Salary Guide 2026

Physician Assistant Salary in Houston

Average salary range: $50,084 - $78,336 per year

Physician Assistant pay in Houston typically lands around $64,210 (roughly $50,084–$78,336). Houston cost-of-living index is about 96 vs a US 100 baseline. No state income tax; sprawl means commuting cost still matters. Local demand clusters around energy and healthcare — employers such as ExxonMobil and MD Anderson set a lot of the comps. Energy and medical roles are often on-site; corporate hybrid exists. This 2026 guide breaks compensation by level, what actually moves offers, and how to negotiate without guessing.

Salary Breakdown

25th Percentile

$57K

Median

$64K

75th Percentile

$71K

Top Earners

$78K+

$50K$64K (median)$78K

Factors That Affect Physician Assistant Salary in Houston

Experience Level

Entry-level: -20%, Mid-level: baseline, Senior: +30-50%, Lead/Manager: +50-80%

Company Size & Type

Big Tech & Finance typically pay 20-40% above market. Startups may offer equity compensation.

Cost of Living

Houston COL index is about 96 (US 100). No state income tax; sprawl means commuting cost still matters. Local demand clusters around energy and healthcare (ExxonMobil, MD Anderson).

Skills That Increase Physician Assistant Salary

Patient Assessment

Diagnosis

Treatment Planning

Electronic Health Records

Prescribing

Clinical Procedures

NCCPA

State Licensure

Patient Education

Collaborative Practice

How to Negotiate Your Physician Assistant Salary in Houston

Anchor with Houston comps, not a national average that ignores COL index 96
Know your worth based on skills such as Patient Assessment, Diagnosis, Treatment Planning
Let the employer make the first offer when possible
Negotiate total compensation, not just base salary
Be prepared to walk away if the offer doesn't meet your minimum
Get any verbal offers in writing before accepting
Consider timing—negotiate after receiving the offer but before accepting
Practice your negotiation pitch beforehand

Physician Assistant Job Market Outlook in Houston

Demand for Physician Assistants in Houston into 2026 tracks energy and healthcare. Energy and medical roles are often on-site; corporate hybrid exists.

The career trajectory for Physician Assistants in Houston still supports 5–10% annual movement early on, with larger jumps into senior or lead seats—especially in energy.

Frequently Asked Questions

What is the average Physician Assistant salary in Houston?

The average Physician Assistant salary in Houston is approximately $64,210 per year. Salaries range from $50,084 for entry-level positions to $78,336+ for senior roles with specialized skills.

Is Houston a good city for Physician Assistant jobs?

Houston offers moderate salaries for Physician Assistant positions. Consider the cost of living, job market size, industry presence, and quality of life when evaluating opportunities in Houston.

How does Physician Assistant salary in Houston compare to other cities?

Physician Assistant salaries in Houston are moderate compared to national averages. Major tech hubs like San Francisco and New York typically offer higher salaries but also have higher costs of living.

What factors affect Physician Assistant salary in Houston?

Key factors include: years of experience, specialized skills and certifications, company size and industry, education level, negotiation skills, and current market demand. Remote work has also impacted salary expectations in many markets. In Houston, also weigh COL index 96 and energy demand.

How can I negotiate a higher Physician Assistant salary in Houston?

Research market rates using multiple sources, quantify your achievements, highlight specialized skills, consider total compensation (equity, benefits, bonuses), be prepared to walk away, and practice your negotiation pitch. Timing matters - negotiate after receiving the offer but before accepting. In Houston, also weigh COL index 96 and energy demand.

What is the entry-level Physician Assistant salary in Houston?

Entry-level Physician Assistant positions in Houston typically start around $42,571.4 to $50,084 per year. This can vary based on education, internship experience, and the hiring company.

What is the senior Physician Assistant salary in Houston?

Senior Physician Assistant professionals in Houston can earn $70,502.4 to $78,336+ per year. Lead and principal-level roles may exceed these figures, especially at top companies.

Do Physician Assistants get bonuses in Houston?

Many Physician Assistant positions in Houston include bonuses as part of compensation. Typical bonus structures include annual performance bonuses (10-20% of salary), signing bonuses, and profit-sharing. Tech companies may also offer equity compensation.