How Much Does a Physician Assistant Make in Alabama in 2026?

A typical Physician Assistant in Alabama earns about $50.46 per hour, or $104,960 per year, according to the latest government wage data (May 2025). Spread across the year, that works out to about $8,747 a month, or close to $2,018 a week. This figure reflects typical pay across employers and settings statewide.

That is 23% below the national typical pay of $135,880 a year for Physician Assistants, and Alabama ranks 51st out of 51 states and territories on this measure. About 930 Physician Assistants work across the state. Lower pay here tends to track Alabama's lower cost of living compared with higher-paying states.

Entry-level positions in Alabama typically offer around $39.91 an hour, or about $83,020 a year, for Physician Assistants just starting out. Pay tends to move toward the typical statewide figure of $104,960 within the first few years on the job. New graduates often start in primary care or hospital settings before moving into higher-paying specialties.

Experienced Physician Assistants in Alabama often earn upwards of $59.05 an hour, and the top 10% of earners make over $145,100 a year. That leaves a spread of $62,080 between entry-level and top pay. Specialty, years of experience, and city all play a part in where an individual PA lands within that range.

Alabama's typical Physician Assistant pay rose from $94,400 in 2015 to $104,960 in 2025, a gain of $10,560 over the decade. That is an increase of 11%, with most of the rise coming in the last three years after a dip in 2022. Pay has not moved in a straight line, but the ten-year trend points upward.

Nationally, typical Physician Assistant pay rose 38% over the same ten years, a faster pace than Alabama's climb. For someone starting a PA career in Alabama now, pay has moved up over the past decade, though there is no guarantee that pace continues. The recent trend, at least, has been consistently upward since 2022.

Pay runs highest in the Daphne metro area (which also covers Foley and Fairhope), where Physician Assistants typically earn $112,610 a year, about 7% above the statewide figure. Huntsville follows at $107,230, and Birmingham comes in at $105,440. These figures cover each city's full metro area, not just the city center.

Anniston pays the least among Alabama's tracked metro areas, with Physician Assistants typically earning $98,130 a year, a spread of $14,480 between the highest- and lowest-paying cities. Birmingham employs the most Physician Assistants of any Alabama city, with 280 working there. Cities with higher pay often carry higher living costs, so the gap does not translate directly into more spending power.

Alabama's neighbors generally pay Physician Assistants more. Florida's typical pay of $129,620 a year runs 23% above Alabama's figure, and Tennessee's $118,240 sits 13% higher. Georgia pays $115,390, about 10% above, while Mississippi is close, at just 1% above Alabama. Physician assistant licenses can often be transferred or endorsed between neighboring states, which can make it easier to compare offers across state lines before relocating.

Physician Assistants in Alabama typically earn $104,960 a year, up from $94,400 a decade ago. For current licensing requirements, readers can check the Alabama Board of Medical Examiners' physician assistant registry; for pay in a specific city, the local city pages on this site break down figures for Birmingham, Huntsville, Mobile, and other Alabama metro areas.