Physician Assistant Salary in Hawaii
The median physician assistant salary in Hawaii is $224,298 per year, which is 78.0% above the national median of $126,010.
Physician Assistant Salary Overview in Hawaii (2026)
Hawaii ranks #1 out of 50 states for physician assistant compensation. This places Hawaii in the top tier nationally, making it one of the best states for physician assistants seeking high pay. At $224,298 per year, physician assistants in Hawaii earn $98,288 more than the national median of $126,010.
It's worth noting that Hawaii's cost of living is 170% of the national average, which reduces the real purchasing power of the $224,298 salary. After adjusting for cost of living, the effective salary is closer to $131,940.
The salary spread in Hawaii is significant: physician assistants at the 10th percentile earn $149,520, while those at the 90th percentile bring home $309,720 — a $160,200 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Hawaii for this role is Honolulu, where the median reaches $230,598.
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 Hawaii and beyond.
Physician Assistant Salary in Hawaii by Experience
In Hawaii, an entry-level physician assistant earns around $156,640, while experienced professionals earn up to $288,360 per year. The cost of living index in Hawaii is 170% of the national average.
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View Offers You Qualify For →Salary Percentiles in Hawaii
| Percentile | HI Salary |
|---|---|
| 10th Percentile | $149,520 |
| 25th Percentile | $188,680 |
| Median (50th) | $224,298 |
| 75th Percentile | $268,780 |
| 90th Percentile | $309,720 |
Physician Assistant Salary by City in Hawaii
The largest employment areas for physician assistants in Hawaii include Honolulu, Pearl City, Hilo, and Kailua. Salaries vary by city based on local cost of living and demand.
How to Become a Physician Assistant in Hawaii
Education
Most physician assistant positions require a master's degree. Hawaii has several accredited institutions offering relevant programs.
Key Skills
Job Outlook in Hawaii
Nationally, physician assistant employment is projected to grow 28% over the next decade (much faster than average). Hawaii's demand may vary based on local industry trends.
Negotiate Your Way to Senior Pay
Data shows Physician Assistants who negotiate earn 7–15% more. A single negotiation could add $64,062 over your career trajectory.
Get Negotiation Scripts — $197 →Open to Physician Assistant Roles in Hawaii?
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