Physician Assistants pay range in Roanoke
New workers and the lowest-paid 10% earn about $106,150 a year or less, while the top 10% make $162,800 or more. The middle half of physician assistants in Roanoke earn between $126,720 and $152,360.
- $106K10th
- $127K25th
- $136KMedian
- $152K75th
- $163K90th
median average · bar = middle 50% of workers
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $136,220 | $11,352 | $65.49 |
| Median | $135,940 | $11,328 | $65.36 |
| Entry level (25th percentile) | $126,720 | $10,560 | $60.92 |
| Experienced (75th percentile) | $152,360 | $12,697 | $73.25 |
*Hourly figures assume 2,080 paid hours a year.
Physician Assistants salary after taxes in Roanoke
On the average salary of $136,220, a single filer in Roanoke takes home about $97,354 a year, or $8,113 a month and $3,744 every two weeks. Taxes take 29% of gross pay.
Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2025 rules).
Is Roanoke a good place for physician assistants? Pay vs. cost of living
Prices in the Roanoke area are 6% below the U.S. average (BEA price parity 93.6), so the average $136,220 buys what about $145,506 would buy in a typical U.S. metro. This job pays 2.9 times the median wage of all jobs in Roanoke ($47,140). A typical home costs $301,139, or 2.2 years of this average salary before tax.
Physician Assistants salary in other Virginia cities
Roanoke ranks 3rd of 9 Virginia metro areas for this job; Charlottesville pays the most ($141,350).
- Charlottesville$141,350
- Staunton$138,570
- Roanoke$136,220
- Blacksburg$134,860
- Virginia Beach$129,080
- Lynchburg$127,800
- Richmond$127,600
- Harrisonburg$127,200
- Winchester$119,720
Highest-paying cities for physician assistants
San Jose, CA pays this job the most of the metro areas we cover ($207,660).
- San Jose, CA$207,660
- Salinas, CA$202,320
- San Francisco, CA$182,610
- Vallejo, CA$182,520
- Bakersfield, CA$177,840
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Physician Assistants salary in Roanoke: questions
How much do physician assistants make an hour in Roanoke?
$65.49 an hour on average, and $65.36 at the median (BLS, May 2025).
What is the entry-level physician assistants salary in Roanoke?
The lowest-paid 10% earn about $106,150 a year and the 25th percentile is $126,720, a fair guide to starting pay.
What is the physician assistants take-home pay in Roanoke?
About $97,354 a year ($8,113 a month) for a single filer on the average salary of $136,220.
Do physician assistants earn more in Roanoke than elsewhere?
The average here is 4% less than the U.S. metro average for this job ($141,862).
Sources and how to read this page
- Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-1071; area Roanoke, VA (40220). Relative standard error of the mean wage: 1.2%.
- Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
- Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
- Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2025 rules).
- Job concentration: location quotient 2.23, this job is 2.2 times as concentrated as in the U.S. overall.
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