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

A typical Physician Assistant in Texas earns about $64.69 per hour ($134,550 per year), per the latest government wage data (May 2025). That works out to roughly $11,212 a month and $2,588 a week, both calculated from the annual figure. Pay varies by city, setting, and experience, but this figure represents the middle of the range for the state's Physician Assistants.

That figure sits about 1% below the national typical pay of $135,880 a year, a gap that mostly reflects Texas's lower cost of living in many areas. Texas ranks 27th out of 51 states and the District of Columbia for Physician Assistant pay. The state employs 10,110 Physician Assistants, compared with 162,150 nationwide, making it one of the larger workforces in the country.

Entry-level positions in Texas typically offer around $49.35 an hour, or about $102,650 a year, according to the May 2025 wage data. New Physician Assistants often start near this figure while completing onboarding and building clinical experience. Within a few years, pay tends to move up toward the state's typical figure of $134,550 a year as experience grows.

Experienced Physician Assistants in Texas often earn upwards of $75.00 an hour, or around $156,000 a year. The top 10% of earners make over $169,000 annually, working out to about $81.25 an hour. The gap between entry-level and top pay comes to $66,350, a spread that tends to track years of practice, specialty setting, and the city where a Physician Assistant works.

Texas Physician Assistant pay has risen steadily over the past decade, from $101,010 in 2015 to $134,550 in 2025. That is a gain of $33,540, or a 33% increase, according to the government wage data covering that period. The increase has been consistent year over year, without sharp jumps or drops along the way.

Nationally, Physician Assistant pay rose 38% over the same ten years, a slightly faster pace than Texas saw. Someone starting a Physician Assistant career in Texas today enters a field where pay has moved up steadily for a decade. That pattern offers no guarantee about future years, but it reflects consistent growth up to this point.

Pay runs highest in the Midland metro area, where Physician Assistants typically earn $158,200 a year, about 18% above the statewide figure. Killeen and Temple follow at $140,200 a year, with New Braunfels and San Antonio close behind at $140,160. Smaller West Texas and Central Texas metro areas often post some of the state's highest figures.

El Paso sits at the bottom of the list, with a typical figure of $107,220 a year, creating a spread of $50,980 between the highest- and lowest-paying metro areas. The Dallas-Fort Worth-Arlington area, home to the largest Physician Assistant workforce at 3,230, pays $134,900 a year, close to the statewide figure. These city figures cover each full metro area, and lower pay in places like El Paso usually tracks a lower cost of living.

Among neighboring states, New Mexico pays Physician Assistants the most, at $139,920 a year, about 4% higher than Texas. Oklahoma runs close behind at $136,550, roughly 1% above the Texas figure. Louisiana and Arkansas both pay less, at $128,870 and $118,430 a year, or 4% and 12% below Texas respectively. Physician Assistant licensure earned in one state can often be transferred or endorsed into a neighboring state, making moves across these borders relatively straightforward.

Physician Assistants in Texas typically earn $134,550 a year as of the latest data, up 33% over the past decade from $101,010 in 2015. Pay varies by city, from $158,200 in Midland to $107,220 in El Paso, and by experience, from entry-level figures near $102,650 to over $169,000 for top earners. Readers considering this path in Texas can check the state licensing board for requirements and review city-specific pages for local pay figures.