Updated October 15, 2026

Physician Assistant salary in North Carolina

Physician Assistants in North Carolina earn a median of $61.80 per hour, about $128,540 a year, 4% below the U.S. median of $64.07. The middle half earn between $52.94 and $66.93 per hour. The highest median among North Carolina metro areas is in Greenville, NC, at $66.32 per hour. Source: BLS, May 2024.

Physician Assistant pay in North Carolina: percentiles

LevelNorth Carolina per hourNorth Carolina per yearU.S. per hour
Lowest 10%$47.82$99,470$45.79
Lower quartile$52.94$110,120$54.70
Median$61.80$128,540$64.07
Upper quartile$66.93$139,210$77.00
Top 10%$77.63$161,470$87.60

Physician Assistant pay by metro area in North Carolina

Metro areaMedian / hrMedian / yearEmployedvs North Carolina medianAfter cost of living
Greenville, NC$66.32$137,9401707% above$75.02
Fayetteville, NC$63.68$132,4502603% above$69.23
Charlotte-Concord-Gastonia, NC-SC$63.52$132,1102,5003% above$65.25
Winston-Salem, NC$63.26$131,5708002% above$68.73
Asheville, NC$62.31$129,6004601% above$64.57
Greensboro-High Point, NC$61.61$128,140450in line with$66.34
Pinehurst-Southern Pines, NC$61.46$127,8401301% below—
Jacksonville, NC$61.27$127,4401001% below$66.54
Raleigh-Cary, NC$60.44$125,7101,3002% below$61.57
Goldsboro, NC$60.24$125,290303% below—
Durham-Chapel Hill, NC$60.20$125,2108103% below$61.70
Wilmington, NC$59.80$124,3903203% below$62.02
Hickory-Lenoir-Morganton, NC$59.00$122,7102005% below$66.68
Rocky Mount, NC$54.30$112,9404012% below$61.70
Burlington, NC$52.52$109,2306015% below$56.35

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Physician Assistant pay in states next to North Carolina

StateMedian / hrMedian / yearCompared with North Carolina
Georgia$52.88$109,99014% below North Carolina
South Carolina$57.31$119,1907% below North Carolina
Tennessee$54.80$113,99011% below North Carolina
Virginia$65.14$135,4905% above North Carolina

What employers are posting in North Carolina

  • 5roles with published pay
  • $52.88median pay per hour
  • $43–$70typical published range
  • 4employers hiring
EmployerRolesMedian pay / hour
BrightSpring Health Services2$46.39
Veterans Health Administration1$74.83
Defense Health Agency1$61.73
Military Treatment Facilities under DHA1$49.49

Midpoints of pay ranges in 5 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.

Physician Assistant jobs in North Carolina · Physician Assistant salary nationwide · North Carolina state guide · North Carolina licensing guide

Common questions

How much does a physician assistant make in North Carolina?

The median is $61.80 per hour, about $128,540 a year. The lowest 10% earn under $47.82 and the top 10% earn over $77.63 (BLS, May 2024).

Which North Carolina city pays physician assistants the most?

Among North Carolina metro areas, Greenville, NC has the highest median at $66.32 per hour. See the metro table for the rest and for pay after cost of living.

Where does North Carolina rank for physician assistant pay?

North Carolina ranks 34th of 50 states by median physician assistant pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

Free for every candidate

What do employers near you pay physician assistants? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

Get your free pay report

110+ Physician Assistant roles in North Carolina, sent free by email

Tell us who you are and what you do. We email the report within 24 hours on business days.

Please enter your first name.
Please enter your last name.
That email doesn't look quite right.
Please choose your role.
Please enter your city or ZIP.

Free for candidates. No phone number, no cold calls. One-click unsubscribe.

The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · PA near North Carolina
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your PA pay reportTop-paying employers shown · your North Carolina list by name comes with the full report

1Pay for your role at other employers

  • Duke University Health SystemMorrisville, NC · 1 wage offer$63.75/ hr$64–$64
  • BrightSpring Health ServicesKINSTON, NC · 2 postings$46.39/ hr$32–$58
  • Stanford Children's HealthPALO ALTO, CA · 4 postings$104.30/ hr$94–$115
  • Valley Children's HealthcareMadera, CA · 3 postings$103.69/ hr$75–$123

Median pay per hour, with the range each employer published or reported in federal filings. Request your North Carolina list

2What they are offering now

Low$37Median$52.88High$82

5 PA postings with published pay in North Carolina, 5 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 5 PA roles

  1. Physician Assistant (Podiatry)Permanent
    $115k–$196k/ year
    Veterans Health Administration · Salisbury, NC · posted today
  2. Physician AssistantPermanent
    $112k–$145k/ year
    Defense Health Agency · Fort Bragg, NC · posted 8 days ago

+ 3 more in your report. Each one has pay, shift and start date.

I'm interestedOne click. A recruiter writes only after you reply.
Check my pay