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

A typical Physician Assistant in Hawaii earns about $78.87 per hour ($164,050 per year), according to the latest government wage data (May 2025). Calculated from that annual figure, pay works out to roughly $13,671 a month and $3,155 a week. Those are the numbers a working Physician Assistant in the state can expect to see reflected in a regular paycheck.

That pay is 21% above the national figure of $135,880 a year, and it places Hawaii 4th among all 51 states for Physician Assistant pay. About 530 Physician Assistants work across the state, a modest workforce compared with the national total of 162,150. Even with a smaller workforce, pay for Physician Assistants in Hawaii ranks among the highest in the country.

Entry-level positions in Hawaii typically offer around $38.11 an hour, or about $79,280 a year, for those just starting out as a Physician Assistant. Pay tends to rise steadily from there as clinicians gain experience and take on more responsibility. Within a few years, many reach the state's typical figure of $164,050 a year.

Experienced Physician Assistants in Hawaii often earn upwards of $81.76 an hour, and the top 10% of earners make over $85.63 an hour, or $178,110 a year. That leaves a spread of $98,830 between entry-level and top pay in the state. Setting, years of practice, and city all play a part in where a given Physician Assistant falls within that range.

Physician Assistant pay in Hawaii has climbed from $92,190 in 2015 to $164,050 in 2025, a gain of $71,860. That amounts to a 78% rise over the decade, among the steeper increases recorded nationwide. The climb was not perfectly steady; pay dipped in 2021 before resuming its upward path in the years that followed.

Nationwide, Physician Assistant pay rose 38% over the same ten years, meaning Hawaii's increase ran well ahead of the national pace. For someone starting out now, that history shows pay in this field has moved up substantially in Hawaii, though past gains are no guarantee of future increases.

Pay runs highest in Urban Honolulu, where Physician Assistants typically earn $170,060 a year, about 4% above the statewide figure. Kahului and Wailuku, on Maui, both post a lower typical figure of $134,960 a year. The difference reflects Honolulu's larger, more urban health care market.

Wailuku posts the lowest typical pay in the state at $134,960 a year, putting the full city spread at $35,100. Urban Honolulu also carries the largest Physician Assistant workforce, with 390 employed there. These city figures reflect each area's full metro region, and higher pay in Honolulu tends to track its higher cost of living.

Physician Assistants in Hawaii typically earn $164,050 a year, a figure that has climbed 78% over the past decade and now sits well above the national pay level. Readers weighing a move into or within the field can check the Hawaii state licensing board for current requirements, and review city-level pages for Urban Honolulu, Kahului, and Wailuku to see how local pay compares before making a decision.