Top Factors That Influence Physician Assistant Salary in 2025

Go-Elective Abroad

Top Factors That Influence Physician Assistant Salary in 2025

Understanding the Role of a Physician Assistant

Before diving into salary data, it’s essential to understand the scope of a Physician Assistant’s work. PAs are licensed medical professionals trained in the medical model to diagnose, treat, and manage a wide range of conditions. They work collaboratively with physicians but often serve as primary care providers, especially in underserved areas.

Whether assisting in surgery, managing chronic illnesses in outpatient clinics, or responding to emergencies, PAs are crucial to patient care across every medical specialty.

For students considering this career path, a pre-PA internship,  like those offered by Go Elective, provides guided clinical exposure in international hospital settings. These experiences build foundational skills and help applicants stand out in competitive admissions processes.

> Explore Go-Elective’s Physician Assistant Internship Programs here


 

How Much Do Physician Assistants Make?

According to the latest U.S. Bureau of Labor Statistics (BLS) data, the median annual salary for Physician Assistants in 2023 was $130,020. With job growth projected at 28% from 2023 to 2033, PAs remain among the most in-demand and well-compensated healthcare professionals in the United States.

Still, actual earnings can vary significantly. Let’s explore the key factors that influence how much a PA earns — and how you can position yourself for top pay.


 

What Affects PA Salary? 6 Major Factors
  1. Specialty Area and Clinical Focus

Not all PA jobs are created equal. Salaries vary dramatically by specialty:

Specialty

Median Salary (2025)

Cardiothoracic Surgery

$152,500

Dermatology

$145,000

Emergency Medicine

$134,000

Critical Care / ICU

$133,000

Psychiatry

$130,000

Family Medicine (Primary Care)

$121,680


PAs in surgical or procedural specialties tend to earn more than those in general practice. However, career satisfaction and work-life balance also play a role — and the ability to switch specialties without returning to school is a major advantage of the PA profession.

Interested in exploring different specialties first-hand? Go Elective’s PA internships let you rotate through departments like surgery, pediatrics, internal medicine, and emergency care.

  1. Geographic Location

Where you practice plays a major role in salary expectations:

Top-Paying States (2025)

Average PA Salary

Washington

$145,390

California

$144,520

Alaska

$144,460

Connecticut

$143,280

Nevada

$141,360


Conversely, states in the South or rural Midwest may offer lower salaries but compensate with a lower cost of living or student loan repayment incentives for underserved areas.

  1. Years of Experience

Experience leads to pay increases — especially in your first decade:

  • Entry-Level (0–1 year): $100,000–$110,000
  • Mid-Career (5–9 years): $120,000–$130,000
  • Senior-Level (15+ years): $135,000–$150,000+

That said, PA salaries often plateau after about 10 years unless the provider shifts into higher-paying specialties or leadership roles.

  1. Practice Setting

Where you work — not just what you do — also matters:

Practice Setting

Median Salary (2025)

Outpatient Care Centers

$141,050

Hospitals

$134,120

Physician Offices

$126,280

Government Facilities

$122,010

Academic Institutions

$115,160


Outpatient surgical centers and private facilities often pay the most. Academic settings offer lower base pay but more predictable schedules and educational perks.

  1. Employer Type

Employer structure influences compensation:

  • Independent Contractors / Locums: $130K+
  • HMOs and Managed Care: ~$123K
  • Private Practice or Corporates: $115K–$120K
  • Government / Public Sector: ~$107K
  • Academia / Universities: ~$100K–$110K

Many PAs now pursue locum tenens work — short-term or remote assignments — which can pay significantly more per hour due to high demand and limited commitment. These roles are flexible, ideal for travel, and increasingly common in rural and underserved areas.

  1. Certifications and Education

Advanced credentials also boost salaries:

  • CAQs (Certificates of Added Qualifications) signal specialty expertise in fields like cardiology, EM, or OB-GYN.
  • Postgraduate fellowships in emergency medicine or surgery add value early in your career.
  • Doctoral degrees (e.g., DMSc) are growing in popularity for leadership and academic roles, though not required for clinical practice.

If you’re just getting started, consider a clinical internship abroad to build a competitive application. Go Elective offers immersive learning in East African hospitals where you can observe real cases, shadow experienced providers, and log meaningful patient care hours.


 

Beyond the Clinic: Non-Traditional PA Career Paths

This year offers more than traditional clinical roles for Physician Assistants. High-growth alternative career paths include:

  • Healthcare Administration: Manage teams or direct hospital operations.
  • Academia & Teaching: Train the next generation of PAs.
  • Public Health & Policy: Work with government bodies, advocacy groups, or NGOs.
  • Pharmaceutical & Biotech: Serve as Medical Science Liaisons or clinical trial managers.
  • Telemedicine & Digital Health: Offer care remotely via modern tech platforms.

Each of these options can lead to competitive compensation and new professional fulfillment — whether you prefer stability, flexibility, or innovation.


 

Final Thoughts: Maximizing PA Earnings in 2025 and Beyond

The Physician Assistant profession remains one of the most lucrative, flexible, and fast-growing healthcare careers in the U.S. As of 2025:

  • Median Salary: ~$130,000
  • Projected Job Growth: 28% through 2033
  • Flexible Career Pathways: Clinical, educational, administrative, and global

If you're planning your journey to become a PA, your first step should be real-world experience. Explore Go Elective’s international PA internships in Kenya and Tanzania — ideal for gaining clinical exposure, expanding your worldview, meeting your PA school clinical hours  and or preparing a stronger application for PA school.

Article Details


Categories

Recent Articles , Pre-health, Medical Electives,

Author: Go-Elective Abroad


Date Published: Jun 16, 2025


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