Physician Assistant Salary in Fredericksburg, TX: $129,295 (2026)
Quick Answer:A full-time physician assistant in Fredericksburg, TX earns a median $129,295/year (≈ $62.16/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Fredericksburg's price level (4% below national, BEA RPP 96.0), that paycheck buys what $134,682 would nationally. Nominal pay sits 5.9% below the Texas state average.
Based on BLS state-level estimates · View source
In Fredericksburg, Texas, physician assistants can anticipate a median annual salary of $129,295 in 2026, a figure that falls below the national median of $140,391. These salaries range from $102,933 at the tenth percentile to as much as $173,821 at the ninetieth percentile. The local estimates are derived from 2025 BLS data, adjusted for regional price variances, which reflect the cost of living in the area. Notably, the decision between W-2 employment at local hospitals and 1099 roles in surgical practices impacts compensation, with surgical roles typically offering higher wages. Understanding the competitive dynamics in Fredericksburg's healthcare sector is essential for aspiring physician assistants to navigate their career paths effectively.
About the Fredericksburg Market
Salary estimated from Texas average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $102,933 | $49.49 |
| Lower Range (P25) | $119,127 | $57.27 |
| Median (P50)(typical) | $129,295 | $62.16 |
| Upper Range (P75) | $154,077 | $74.08 |
| Top Earners (P90) | $173,821 | $83.57 |
Median Salary Position
7.9% below the national average
2026 Salary Percentile Distribution in Fredericksburg
In Fredericksburg, TX, the physician assistant salary spread from the 10th to 90th percentile is $70,888 (2026 est.). At $129,295, the local median is 7.9% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Fredericksburg: You'd be in the lower-middle range
How Fredericksburg Physician Assistant Pay Compares
Fredericksburg median: $129,295/year (2026)
| Compared To | Median Salary | Fredericksburg Pays |
|---|---|---|
| Texas Average | $137,401 | -5.90% less |
| National Average | $140,391 | -7.90% less |
Physician Assistants in Fredericksburg, TX earn a median of $129,295 per year (2026 est.), which is 7.90% lower than the national median of $140,391 and 5.90% below the Texas state average of $137,401.
Cost-of-Living Adjusted Salary
Fredericksburg 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.
Fredericksburg, TX has a cost-of-living index of 96 (below the national average of 100). A physician assistant earning $129,295 nominally has purchasing power equivalent to $134,682 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$103,387
2025 BLS Actual
$125,140
2026 Current Est.
$129,295
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in Fredericksburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $103,387 | Actual |
| 2020 | $106,270 | Actual |
| 2021 | $111,924 | Actual |
| 2022 | $116,050 | Actual |
| 2023 | $119,743 | Actual |
| 2024 | $112,976 | Actual |
| 2025 | $125,140 | Actual |
| 2026(current) | $129,295 | Estimated |
| 2027 | $133,587 | Projected |
Based on 7 years of BLS OEWS data for the Fredericksburg metropolitan area, the median physician assistant salary grew 21.0% from $103,387 (2019) to $125,140 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $133,587 by 2027 — a total increase of $30,200 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fredericksburg 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) | $102,933 – $119,127 |
| 3-5 years (Mid Career) | $119,127 – $129,295 |
| 5+ years (Experienced) | $129,295 – $154,077 |
| 10+ years (Top Earner) | $154,077 – $173,821 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Fredericksburg
As for the local job market, Fredericksburg is home to approximately five physician assistants, indicating a tight-knit community where competition for roles can be significant. With a cost-of-living index of 96, living expenses are lower than the national average, providing an enhanced purchasing power for those earning within the established salary range. Among various employment settings, surgical specialty practices, particularly in orthopedics and cardiothoracic surgery, tend to offer the highest pay. Factors that contribute to wage disparities include specialty focus—surgical roles often outpace emergency or primary care positions—first-assist case volumes, and the structure of pay, which may involve productivity bonuses tied to Relative Value Units (RVUs). Aspiring physician assistants should consider aligning their skills with high-demand specialties and seek opportunities in settings known for better compensation, making strategic career choices that reflect local market trends.
More salary data for Fredericksburg, 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 $125,140 for physician assistantsin the Fredericksburg 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 Fredericksburg 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