Physician Assistant salary in Roanoke, VA
Physician Assistants in the Roanoke, VA metro area earn a median of $135,940 a year ($65.36 an hour), based on BLS data for 360 workers.
Pay ranges from $106,150 for the lowest-paid 10% to $162,800 for the top 10%. That is about the same as the national median of $135,880. Pay here is about the same as the Virginia statewide median of $135,940. There are 2.3 physician assistants per 1,000 jobs here — the job is 2.2× more common than nationally. The average (mean) salary is $136,220, above the median because a few high earners pull it up.
Pay range for physician assistants in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $106,150 | $51.03 |
| 25th percentile | $126,720 | $60.92 |
| Median | $135,940 | $65.36 |
| 75th percentile | $152,360 | $73.25 |
| 90th percentile (top earners) | $162,800 | $78.27 |
| Average (mean) | $136,220 | $65.49 |
Half of physician assistants earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $11,328.33 |
| Semi-monthly (24 a year) | $5,664.17 |
| Biweekly (26 a year) | $5,228.46 |
| Weekly | $2,614.23 |
| Hourly | $65.36 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Physician Assistant salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $148,200 | 3,020 |
| Charlottesville, VA | $133,540 | 130 |
| Staunton-Stuarts Draft, VA | $128,580 | 60 |
| Richmond, VA | $126,810 | 620 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $126,430 | 780 |
| Harrisonburg, VA | $126,400 | 40 |
| Winchester, VA-WV | $126,080 | 100 |
| Blacksburg-Christiansburg-Radford, VA | $125,050 | 60 |
| Lynchburg, VA | $122,800 | 130 |
| Kingsport-Bristol, TN-VA | $117,490 | 130 |
Highest-paying states for physician assistants
| State | Median salary |
|---|---|
| New Jersey | $165,690 |
| California | $165,650 |
| Washington | $164,360 |
| Hawaii | $164,050 |
| New York | $160,880 |
| Oregon | $155,780 |
| New Hampshire | $150,960 |
| Alaska | $150,700 |
| Vermont | $150,490 |
| Massachusetts | $142,410 |
See Physician Assistant pay in every state or the Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Registered Nurse | $80,090 | $38.51 |
| Nurse Practitioner | $134,920 | $64.87 |
| Pharmacist | $133,980 | $64.41 |
| Physical Therapist | $98,770 | $47.49 |
| Family Medicine Physician | $224,410 | $107.89 |
| Respiratory Therapist | $78,820 | $37.89 |
| Speech-Language Pathologist | $91,560 | $44.02 |
| Occupational Therapist | $98,010 | $47.12 |
| Dental Hygienist | $98,550 | $47.38 |
| Dietitians and Nutritionists | $69,780 | $33.55 |
| Veterinarian | $121,940 | $58.63 |
| General Internal Medicine Physician | $227,320 | $109.29 |
| Obstetricians and Gynecologists | $346,900 | $166.78 |
| Pediatricians, General | $219,960 | $105.75 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Roanoke, VA
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-1071. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a physician assistant make in Roanoke, VA?
The median salary for physician assistants in the Roanoke, VA metro area is $135,940 a year, or $65.36 an hour. Pay ranges from $106,150 for the lowest-paid 10% to $162,800 for the top 10%.
How much do the highest-paid physician assistants make in Roanoke, VA?
The top 10% of physician assistants in the Roanoke, VA metro area earn at least $162,800 a year. The top 25% earn $152,360 or more.
What is the starting pay for physician assistants in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $106,150 a year, and a quarter of physician assistants earn $126,720 or less.
How many physician assistants work in Roanoke, VA?
About 360 physician assistants are employed in the Roanoke, VA metro area, not counting the self-employed.