Physician Assistant Hourly Pay in Lewiston, ID: $64.39 (2026)
Quick Answer:Hourly pay for a physician assistant working in Lewiston, ID runs $64.39 at the median for 2026 — annualizing to $133,935 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1071). Weighted against Lewiston's regional price level (BEA RPP 95.3, 5% below national), each hour of work buys what $67.56 nationally would. A 24-hour part-time schedule grosses $80,358 per year.
Based on BLS state-level estimates · View source

In Lewiston, the physician assistant hourly pay is projected to reach $64.39 in 2026, which is slightly lower than the national median of $67.50 per hour. This hourly rate translates into about $5,150 per month for those working full-time. For part-time physician assistants working three days a week, this means an estimated take-home pay of around $4,572 monthly, based on a 24-hour work week. The pay varies significantly within the field, with entry-level positions beginning at approximately $50.53 per hour while seasoned professionals can earn up to $88.06 per hour. Most of the hourly figures for Lewiston are derived from annual salary estimates, so while annual contexts are useful for understanding overall compensation, the practicalities of hourly work are where many PAs find flexibility, especially in settings like ambulatory clinics and urgent care facilities.
About the Lewiston Market
Salary estimated from Idaho average ($120,000) adjusted for local cost of living.
Physician Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $50.53 | $404.27 |
| Lower Range (P25) | $59.04 | $472.30 |
| Median (P50) | $64.39 | $515.11 |
| Upper Range (P75) | $77.18 | $617.44 |
| Top Earners (P90) | $88.06 | $704.48 |
Estimated Annual Income by Work Schedule in Lewiston
Based on $64.39/hr median hourly rate · 2026 est.
At $64.39/hr, a physician assistant working full-time (40 hr/wk) in Lewiston, ID can expect to earn approximately $133,929 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $77,267. With a cost-of-living index of 95.30 (below the national average), these earnings stretch further in Lewiston.
Hourly Rate Calculator
Schedule Comparison in Lewiston
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,575.56 | $11,161 | $133,929 |
| Part-Time (24 hrs) | $1,545.34 | $6,696 | $80,358 |
| Per Diem (16 hrs) | $1,030.22 | $4,464 | $53,572 |
Compare PA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Physician Assistant (Lewiston) | $64.39 |
| Nurse Practitioner (National Avg) | $63.20 |
| Registered Nurse (National Avg) | $42.80 |
| Family Medicine Physician (National Avg) | $116.45 |
| Physical Therapist (National Avg) | $48.18 |
Physician Assistants in Lewiston, ID earn a median of $133,935 per year (2026 est.), which is 4.60% lower than the national median of $140,391 and 3.80% below the Idaho state average of $139,225.
Physician Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $64.39/hr = $80,358/year (purchasing power: $84,321).
Working 40h/week (full-time) = $133,929/year (purchasing power: $140,534).
CoL index: 95.3 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$51.49/hr
2025 BLS Actual
$62.32/hr
2026 Current Est.
$64.39/hr
2019–2027 Growth
+29.2%
Hourly Rate Trajectory for Physician Assistants in Lewiston (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $51.49/hr | Actual |
| 2020 | $52.92/hr | Actual |
| 2021 | $49.80/hr | Actual |
| 2022 | $55.10/hr | Actual |
| 2023 | $59.63/hr | Actual |
| 2024 | $62.18/hr | Actual |
| 2025 | $62.32/hr | Actual |
| 2026(current) | $64.39/hr | Estimated |
| 2027 | $66.53/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for physician assistants in Lewiston grew 21.0% from $51.49/hr (2019) to $62.32/hr (2025). At a 3.32% projected growth rate, hourly pay is expected to reach $66.53/hr by 2027. Part-time and per-diem physician assistants can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Lewiston metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.32% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Physician Assistant in Lewiston
Exploring the earning potential for part-time physician assistants in Lewiston reveals that a three-day work week can generate roughly $54,864 annually, contrasted with the full-time average whose compensation could exceed $133,935. Hourly realities diverge greatly, particularly for per diem work where physician assistants may charge $75 to $130 per hour depending on their specialty. In surgical settings such as orthopedics, PAs can command daily rates ranging from $1,200 to $1,800, while emergency medicine positions for 12-hour shifts often yield between $900 and $1,400. Additionally, hourly pay can depend on employer types; for instance, surgical specialty practices may offer different compensation packages compared to primary care offices or urgent care chains. PAs often weigh the benefits of health insurance against higher pay in 1099 environments, making negotiation skills essential in ensuring fair compensation. Understanding these dynamics allows PAs in Lewiston to strategically approach their hourly compensation in a competitive market.
More salary data for Lewiston, ID:
Frequently Asked Questions
What is the hourly rate for physician assistants in Lewiston in 2026?
How much do part-time physician assistants make in Lewiston?
Are physician assistants in Lewiston paid hourly or salary?
How much does a full-time physician assistant make per year in Lewiston?
Do physician assistants earn more per hour working part-time in Lewiston?
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Career Resources
Written by Jessica Tran, MPAS, PA-C
Career Analyst
Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for physician assistants in Lewiston. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Lewiston is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.32%, derived from historical BLS wage trends for physician assistants (SOC 29-1071).
Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov