Healthcare California (CA) Rank #2 of 50

Physician Assistant Salary in California

The median physician assistant salary in California is $183,975 per year, which is 46.0% above the national median of $126,010.

Median Salary
$183,975
vs National
+$57,965
State Rank
#2 of 50
Cost of Living
138%

Physician Assistant Salary Overview in California (2026)

California ranks #2 out of 50 states for physician assistant compensation. This places California in the top tier nationally, making it one of the best states for physician assistants seeking high pay. At $183,975 per year, physician assistants in California earn $57,965 more than the national median of $126,010.

It's worth noting that California's cost of living is 138% of the national average, which reduces the real purchasing power of the $183,975 salary. After adjusting for cost of living, the effective salary is closer to $133,315.

The salary spread in California is significant: physician assistants at the 10th percentile earn $122,640, while those at the 90th percentile bring home $254,040 — a $131,400 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in California for this role is San Francisco, where the median reaches $239,419.

Nationally, physician assistant employment is projected to grow 28% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in California and beyond.

Physician Assistant Salary in California by Experience

In California, an entry-level physician assistant earns around $128,480, while experienced professionals earn up to $236,520 per year. The cost of living index in California is 138% of the national average.

Entry Level (0-2 yrs)
$128,480
+$40,480 vs national
Mid Level (3-7 yrs)
$183,960
+$57,960 vs national
Senior Level (8+ yrs)
$236,520
+$74,520 vs national

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Salary Percentiles in California

Percentile CA Salary
10th Percentile $122,640
25th Percentile $154,760
Median (50th) $183,975
75th Percentile $220,460
90th Percentile $254,040

Physician Assistant Salary by City in California

The largest employment areas for physician assistants in California include Los Angeles, San Francisco, San Diego, and San Jose. Salaries vary by city based on local cost of living and demand.

How to Become a Physician Assistant in California

Education

Most physician assistant positions require a master's degree. California has several accredited institutions offering relevant programs.

Key Skills

Clinical AssessmentPharmacologySurgical AssistingPatient CommunicationEMR SystemsDiagnosis

Job Outlook in California

Nationally, physician assistant employment is projected to grow 28% over the next decade (much faster than average). California's demand may vary based on local industry trends.

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Frequently Asked Questions: Physician Assistant Salary in California

How much does a Physician Assistant make in California? ▼
The median physician assistant salary in California is $183,975 per year, which is 46.0% above the national median of $126,010. Salaries range from $122,640 (10th percentile) to $254,040 (90th percentile).
How much does a Physician Assistant make per hour in California? ▼
Based on the median annual salary of $183,975, a physician assistant in California earns approximately $88 per hour assuming a standard 2,080-hour work year.
Is California a good state for physician assistants? ▼
California ranks #2 out of 50 states for physician assistant pay. The cost of living index is 138% of the national average. Entry-level physician assistants earn $128,480, while senior professionals earn $236,520.
How does California compare to other states for physician assistant salary? ▼
The highest paying state for physician assistants is Hawaii at $224,298. California's median of $183,975 ranks #2 nationally. Nearby-ranked states include Hawaii ($224,298) and Massachusetts ($180,194).
What is the entry-level physician assistant salary in California? ▼
An entry-level physician assistant in California earns approximately $128,480 per year. With 3-7 years of experience, pay increases to around $183,960. Senior-level professionals with 8+ years earn up to $236,520.
What city in California pays physician assistants the most? ▼
San Francisco is the highest paying city in California for physician assistants, with a median salary of $239,419. Other cities include Los Angeles and San Diego.