Occupational Employment and Wage Statistics, May 2025.

Where does physician assistant pay go furthest after cost of living?

After federal, state, and local income taxes and local prices, typical physician assistant pay goes furthest in San Jose, CA, Seattle, WA, San Antonio, TX. It goes the least far in Atlanta, GA, where it's worth about $82,200 in typical-US-city dollars.