How Much Does a Physician Assistant Make in Roanoke, VA in 2026?
Typical pay for Physician Assistants in Roanoke, from federal wage data (May 2025), with the ten-year trend and how the city compares across Virginia.
BLS OES May 2025 · Roanoke metro area
A typical Physician Assistant in Roanoke, Virginia earns $65.36 per hour, or $135,940 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $11,328 a month. Entry-level positions typically offer around $106,150, and the top 10% of earners make over $162,800.
That pay is right at the Virginia figure of $135,940 and right at the national figure of $135,880. Roanoke ranks 2nd of 11 metro areas in Virginia for Physician Assistant pay. About 360 Physician Assistants work in the Roanoke area.
Physician Assistant pay in Roanoke at a glance
- Typical pay is $65.36 an hour, or $135,940 a year.
- That is right at the Virginia figure, ranking 2nd of 11 metro areas in the state.
- Entry-level positions typically offer around $106,150; the top 10% make over $162,800.
- Typical pay rose +50% from 2015 to 2025, against +50% for Virginia as a whole.
BLS OES May 2025
How much does a Physician Assistant make in Roanoke?
Pay in Roanoke runs from entry-level positions at around $51.03 an hour to more than $78.27 for the top 10% of earners. The table sets each career stage against the Virginia and national figures.
Physician Assistant pay by career stage in Roanoke
| Career stage | Roanoke | Virginia | United States |
|---|---|---|---|
| Starting out | $106,150$51.03 an hour | $98,330$47.27 an hour | $99,380$47.78 an hour |
| First years | $126,720$60.92 an hour | $120,580$57.97 an hour | $120,670$58.02 an hour |
| Typical Physician Assistant | $135,940$65.36 an hour | $135,940$65.36 an hour | $135,880$65.33 an hour |
| Experienced | $152,360$73.25 an hour | $162,790$78.26 an hour | $163,980$78.84 an hour |
| Top 10% | $162,800$78.27 an hour | $213,010$102.41 an hour | $190,280$91.48 an hour |
BLS OES May 2025 · city figures cover the Roanoke area as BLS defines it
Physician Assistant pay growth in Roanoke
Typical (median) annual wage for Physician Assistants in the Roanoke area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change
In 2015, typical Physician Assistant pay in Roanoke was $90,780 a year. By 2025 it had reached $135,940, a change of +50%, compared with +50% for Virginia over the same years.
How Roanoke compares with other Virginia cities
Arlington pays Physician Assistants the most in Virginia at $148,200 a year, $12,260 more than Roanoke. The lowest-paying area in the state is Bristol at $117,490.
| # | City | Typical pay | Hourly | Vs Roanoke | Physician Assistants employed |
|---|---|---|---|---|---|
| 1 | Arlington | $148,200 | $71.25 | +9% | 3,020 |
| 2 | Roanoke | $135,940 | $65.36 | this city | 360 |
| 3 | Charlottesville | $133,540 | $64.20 | -2% | 130 |
| 4 | Stuarts Draft metro incl. Staunton | $128,580 | $61.82 | -5% | 60 |
| 5 | Richmond | $126,810 | $60.97 | -7% | 620 |
| 6 | Virginia Beach | $126,430 | $60.78 | -7% | 780 |
| 7 | Harrisonburg | $126,400 | $60.77 | -7% | 40 |
| 8 | Winchester | $126,080 | $60.61 | -7% | 100 |
| 9 | Blacksburg metro incl. Christiansburg · Radford | $125,050 | $60.12 | -8% | 60 |
| 10 | Lynchburg | $122,800 | $59.04 | -10% | 130 |
| 11 | Bristol | $117,490 | $56.49 | -14% | 130 |
Every metro area in Virginia with Physician Assistant wage data · BLS OES May 2025 · Virginia typical pay $135,940
Is Roanoke a good place to work as a Physician Assistant?
Physician Assistant pay in Roanoke sits close to the national figure: $135,940 a year, right at the national rate. For every 1,000 jobs in the Roanoke area, about 2.3 are Physician Assistant positions; nationally, the figure is closer to 1.0. That makes the local economy more reliant on Physician Assistants than most places, and turnover keeps positions opening through the year.
Frequently asked questions
- How much does a Physician Assistant make in Roanoke, VA?
- A typical Physician Assistant in Roanoke earns $135,940 a year, or $65.36 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $106,150 and the top 10% earn over $162,800.
- How much does a Physician Assistant make an hour in Roanoke?
- Typical hourly pay for Physician Assistants in Roanoke is $65.36. Entry-level hourly pay runs about $51.03, and the top 10% earn over $78.27 an hour.
- What is the starting pay for a Physician Assistant in Roanoke?
- Entry-level Physician Assistant positions in Roanoke typically offer around $51.03 an hour, or $106,150 a year.
- Is Physician Assistant pay in Roanoke higher than in the rest of Virginia?
- Roanoke pay is right at the Virginia figure of $135,940 a year, ranking 2nd of 11 metro areas in the state. Arlington pays the most in Virginia at $148,200.