Physician Assistant Salary in Fort Worth, TX: $138,469 (2026)
Quick Answer:A full-time physician assistant in Fort Worth, TX earns a median $138,469/year (≈ $66.57/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Fort Worth's price level (4% below national, BEA RPP 96.0), that paycheck buys what $144,239 would nationally. Nominal pay sits 0.8% above the Texas state average.
Based on BLS state-level estimates · View source

In 2026, the projected median annual compensation for physician assistants in Fort Worth is estimated to be $138,469, slightly below the national figure of $140,391. The salary range spans from $100,832 at the lower end (10th percentile) to $205,590 for the highest earners (90th percentile). These figures are reflective of local estimates derived from 2025 BLS state-level data and adjusted for regional price parity. Fort Worth's strong healthcare ecosystem, particularly in surgical practices where first-assist billing is prevalent, significantly boosts the earnings potential for PAs in this city. This dynamic not only enhances overall compensation but also creates a competitive job market.
About the Fort Worth Market
Salary estimated from Texas average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $100,832 | $48.48 |
| Lower Range (P25) | $122,361 | $58.83 |
| Median (P50)(typical) | $138,469 | $66.57 |
| Upper Range (P75) | $173,023 | $83.18 |
| Top Earners (P90) | $205,590 | $98.85 |
Median Salary Position
1.37% below the national average
2026 Salary Percentile Distribution in Fort Worth
In Fort Worth, TX, the physician assistant salary spread from the 10th to 90th percentile is $104,758 (2026 est.). At $138,469, the local median is 1.37% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Fort Worth: You'd be in the lower-middle range
How Fort Worth Physician Assistant Pay Compares
Fort Worth median: $138,469/year (2026)
| Compared To | Median Salary | Fort Worth Pays |
|---|---|---|
| Texas Average | $137,370 | +0.80% more |
| National Average | $140,391 | -1.37% less |
Physician Assistants in Fort Worth, TX earn a median of $138,469 per year (2026 est.), which is 1.37% lower than the national median of $140,391 and 0.80% above the Texas state average of $137,370.
Cost-of-Living Adjusted Salary
Fort Worth has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fort Worth, TX has a cost-of-living index of 96 (below the national average of 100). A physician assistant earning $138,469 nominally has purchasing power equivalent to $144,239 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$110,723
2025 BLS Actual
$134,020
2026 Current Est.
$138,469
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in Fort Worth (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $110,723 | Actual |
| 2020 | $113,810 | Actual |
| 2021 | $119,866 | Actual |
| 2022 | $124,285 | Actual |
| 2023 | $128,240 | Actual |
| 2024 | $128,755 | Actual |
| 2025 | $134,020 | Actual |
| 2026(current) | $138,469 | Estimated |
| 2027 | $143,067 | Projected |
Based on 7 years of BLS OEWS data for the Fort Worth metropolitan area, the median physician assistant salary grew 21.0% from $110,723 (2019) to $134,020 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $143,067 by 2027 — a total increase of $32,344 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fort Worth 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) | $100,832 – $122,361 |
| 3-5 years (Mid Career) | $122,361 – $138,469 |
| 5+ years (Experienced) | $138,469 – $173,023 |
| 10+ years (Top Earner) | $173,023 – $205,590 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Fort Worth
With 219 physician assistants currently employed in the Fort Worth area, the local job landscape continues to thrive despite a cost-of-living index of 96, which indicates affordability relative to the national average. Major employers in the region, including hospital systems and surgical specialty practices such as orthopedics and cardiothoracic surgery, tend to offer more lucrative salaries. Factors such as specialty focus, case volume, call requirements, and productivity bonuses can create significant disparities in compensation. For those seeking higher pay in Fort Worth, strategic positioning within high-demand specialties, understanding the intricacies of first-assist roles, and leveraging relationships with locum and agency opportunities can optimize earning potential in this evolving market.
More salary data for Fort Worth, TX:
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 $134,020 for physician assistantsin the Fort Worth 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 Fort Worth 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