Physician Assistant Salary in O'Fallon, IL: $134,045 (2026)
Quick Answer:A full-time physician assistant in O'Fallon, IL earns a median $134,045/year (≈ $64.44/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in O'Fallon's price level (3% below national, BEA RPP 97.1), that paycheck buys what $138,048 would nationally. Nominal pay sits 2.6% below the Illinois state average.
Based on BLS state-level estimates · View source

In O'Fallon, Illinois, the projected median annual salary for physician assistants is $134,045 in 2026, reflecting a competitive compensation structure within the local healthcare market. Salaries for PAs in the area range from $97,010 at the 10th percentile to as high as $186,354 at the 90th percentile, indicating a significant variance based on experience, specialization, and workplace setting. These numbers derive from estimates based on 2025 BLS data and regional price adjustments. Given the prevalence of first-assist billing in surgical settings, PAs working within surgical specialty practices, particularly in orthopedics and cardiothoracic surgery, often command higher salaries compared to their counterparts in primary care or urgent care environments. This means that the job market for physician assistants in O'Fallon offers promising prospects for those who pursue specialties that leverage such billing practices.
About the O'Fallon Market
Salary estimated from Illinois average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $97,010 | $46.64 |
| Lower Range (P25) | $116,850 | $56.18 |
| Median (P50)(typical) | $134,045 | $64.44 |
| Upper Range (P75) | $157,882 | $75.91 |
| Top Earners (P90) | $186,354 | $89.59 |
Median Salary Position
4.52% below the national average
2026 Salary Percentile Distribution in O'Fallon
In O'Fallon, IL, the physician assistant salary spread from the 10th to 90th percentile is $89,344 (2026 est.). At $134,045, the local median is 4.52% below the national median of $140,391.
Salary Calculator
At 40 hours/week in O'Fallon: You'd be in the lower-middle range
How O'Fallon Physician Assistant Pay Compares
O'Fallon median: $134,045/year (2026)
| Compared To | Median Salary | O'Fallon Pays |
|---|---|---|
| Illinois Average | $137,624 | -2.60% less |
| National Average | $140,391 | -4.52% less |
Physician Assistants in O'Fallon, IL earn a median of $134,045 per year (2026 est.), which is 4.52% lower than the national median of $140,391 and 2.60% below the Illinois state average of $137,624.
Cost-of-Living Adjusted Salary
O'Fallon has a cost of living 2.90% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
O'Fallon, IL has a cost-of-living index of 97.1 (below the national average of 100). A physician assistant earning $134,045 nominally has purchasing power equivalent to $138,048 in an average-cost city — an effective 2.99% boost.
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2019 BLS Actual
$107,186
2025 BLS Actual
$129,738
2026 Current Est.
$134,045
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in O'Fallon (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $107,186 | Actual |
| 2020 | $110,174 | Actual |
| 2021 | $116,037 | Actual |
| 2022 | $120,314 | Actual |
| 2023 | $124,143 | Actual |
| 2024 | $118,247 | Actual |
| 2025 | $129,738 | Actual |
| 2026(current) | $134,045 | Estimated |
| 2027 | $138,496 | Projected |
Based on 7 years of BLS OEWS data for the O'Fallon metropolitan area, the median physician assistant salary grew 21.0% from $107,186 (2019) to $129,738 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $138,496 by 2027 — a total increase of $31,310 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the O'Fallon 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) | $97,010 – $116,850 |
| 3-5 years (Mid Career) | $116,850 – $134,045 |
| 5+ years (Experienced) | $134,045 – $157,882 |
| 10+ years (Top Earner) | $157,882 – $186,354 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in O'Fallon
With only six physician assistants employed in O'Fallon, the local job market stays relatively compact. The area's cost-of-living index rests at 97.1, which is below the national average, suggesting that PAs may enjoy a more favorable purchasing power than in higher-cost regions. Among local employers, hospital systems and surgical specialty practices tend to offer the most lucrative positions, with compensation influenced by factors such as first-assist case volume, call coverage requirements, and the bonus structures based on Relative Value Units (RVUs). The significant pay range stems from these specialties attracting higher reimbursements compared to more generalized practices. For those aiming to maximize their earnings, pursuing additional certifications in surgical assisting or focusing on higher-demand specialties can enhance both career prospects and financial return in O’Fallon, IL.
More salary data for O'Fallon, IL:
Frequently Asked Questions
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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 $129,738 for physician assistantsin the O'Fallon 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 O'Fallon 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