Updated May 2026 · BLS OEWS 2024 reference period
Top 10% Physician Assistant Salary (2026)
The top 10% of physician assistants earn $187,255 or more per year as of 2026, based on the 90th percentile of Bureau of Labor Statistics OEWS wage data — the threshold at which only 10% of workers in this occupation earn more. Across U.S. metros, the 90th percentile ranges from $136,342 (lowest-paying metro) to $220,310 (highest-paying metro).
90th percentile across U.S. metros, employment-weighted
What This Pay Level Means
The 90th percentile is the BLS-published wage below which 90% of workers in this occupation earn — i.e., the wage above which only the top 10% earn. Workers in this band are typically principals, directors, senior managers, or highly-specialized individual contributors at top-paying employers. Reaching this band usually requires 15+ years of experience plus deep specialization, or a move to a top-paying metro.
Most senior and management physician assistants earn at the 75th-to-90th percentile band. The median (50th percentile) is the right anchor for typical workers; the 75th percentile fits experienced specialists. See "Senior physician assistant salary" for the 75th-percentile band.
Top-Paying Metros at This Level
| Metro | Top Pay |
|---|---|
| San Francisco, CA | $220,310 |
| Los Angeles, CA | $220,200 |
| San Diego, CA | $213,880 |
| Seattle, WA | $211,080 |
| Portland, OR | $209,150 |
What the Numbers Tell You
Geographic pay variation for Physician Assistants is meaningful but moderate — top metros pay roughly 2.0× the lowest, a $107,700 spread. Cost of living plus a modest premium for high-demand metros explains most of it.
Physician Assistant is a smaller occupation, with about 65,980 workers tracked. Individual employers can move the local market noticeably.
Other Pay Levels for Physician Assistants
Each percentile band targets a distinct experience level — see the dedicated page for your career stage:
- Entry-level physician assistant salary →
- Junior physician assistant salary →
- How much do physician assistants make →
- Senior physician assistant salary →
How This Salary Is Calculated
Wages come from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program — an annual survey of about 1.2 million U.S. establishments published by Standard Occupational Classification (SOC) code and Metropolitan Statistical Area. The figure on this page is employment-weighted across 25 BLS-tracked metros for SOC code 29-1071. The mapping from BLS percentiles to experience bands (entry / junior / mid / senior / top 10%) follows the convention used by the U.S. Department of Labor's prevailing wage system. See full methodology.
Frequently Asked Questions
Top 10% Physician Assistant Salary (2026)?
The top 10% of physician assistants earn $187,255 or more per year as of 2026, based on the 90th percentile of Bureau of Labor Statistics OEWS wage data — the threshold at which only 10% of workers in this occupation earn more. Across U.S. metros, the 90th percentile ranges from $136,342 (lowest-paying metro) to $220,310 (highest-paying metro).
How does this percentile compare to the median?
Physician Assistants have a national median (50th percentile) of $141,148. The 90th percentile shown on this page ($187,255) is 33% above the median — typical for this experience band.
Where do physician assistants at this level earn the most?
San Francisco, CA pays the highest at this percentile band — $220,310. Lowest-paying tracked metro: San Jose, CA at $136,342.
What years of experience does this percentile represent?
The 90th percentile is the BLS-published wage below which 90% of workers in this occupation earn — i.e., the wage above which only the top 10% earn. Workers in this band are typically principals, directors, senior managers, or highly-specialized individual contributors at top-paying employers. Reaching this band usually requires 15+ years of experience plus deep specialization, or a move to a top-paying metro.
Where does this physician assistant salary data come from?
Every wage figure comes from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program at bls.gov/oes — an annual federal survey of more than 1 million U.S. employers. The percentile figure on this page is employment-weighted across BLS-tracked metros.
The top 10% of physician assistants earn $187,255 or more per year as of 2026, based on the 90th percentile of Bureau of Labor Statistics OEWS wage data — the threshold at which only 10% of workers in this occupation earn more. Across U.S. metros, the 90th percentile ranges from $136,342 (lowest-paying metro) to $220,310 (highest-paying metro).