Physician Assistant Salary in Madison, AL: $105,193 (2026)
Quick Answer:A full-time physician assistant in Madison, AL earns a median $105,193/year (≈ $50.58/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Madison's price level (12% below national, BEA RPP 87.9), that paycheck buys what $119,673 would nationally. Nominal pay sits 2.5% below the Alabama state average.
Based on BLS state-level estimates · View source
For physician assistants in Madison, AL, the projected median annual salary in 2026 is $105,193. This figure reflects local estimates derived from 2025 BLS data and accounting for regional price adjustments. The salary range spans from $78,976 at the 10th percentile to $146,929 at the 90th percentile, indicating a wide variance in earnings based on experience, specialty, and practice setting. While these numbers suggest competitive compensation, they notably fall behind the national median of $140,391, highlighting the potential challenges of local market dynamics, including the choice between W-2 employment in hospital settings versus 1099 arrangements in surgical practices. Such structural choices can significantly influence financial outcomes for physician assistants working in Madison.
About the Madison Market
Salary estimated from Alabama average ($112,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $78,976 | $37.97 |
| Lower Range (P25) | $94,161 | $45.26 |
| Median (P50)(typical) | $105,193 | $50.58 |
| Upper Range (P75) | $127,185 | $61.14 |
| Top Earners (P90) | $146,929 | $70.64 |
Median Salary Position
25.07% below the national average
2026 Salary Percentile Distribution in Madison
In Madison, AL, the physician assistant salary spread from the 10th to 90th percentile is $67,953 (2026 est.). At $105,193, the local median is 25.07% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Madison: You'd be in the lower-middle range
How Madison Physician Assistant Pay Compares
Madison median: $105,193/year (2026)
| Compared To | Median Salary | Madison Pays |
|---|---|---|
| Alabama Average | $107,890 | -2.50% less |
| National Average | $140,391 | -25.07% less |
Physician Assistants in Madison, AL earn a median of $105,193 per year (2026 est.), which is 25.07% lower than the national median of $140,391 and 2.50% below the Alabama state average of $107,890.
Cost-of-Living Adjusted Salary
Madison has a cost of living 12.10% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Madison, AL has a cost-of-living index of 87.9 (below the national average of 100). A physician assistant earning $105,193 nominally has purchasing power equivalent to $119,673 in an average-cost city — an effective 13.77% boost.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2019 BLS Actual
$84,115
2025 BLS Actual
$101,813
2026 Current Est.
$105,193
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $84,115 | Actual |
| 2020 | $86,460 | Actual |
| 2021 | $91,061 | Actual |
| 2022 | $94,418 | Actual |
| 2023 | $97,422 | Actual |
| 2024 | $95,986 | Actual |
| 2025 | $101,813 | Actual |
| 2026(current) | $105,193 | Estimated |
| 2027 | $108,686 | Projected |
Based on 7 years of BLS OEWS data for the Madison metropolitan area, the median physician assistant salary grew 21.0% from $84,115 (2019) to $101,813 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $108,686 by 2027 — a total increase of $24,571 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $78,976 – $94,161 |
| 3-5 years (Mid Career) | $94,161 – $105,193 |
| 5+ years (Experienced) | $105,193 – $127,185 |
| 10+ years (Top Earner) | $127,185 – $146,929 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Madison
In the local job market, there are currently nine physician assistants employed in Madison, AL. The average cost of living index in the area is 87.9, which is favorable and indicates that salaries may stretch further in purchasing power compared to other regions. Among local employers, surgical specialty practices tend to pay the most, especially in fields like orthopedics and cardiothoracic surgery. Factors that contribute to pay variation include the volume of first-assist cases, call coverage requirements, and the presence of productivity bonuses tied to RVUs. For physician assistants seeking higher pay in Madison, pursuing a specialty or considering locum tenens positions may offer more lucrative opportunities, particularly as specialties typically command higher rates than primary care or urgent care environments.
More salary data for Madison, AL:
Frequently Asked Questions
How much do physician assistants make in Madison, AL in 2026?
Is Madison, AL a good place to work as a physician assistant?
Can physician assistants make $100K in Madison?
What is the cost-of-living adjusted physician assistant salary in Madison?
How much does a physician assistant make per hour in Madison?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Alabama
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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $101,813 for physician assistantsin the Madison metropolitan area. A 3.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Madison 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