Physician Assistant.
Austin.
$122,000
median salary, 3% above the national average
$105,000 to $142,000. Updated for 2026.
The numbers.
Everything you need to negotiate with confidence.
Austin is 3% more expensive than the national average. For Physician Assistants, that shakes out to a median of $122,000, with the full range spanning $105,000 to $142,000. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Know the range before you walk in.
Salary range
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How Austin compares
Austin, TX
$122,000
Cost of living: 3% above average
National Average
$118,000
Austin is $4,000 above
What you should know
The Physician Assistant landscape in Austin is not what most salary sites will tell you. Austin has transformed into one of America's fastest growing tech hubs, attracting relocations from Apple, Tesla, Oracle, and Samsung. The city's combination of no state income tax, a vibrant startup scene, and a strong university pipeline makes it highly competitive. Salaries have risen sharply over the past five years, narrowing the gap with coastal cities. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Geographic location matters significantly, with rural and underserved areas offering premium pay to attract talent. Experience in procedural skills and first-assist certification further boost compensation.
Entry-level PAs earn $95,000 to $105,000 in their first role. Mid-career PAs with specialty experience reach $120,000 to $135,000. Senior PAs in surgical specialties or leadership positions can command $145,000 to $165,000 with additional administrative responsibilities. In Austin, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. PAs commonly receive productivity bonuses, CME allowances of $2,000 to $5,000 annually, malpractice insurance, and relocation assistance. Hospital systems often add shift differentials for nights, weekends, and call coverage. And on the tax side: texas has no state income tax, which can mean 5 to 10% more take home pay compared to California roles. Property taxes are above average, however, running about 1.8% of home value. When someone quotes you $122,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Use the no income tax advantage as a negotiation lever. Ask employers to match 90% of a Bay Area offer and show that your net pay will actually be higher. The range for Physician Assistants in Austin runs from $105,000 to $142,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Top industries in Austin
Negotiating in Austin
Use the no income tax advantage as a negotiation lever. Ask employers to match 90% of a Bay Area offer and show that your net pay will actually be higher.