2026 AAPA Salary Report: How Much Do PAs Earn in 2024?

Last updated: May 2026.

2026 AAPA Salary Report: What PAs Earn Across Specialties, Experience Levels, and Settings

The PA profession continues to see strong salary growth. According to the 2025 AAPA Salary Report (containing 2024 data), the national median base compensation for full-time physician assistants/physician associates is $130,000 per year, with median total compensation reaching $134,000 when bonuses and productivity pay are included. The 2026 AAPA Digital Salary Report, which reflects 2025 earnings data, shows that median total compensation has climbed further to $140,000. For pre-PA students weighing this career path against other healthcare professions, these figures represent a consistent upward trend and strong earning potential from the first year of practice onward.

This article breaks down current PA compensation data across specialties, experience levels, practice settings, and geographic regions, drawing from the AAPA’s latest reports, Bureau of Labor Statistics (BLS) figures, and National Commission on Certification of Physician Assistants (NCCPA) data. Whether you are comparing the PA path to other high-paying medical careers or preparing to negotiate your first offer, the information below reflects the most current compensation picture available.

Purpose and Importance of the AAPA Salary Report

The AAPA Salary Report is more than just a collection of numbers. It is a vital tool for career planning and professional development. For practicing PAs, the report provides benchmarks that can be used to negotiate salaries and bonuses effectively. For those aspiring to become PAs, it offers a realistic picture of potential earnings, helping them make informed decisions about their education and career paths. The report also aids healthcare administrators and policymakers in understanding compensation trends, thereby facilitating better workforce planning and resource allocation.

One important note for 2026: the American Academy of Physician Associates (AAPA), formerly known as the American Academy of Physician Assistants, now uses the updated professional title. Several states, including Oregon, Maine, and New Hampshire, have updated their statutes to reflect the “physician associate” title, and more than 30 AAPA constituent organizations have adopted the new terminology. The NCCPA regards “physician assistant,” “physician associate,” and “PA” as equivalent and synonymous. Throughout this article, we use “PA” and both title forms interchangeably.

Comprehensive Data Collection

The data for the 2025 AAPA Salary Report was collected via the 2025 AAPA Salary Survey between January 14 and February 28, 2025, drawing responses from 8,811 PAs nationwide, including 7,866 full-time respondents. The resulting report spans over 200 pages and captures a wide range of compensation factors, including base salary, hourly wages, total compensation, bonuses, productivity pay, and benefits. The 2026 AAPA Digital Salary Report, released in mid-2026 with 2025 earnings data, offers an interactive digital format for personalized salary exploration. A downloadable PDF version of the 2026 report is expected in summer 2026.

This level of detail and sample size makes the AAPA report one of the most comprehensive compensation benchmarks available for the PA profession.

National Salary Overview

The national salary overview presents a broad picture of PA earnings, showing how compensation varies based on experience levels. This section is particularly useful for identifying general trends and understanding how PA salaries compare to other healthcare professions. For context on how physician salaries compare, see our breakdown of how much doctors make across specialties.

How PA Compensation Has Grown Year Over Year

One of the most useful reference points for evaluating the PA salary landscape is the historical trend line. According to AAPA data, median total compensation has risen steadily over the past several years:

• 2019: $107,500
• 2020: $111,000
• 2021: $115,000
• 2022: $120,000
• 2023: $127,000
• 2024: $134,000 (per the 2025 AAPA Salary Report)
• 2025: $140,000 (per the 2026 AAPA Digital Salary Report)

That is a roughly 30% increase in median total compensation over six years. This trajectory reflects sustained demand for PAs, expanding scopes of practice, and the profession’s growing role in addressing healthcare access gaps.

Salaries for PAs with 0-1 Year of Experience

For PAs just starting their careers, the latest data shows strong earning potential. The AAPA 2025 report indicates that the median salary for recently certified, new-graduate PAs is approximately $118,000 per year. This is a meaningful increase from the $110,000 figure reported in previous cycles, reflecting both inflation adjustments and rising demand for new-graduate PAs. The NCCPA’s own data, which uses slightly different methodology, reported a median salary of $105,000 for newly certified PAs in 2023, up from $95,000 in 2019.

These figures highlight the competitive starting salaries for PAs, which are influenced by factors such as geographic location, the employing organization, and the PA’s specific role and responsibilities. Detailed percentile breakdowns for the 0-1 year experience bracket are available in the full AAPA report, which is included with AAPA fellow, student, and retired memberships, or available for purchase ($275 for pre-PA and affiliate members).

Salaries for PAs with More Experience

As PAs gain experience, their earning potential increases substantially. According to the AAPA 2025 report, salary peaks for PAs with 15 to 19 years of experience, reaching a median of $146,000. PAs with 20 or more years of experience earn a median of $150,000 per year, which is more than $32,000 above what a new graduate earns. PAs who take on management responsibilities often earn an additional $10,000 to $20,000 beyond clinical-only roles.

This upward trajectory underscores the importance of experience, continued professional development, and willingness to take on leadership responsibilities in enhancing long-term earning potential.

PA Pay Structure: Salary, Hourly, and Productivity-Based

Not all PAs are compensated in the same way. According to the AAPA 2025 report, the vast majority of PAs (81.3%) are paid an annual salary. Another 14.0% receive hourly wages, and 4.7% are paid on a productivity basis. The median hourly wage for PAs has increased to $75.00 per hour, up from $70.00 in the previous year. Understanding these distinctions matters when evaluating job offers, since hourly and productivity-based models can yield very different total compensation depending on patient volume and schedule structure.

Bonus Compensation

In addition to base salaries, bonus compensation is a critical component of PA earnings. According to the AAPA 2025 report, 56.7% of full-time PAs received a bonus, with a median bonus of $7,500. The 2026 report indicates that nearly 58% of full-time PAs received a bonus in 2025, suggesting this percentage is continuing to rise. Bonuses can vary widely depending on the PA’s specialty, performance, and the employing organization.

The AAPA 2025 report provides the following bonus percentile breakdown across all experience levels:

• 25th Percentile: $3,000
• Median: $7,500
• 75th Percentile: $15,000
• 90th Percentile: $34,000

These figures represent a significant increase from earlier cycles and highlight the growing role of performance-based incentives in overall PA compensation packages.

Highest-Paid Specialties

The AAPA 2025 report identifies several high-paying PA specialties, reflecting ongoing demand and the specialized skills required. These specialties offer strong base salaries and, in some cases, substantial bonus opportunities that further enhance overall compensation:

• Cardiovascular/Cardiothoracic Surgery: Median Base Salary: $162,914
• Emergency Medicine: Median Base Salary: $146,000
• Orthopedic Surgery: Median Base Salary: $135,000
• Critical Care: Median Base Salary: approximately $133,000
• Occupational Medicine: Median Total Compensation: $133,120
• Family Medicine: Median Base Salary: $125,000

Dermatology deserves special mention. While its median base salary is competitive, dermatology PAs have the most extraordinary earning upside of any specialty, with a median bonus of $21,000 and a 90th-percentile base salary of $290,000. This reflects the productivity-based compensation models common in dermatology practices.

For a more detailed look at which specialties pay the most, see our article on the highest paid specialties for physician assistants.

Notable Changes in the 2025 and 2026 Reports

The latest AAPA Salary Reports highlight several notable changes in PA compensation trends that are important for understanding the current state of the profession.

Increased Median Salaries

The most significant trend is the continued increase in median salaries across all experience levels. The 5.5% jump in total median compensation from 2023 ($127,000) to 2024 ($134,000) is one of the largest single-year increases in recent AAPA reporting history. This trend indicates strong demand for PAs in the healthcare industry, driven by factors such as an aging population, expanding healthcare services, and the critical role of PAs in providing cost-effective, high-quality care. The 2026 report shows this momentum continuing, with 2025 median total compensation reaching $140,000.

Growing PA Workforce

The number of board-certified PAs reached 189,907 by the end of 2024, according to NCCPA data. That is a 6.3% increase from the previous year and a 27.8% growth over the past five years. There are now 56 PAs per 100,000 population in the U.S., compared to 45 in 2020. The BLS reports about 162,700 PA jobs existed in 2024. Additionally, the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) projects that the number of accredited PA education programs will rise from 310 in July 2024 to 353 by 2027. This growth in both workforce and training capacity signals a profession with strong institutional support, though it also means applicants to PA programs should expect continued competition.

Specialty Distribution Shifts

NCCPA data reveals a shift in how PAs are distributed across specialties. Surgical subspecialties now account for the largest proportion of PAs at 18.5%, closely followed by family medicine and general practice at 16.3%. The overall representation of PAs in primary care saw a proportional decrease of 2.4%, dropping to 22% in 2024 from 24.4% in 2020. Notably, over half of all PAs (53.4%) have changed specialties at least once during their careers, which speaks to the flexibility that the PA model offers.

Gender Pay Gap

The NCCPA’s 2024 data highlights a persistent gender pay gap within the PA profession. On average, male PAs earn $20,892 more annually than female PAs across all specialties. The largest gaps appear in obstetrics and gynecology ($34,069), dermatology ($29,359), and cardiovascular and thoracic surgery ($24,769). This is an important data point for the profession to address, and PAs of all genders can use salary report data as a benchmarking tool during compensation negotiations.

Enhanced Bonus Structures

There is a noticeable trend toward higher bonuses, particularly for those in specialized fields and with more experience. With nearly 58% of full-time PAs receiving bonuses in 2025 (up from 56.7% the prior year) and a median bonus of $7,500, performance-based incentives are becoming a more standard part of PA compensation packages.

Geographic Variations

The reports emphasize significant geographic variations in PA salaries, influenced by factors such as cost of living and local demand for healthcare services. While California, Hawaii, and Alaska report the highest nominal base salaries, cost-of-living adjustments tell a different story. Oklahoma ranks first in the nation for cost-of-living adjusted PA wages ($88.06/hour adjusted), followed by Missouri ($85.45), Alabama ($82.93), West Virginia ($82.40), and Texas ($81.78). Understanding this distinction is essential for PAs evaluating job offers in different parts of the country.

Approximately 90% of PAs practice in metropolitan areas. However, PAs working in nonmetro areas are more likely to specialize in primary care (43%) compared to those in metro settings (20%), which has implications for both scope of practice and compensation.

Validity of the Data

The validity of the data in the AAPA Salary Report is frequently questioned due to its self-reported nature. However, AAPA takes several measures to ensure the data’s reliability and accuracy.

Benchmarking Against Other Data Sources

AAPA benchmarks its data against other salary data sources, including both self-reported and employer-reported data. This comparison consistently shows that AAPA’s salary figures align closely with other credible sources.

Comparison with Bureau of Labor Statistics

The base salary data in the AAPA Salary Report is compared with data from the Bureau of Labor Statistics (BLS). According to the BLS, the median annual wage for physician assistants was $133,260 in May 2024. The BLS also reports the following percentile breakdown:

• Lowest 10%: less than $95,240
• Lowest-paid 25%: $113,770
• Best-paid 25%: $160,160
• Highest 10%: more than $182,200

These figures align closely with the AAPA’s reported median base salary of $130,000 and total compensation of $134,000 for 2024, reinforcing the reliability of the AAPA data.

Medical Group Management Association (MGMA) Comparison

Although MGMA’s data is proprietary and based on reports from a small group of member organizations, comparisons have shown that MGMA’s salary figures for PAs sometimes align closely with AAPA’s and sometimes vary. This variability is expected due to differences in sample sizes and reporting methods.

Comprehensive Approach to Compensation

AAPA’s report includes not just base salaries but also considers bonuses, non-paid compensation, benefits, and other additional compensation factors. This comprehensive approach helps ensure a fuller and more accurate representation of PA compensation.

Recommendations for Data Review

AAPA encourages PAs to review the salary data and what is included within the reports from any source. This transparency helps ensure that PAs understand the full scope of their compensation, including non-salary benefits.

Resources for Negotiation and Advocacy

AAPA provides several updated tools to help PAs understand and advocate for their full compensation packages. These include a downloadable Contract Negotiation Checklist, an interactive Anatomy of a Contract tool for step-by-step guidance, and a free cost-of-living calculator alongside customized salary data. These resources are particularly useful for new graduates preparing for their first contract negotiation.

Through these benchmarking processes and comprehensive data collection methods, AAPA ensures the validity and reliability of its salary data, providing PAs with a valuable resource for understanding their compensation.

Specialty Organizations

Specialty organizations support AAPA’s knowledge base regarding medical specialty practice issues. These organizations strengthen the PA profession through their liaisons with their medical and professional counterparts. These relationships allow specialty organizations to partner with AAPA to address challenges such as reimbursement, clinical practice, and regulation. Also, AAPA has created individual issue briefs for several medical specialties.

Specialty organizations offer their members focused CME, professional growth and networking opportunities, advocacy to support the profession, and a chance to give back to the profession through volunteering.

• American Academy of Nephrology PAs
• American Association of Surgical PAs
• American Society of Endocrine PAs
• Association of Neurology PAs
• Association of Neurosurgical PAs
• Association of PAs in Allergy Asthma and Immunology
• Association of PAs in Cardiology
• Association of PAs in Cardiothoracic and Vascular Surgery
• Association of PAs in Obstetrics & Gynecology
• Association of PAs in Occupational Medicine
• Association of PAs in Oncology
• Association of PAs in Psychiatry
• Association of Plastic Surgery PAs
• Gastroenterology PAs
• Geriatric Medicine PAs
• PAs in Critical Care
• PAs in Hospice and Palliative Medicine
• PAs in Orthopaedic Surgery
• Society for PAs in Pediatrics
• Society of Dermatology PAs
• Society of Emergency Medicine PAs
• Society of Ophthalmology PAs
• Society of PAs in Addiction Medicine
• Society of PAs in Family Medicine
• Society of PAs in Otorhinolaryngology/ Head & Neck Surgery
• Society of PAs in Rheumatology
• Urological Association of PAs

Implications for Career Planning

The data from the latest AAPA Salary Reports offers vital insights that can significantly impact career planning for PAs, especially those entering the profession or considering a specialty change. As PAs evaluate their career trajectories, several factors can influence their earning potential, job satisfaction, and overall career growth. Here, we look at these factors, offering a guide on how to leverage salary report data for effective career planning.

Choosing the Right Specialty

High-Paying Specialties

The AAPA 2025 Salary Report identifies several high-paying specialties that can guide PAs in making informed decisions about their career paths. Cardiovascular/cardiothoracic surgery leads with a median base salary of $162,914, followed by emergency medicine at $146,000, orthopedic surgery at $135,000, and critical care at approximately $133,000. These specialties offer competitive base salaries and substantial bonus opportunities. Dermatology, while having a moderate base salary, offers the most significant bonus potential, with a median bonus of $21,000 and a 90th-percentile base salary of $290,000.

Specialization and Additional Training

Specializing in a high-demand area can significantly boost a PA’s earning potential. Pursuing additional training and certifications in specialized fields can open doors to higher-paying positions and increase job security. Given that over half of all PAs (53.4%) change specialties at least once during their careers, the profession offers a degree of flexibility that allows PAs to shift into higher-paying or more fulfilling areas over time. A strong clinical foundation, built early through structured experiences, makes these transitions smoother. Students exploring early clinical exposure might benefit from reading about what internships pre-health students should consider as they plan their pathway.

Geographic Considerations

Cost of Living Adjustments

The report highlights significant geographic variations in PA salaries, and the most important takeaway is that nominal salary alone does not tell the full story. While PAs in California, Hawaii, and Alaska report the highest base salaries, cost-of-living adjusted data tells a different story. Oklahoma, Missouri, Alabama, West Virginia, and Texas offer the highest adjusted wages for PAs. For instance, Oklahoma PAs earn an adjusted hourly rate of $88.06, making it the top-ranked state when living costs are factored in. Understanding these variations can help PAs make strategic decisions about where to work and how to evaluate offers.

Relocation for Better Opportunities

Relocating to regions with higher demand for healthcare services can lead to better job opportunities and higher salaries. States with shortages of healthcare professionals often offer incentives, including higher pay and bonuses, to attract PAs. PAs working in nonmetro areas are more likely to specialize in primary care (43% vs. 20% in metro areas), which can offer a broader scope of practice along with recruitment bonuses and loan repayment programs. Researching these incentives is a strategic step for career advancement.

Employment Setting

Hospital vs. Outpatient Clinics

The employment setting plays a crucial role in determining a PA’s salary and job satisfaction. According to AAPA data, PAs who work in hospitals (regardless of type) reported median compensation of $140,000, up from $131,610 in 2023. PAs in outpatient clinics or private practices may earn less in base salary but can sometimes benefit from more predictable schedules and lower-stress environments. The tradeoff between compensation and quality of life is an important consideration.

Academic Medical Centers

Academic medical centers offer unique opportunities for PAs interested in research, teaching, and advanced clinical practice. These centers often provide competitive salaries, excellent benefits, and opportunities for professional development. PAs working in academic settings can also engage in cutting-edge medical research and contribute to the education of future healthcare professionals.

Negotiating Compensation

Understanding Salary Structures

Understanding the components of a compensation package is essential for effective negotiation. The AAPA Salary Report provides insights into base salaries, bonuses, non-paid compensation, benefits, and additional compensation factors. PAs should review this data to understand what is typically included in a compensation package and prepare for negotiations accordingly. AAPA’s updated Contract Negotiation Checklist and interactive Anatomy of a Contract tool are practical starting points for any PA entering negotiations.

Leveraging Data in Negotiations

PAs can use the salary data to negotiate better compensation packages. By presenting data from the AAPA report, PAs can make a strong case for higher salaries or bonuses. For example, a PA can highlight the median salary and bonus figures for their specialty and experience level during salary discussions with potential employers. Students preparing for the PA profession should understand early that compensation negotiation is a skill worth developing. Our article on how education abroad relates to healthcare earnings provides additional context on building a competitive professional profile.

PA Resources

Embarking on a career as a Physician Assistant/Physician Associate is a rewarding yet challenging commitment that requires thorough preparation and a clear understanding of the profession. Prospective PA students need to work through various requirements, understand the differences between related professions, and find ways to strengthen their applications and professional skills. This section aims to provide comprehensive information and resources for those aspiring to become PAs, including essential guides on getting into PA school, understanding salary prospects, and distinguishing the PA role from other medical careers. The following articles offer practical insights and advice to help you succeed in your PA journey.

• How to Become a Physician Assistant – A guide on getting into PA school, covering prerequisites, application processes, and tips for success.
• PA School Requirements: The Ultimate Guide – Comprehensive information on PA school requirements, including coursework, clinical experience, and application advice.
• Understanding PA Salaries – Detailed insights into PA salaries across different states, specialties, and experience levels.
• PA vs. Doctor: What’s the Difference? – An article comparing the roles, responsibilities, and training of PAs and doctors.
• Highest Paid Specialties for Physician Assistants – Information on the highest paying specialties for PAs and what each specialty entails.
• 8 Reasons Why Internships are a Must for Physician Assistants – Benefits of internships for PA students and tips on finding the right opportunities.
• Mastering Your PA School Personal Statement: A Comprehensive Guide with Samples – A guide to writing a compelling personal statement for PA school applications.
• How to Get Patient Care Hours for PA School Without Certification – Tips on how to gain patient care experience necessary for PA school applications.
• Nurse Practitioner vs. Physician Assistant: What’s the Difference? – An article explaining the differences between nurse practitioners and physician assistants.
• PA to MD Bridge Programs: The Definitive Guide – Information on programs that allow PAs to transition to becoming medical doctors.

These resources cover various aspects of the PA profession, from educational requirements to career advancement and salary insights.

Career Advancement and Continuing Education

Importance of Continuing Education

Continuing education is vital for career advancement and staying competitive in the healthcare field. Pursuing advanced degrees, certifications, and specialized training can enhance a PA’s skills and open up higher-paying job opportunities. Many employers offer tuition reimbursement and professional development programs to support their employees’ educational pursuits. With the number of accredited PA education programs projected to rise from 310 (as of July 2024) to 353 by 2027, the profession is investing heavily in training infrastructure, and PAs who pursue post-graduate specialization will be well-positioned for advancement.

Professional Growth Opportunities

Engaging in professional growth opportunities, such as attending conferences, joining professional organizations, and participating in research projects, can significantly impact a PA’s career trajectory. These activities not only enhance knowledge and skills but also provide networking opportunities with other healthcare professionals. Approximately 59% of PAs are under 40 years of age, positioning the profession for decades of continued growth and leadership. For younger PAs, early involvement in specialty organizations and continuing education sets the foundation for long-term career advancement.

Work-Life Balance

Assessing Job Satisfaction

While compensation is a critical factor, job satisfaction and work-life balance are equally important. PAs should consider factors such as work hours, job stress, and the ability to balance professional and personal life when planning their careers. Jobs that offer flexible schedules, reasonable work hours, and supportive work environments can lead to higher job satisfaction and overall well-being.

Mental Health and Burnout Prevention

Healthcare professionals, including PAs, are susceptible to burnout due to the demanding nature of their work. Prioritizing mental health and seeking employers that provide resources for stress management and burnout prevention can contribute to a healthier work-life balance. Employers that recognize the importance of mental health and offer support programs can help PAs maintain long and fulfilling careers.

Telemedicine and Evolving Practice Models

The rise of telemedicine has become a permanent feature of the PA practice landscape. According to AAPA data, nearly half of all PAs (49%) used telemedicine in their clinical work within the last year. This represents a massive shift from just 9.6% in 2019, before the COVID-19 pandemic accelerated telehealth adoption. Telehealth services allow PAs to provide care remotely, offering more flexibility and expanding job opportunities. Embracing telemedicine can be a strategic move for PAs looking to diversify their skill set and adapt to the evolving healthcare environment. PAs who are comfortable with both in-person and virtual care delivery will have a competitive advantage in the job market.

Industry Developments: Federal Student Loan Policy

Prospective PA students should be aware of potential changes in federal student loan policy. A new federal student loan rule taking effect on July 1, 2026, could limit how much future PA students can borrow through federal programs. AAPA and the PA Education Association have filed a lawsuit challenging this rule (known as the RISE rule), arguing that tens of thousands of future PAs could be shut out of the profession if borrowing limits are reduced. Students planning to begin PA programs in the 2026-2027 academic year should monitor this situation closely and discuss financial planning options with their program’s financial aid office.

For more detailed insights and to customize your salary data, access the full AAPA Salary Report here. The report is included with AAPA fellow, student, and retired memberships. Pre-PA and affiliate members can purchase the report for $275.

How AAPA Data Compares to BLS Figures

The AAPA Salary Reports and the Bureau of Labor Statistics both provide comprehensive insights into the earning potential of PAs, but they approach the data from slightly different perspectives. Here is how the most current information aligns:

General PA Salary Overview: BLS vs. AAPA

Bureau of Labor Statistics (May 2024 data):

• Median annual wage for PAs: $133,260
• Lowest 10%: less than $95,240
• Lowest-paid 25%: $113,770
• Best-paid 25%: $160,160
• Highest 10%: more than $182,200

AAPA 2025 Salary Report (2024 data):

• Median base compensation: $130,000
• Median total compensation (including bonuses): $134,000

AAPA 2026 Digital Salary Report (2025 data):

• Median total compensation: $140,000

Alignment: Both sources indicate that PAs are well-compensated, with closely aligned median figures. The BLS figure of $133,260 falls between AAPA’s base ($130,000) and total ($134,000) compensation for the same period, demonstrating strong consistency between self-reported and employer-reported data.

Specialization and Setting

BLS and U.S. News & World Report:

Highlights top-paying metropolitan areas and states. Identifies outpatient care centers, employment services, and scientific research as top-paying settings.

AAPA 2025 Salary Report:

Provides detailed salary information for various specialties, from cardiovascular/cardiothoracic surgery ($162,914) to family medicine ($125,000). Shows compensation differences across settings, with hospital-based PAs earning a median of $140,000.

Alignment: Both sources emphasize the significant impact of specialization and employment setting on PA salaries. The AAPA report goes further in detailing specific specialties and bonus structures, which complement the broader geographic and setting-based data from BLS.

Geographic Variations

BLS and U.S. News & World Report:

Best-paying states by nominal salary include California, Washington, and Alaska. Highest nominal salaries found in metropolitan areas like San Jose, Napa, and San Francisco.

AAPA 2025 Salary Report:

Highlights that cost-of-living adjusted pay tells a different story, with Oklahoma, Missouri, and Alabama leading. Notes that approximately 90% of PAs practice in metropolitan areas.

Alignment: Both sources agree that geographic location plays a crucial role in determining PA salaries. The AAPA report adds an important layer by including cost-of-living adjustments, which changes the picture significantly for PAs weighing relocation decisions.

Bonus Compensation

BLS:

Does not specifically report bonus data.

AAPA 2025 Salary Report:

Provides detailed bonus information: 56.7% of full-time PAs received a bonus, with a median of $7,500 (25th percentile: $3,000; 75th percentile: $15,000; 90th percentile: $34,000). Dermatology PAs lead in bonus potential, with a median bonus of $21,000.

Alignment: The AAPA report provides additional detail that the BLS does not capture, offering a more complete picture of total PA compensation. This makes the AAPA report particularly valuable for PAs evaluating offers that include performance-based incentives.

Growth and Outlook

Bureau of Labor Statistics:

Projects a 20% growth in PA employment from 2024 to 2034, much faster than the average for all occupations. About 12,000 openings for physician assistants are projected each year, on average, over the decade. Physician assistants held about 162,700 jobs in 2024.

AAPA and NCCPA Data:

The number of board-certified PAs reached 189,907 by the end of 2024, a 6.3% increase from the previous year and 27.8% growth over five years. ARC-PA projects accredited PA programs will increase from 310 to 353 by 2027.

Alignment: Both sources agree on the positive outlook for the PA profession, with substantial growth expected and increasing demand driving salary increases. The workforce is expanding, training programs are growing, and compensation continues to rise.

Overall, the information from the BLS and the AAPA Salary Reports provides a consistent and complementary view of the PA salary landscape. Both highlight the competitive nature of PA compensation, the impact of specialization and geographic location, and the positive growth outlook for the profession. The AAPA report adds depth with detailed bonus data and more granular insights into specific specialties, aligning well with the broader trends identified by the BLS.

When considering a career as a Nurse Practitioner (NP) or Physician Assistant (PA), understanding the differences in NP vs. PA salary is important. Both roles are vital in the healthcare system and offer competitive compensation, but various factors influence their earnings.

NP vs. PA Salary: Nurse Practitioner (NP) Compensation

Nurse Practitioners are advanced practice registered nurses (APRNs) who often work autonomously and specialize in areas such as family medicine, pediatrics, or psychiatry. According to the Bureau of Labor Statistics, the median annual salary for NPs is approximately $129,480 (May 2024 data). Factors affecting NP salaries include:

• Specialization: NPs specializing in high-demand fields such as psychiatry or acute care often earn more.
• Experience: As with most professions, experience can significantly impact salary.
• Geographic Location: Urban areas and states with higher living costs, like California and New York, tend to offer higher salaries.
• Work Setting: NPs working in hospitals or private practices typically earn more than those in educational or public health settings.

NP vs. PA Salary: Physician Assistant (PA) Compensation

Physician Assistants/Associates, who practice medicine on teams with physicians and other healthcare providers, have a slightly different compensation structure. Per BLS May 2024 data, the median annual wage for PAs is $133,260. Factors that influence PA salaries include:

• Specialization: PAs in surgical specialties or emergency medicine often receive higher pay.
• Experience: Similar to NPs, more experienced PAs tend to earn higher salaries.
• Location: Salaries for PAs also vary by location, with higher pay in states with a higher cost of living (though cost-of-living adjusted data may favor different states).
• Work Setting: PAs working in hospitals or specialty practices generally earn more compared to those in clinics or outpatient settings.

Comparative Analysis

While the median salaries for NPs and PAs are comparable, PAs tend to have a slight edge in base earnings based on current BLS data ($133,260 for PAs vs. $129,480 for NPs). The choice between becoming an NP or PA might also be influenced by other factors such as the type of training, desired work environment, and state regulations regarding scope of practice. Both professions offer excellent job growth prospects, with the BLS projecting a 20% increase in employment for PAs from 2024 to 2034, compared to the national average of about 4% for all occupations. For a detailed comparison of these two career paths, see our article on Nurse Practitioner vs. Physician Assistant.

Choosing between a career as an NP or PA should take into account personal interests, career goals, and lifestyle preferences. Both roles offer rewarding career paths with strong salaries and significant opportunities for growth and specialization.

Strengthen Your PA School Application with IMA Pre-PA Programs and Admissions Consulting

Embarking on a career as a PA is a significant commitment that requires not only academic excellence but also practical experience and strategic planning. To improve your chances of success in this competitive field, structured programs and expert guidance can make a real difference. International Medical Aid (IMA) offers Pre-PA Internship Programs and Admissions Consulting Services designed to help you build a stronger application and a clearer understanding of the profession.

IMA Pre-PA Internship Programs

IMA’s Pre-PA Internship Programs are designed to give aspiring PAs structured clinical exposure in professionally supervised settings. These programs place you alongside healthcare professionals in real medical environments, providing the kind of experience that PA admissions committees value. Here are some key benefits of participating in IMA’s Pre-PA Internship Programs:

• Clinical Experience: Gain practical exposure by observing and supporting healthcare professionals in various medical settings. This experience is valuable for understanding patient care workflows, medical procedures, and the daily operations of healthcare facilities.
• Global Exposure: Internships are available in diverse international locations, offering a global perspective on healthcare delivery. This exposure helps you develop cultural competence, a meaningful skill in healthcare.
• Professional Networking: Internships provide opportunities to build relationships with medical professionals, mentors, and peers. These connections can lead to mentorship and strong recommendations for PA school applications.
• Skill Development: Internships focus on developing essential skills such as patient communication, medical documentation, and teamwork, all of which are valued by admissions committees.

For more information and to apply, visit our IMA Pre-PA Internship Programs page.

IMA Admissions Consulting Services

Applying to PA school is a multifaceted process that involves more than good grades and test scores. IMA’s Admissions Consulting Services offer personalized guidance throughout the application process. Here is how these services can help:

• Personalized Guidance: Receive one-on-one coaching from experienced admissions consultants who understand the PA school application process. They can help you craft a compelling personal statement, prepare for interviews, and highlight your strengths.
• Application Strategy: Consultants assist in developing a strategic approach to your applications, ensuring you apply to programs that align with your career goals and qualifications. This increases your chances of acceptance by targeting schools where you are a strong candidate.
• Comprehensive Review: Get detailed feedback on your application materials, including essays, resumes, and recommendation letters. This review ensures that your application is polished and presents you clearly and accurately.
• Interview Preparation: Practice mock interviews with experienced consultants who provide constructive feedback. This preparation helps you articulate your experiences and motivations effectively.

For more details and to book a consultation, visit IMA Admissions Consulting Services.

What This Means for Pre-PA Students in 2026

The PA profession is in a strong position heading into the second half of the decade. Compensation is rising, the workforce is expanding, job growth projections remain well above average, and the profession continues to gain recognition and expanded scope in states across the country. For students weighing whether to pursue the PA path, the data supports several clear takeaways.

First, PA compensation is competitive from the start. A median starting salary of approximately $118,000 for new graduates, with total compensation reaching $140,000 at the median across all experience levels, places the PA profession among the most financially rewarding healthcare careers accessible through a master’s degree. Second, specialty choice and geographic location matter significantly. A PA in cardiovascular surgery or dermatology may earn substantially more than one in primary care, and cost-of-living adjustments can shift which states actually offer the best financial quality of life. Third, the profession’s flexibility is a genuine asset. Over half of all PAs change specialties at least once during their careers, meaning the initial specialty choice is not a permanent commitment.

For students early in their preparation, building a strong application starts now. Gaining structured clinical experience, developing a clear understanding of the PA role, and preparing application materials with care are the steps that lead to competitive candidacies. Students still weighing the PA path against medical school or other healthcare careers should compare the training timelines, earning trajectories, and scope of practice differences carefully. Our article on how many clinical hours you need is a useful reference for understanding what admissions committees expect.

IMA’s Pre-PA Internship Programs and Admissions Consulting Services are designed to help you build the experience and application strategy you need. Whether you are just beginning to consider the PA profession or are preparing to submit your CASPA application, the right preparation makes a measurable difference.

How PA Compensation Has Changed Over Time

Physician assistant pay has risen steadily over recent years. Median total compensation reported by the AAPA has moved as follows:

• 2020: $110,000
• 2021: $115,000
• 2024: $134,000
• 2025: $140,000 (most recent)

That trajectory represents roughly a 27 percent increase in median PA compensation since 2020, outpacing general wage growth over the same period. Several variables shape where an individual PA lands within that range, which we cover in our guide to the factors that affect physician assistant salaries.

How PA Pay Compares to Nurse Practitioners and Physicians

Physician assistants, nurse practitioners, and physicians sit at different points on the clinical and pay spectrum. Using the most recent median annual wage data from the U.S. Bureau of Labor Statistics (May 2024):

• Physician assistants: $133,260
• Nurse practitioners: $132,050 (BLS combined nurse anesthetist, nurse midwife, and nurse practitioner category)
• Physicians and surgeons: $239,200 or more

PA and NP median pay sits within a few thousand dollars of each other, reflecting their comparable scope as advanced practice clinicians. Physicians earn substantially more, with the Medscape 2026 Physician Compensation Report putting average physician pay at about $386,000, though that gap comes with years of additional training and far higher educational debt.

Frequently Asked Questions

How much do physician assistants make in 2026?

The AAPA’s latest Salary Report puts median total compensation at $140,000, up from $134,000 in 2024. The Bureau of Labor Statistics reports a median PA salary of $133,260 (May 2024 data).

What is the highest-paid PA specialty?

Cardiothoracic surgery is the highest-paid PA specialty, with a median base salary of $162,914 according to the AAPA.

How does physician assistant pay change with experience?

Earnings rise steadily with experience. PAs with 15 to 19 years report a median around $146,000, and those with 20 or more years report about $150,000.

Which states pay physician assistants the most?

California reports some of the highest PA salaries, near $160,000 at the top end, while lower-cost states report less. Adjusted for cost of living the ranking shifts, so the highest salary does not always mean the highest real wage.

Do physician assistants receive bonuses?

Yes. About 58 percent of full-time PAs received a bonus in 2025 according to the AAPA, so total pay frequently exceeds base salary.