A physician assistant in United States earns a median gross salary of $125,000 per year in 2026. Entry-level roles start around $100,000, and senior physician assistants reach $170,000 or more.
| Experience level | Gross salary (USD) |
|---|---|
| Entry level | $100,000 |
| Median | $125,000 |
| Senior | $170,000 |
The American market for physician assistants
The US pays more for skilled work than any other large economy, often 50–100% above Western Europe for the same job. The trade-offs are thinner employment protections, health insurance tied to your employer, and pay that varies wildly between states and cities.
Tax reality
Federal income tax plus state tax (0% in states like Texas and Florida, over 13% in California). Healthcare costs typically come out of your package.
How United States compares
United States median
$125,000
United States pays 0% more
United Kingdom median
$58,000
United States pays 116% more
EU average median
$55,000
United States pays 127% more
Physician Assistant pay in United States: FAQ
How much does a physician assistant earn in United States?
In 2026, a physician assistant in United States earns a median gross salary of about $125,000 per year. Entry-level pay starts around $100,000 and experienced seniors reach $170,000 or more.
What does an entry-level physician assistant make in United States?
Around $100,000 gross per year. Typical entry route: master's degree, and reaching the median usually takes about 7 years of experience.
Is United States a good country for physician assistants?
The US pays more for skilled work than any other large economy, often 50–100% above Western Europe for the same job. The trade-offs are thinner employment protections, health insurance tied to your employer, and pay that varies wildly between states and cities.
How much tax does a physician assistant pay in United States?
Federal income tax plus state tax (0% in states like Texas and Florida, over 13% in California). Healthcare costs typically come out of your package.
Gross annual estimates derived from the Paygrade research dataset (updated 7 July 2026) using country wage factors and 2026 exchange rates. Read the full methodology. Actual offers vary by company, city and negotiation.