Physician Assistant Salary in Little Elm, TX: $133,261 (2026)
Quick Answer:A full-time physician assistant in Little Elm, TX earns a median $133,261/year (≈ $64.07/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Little Elm's price level (4% below national, BEA RPP 96.0), that paycheck buys what $138,814 would nationally. Nominal pay sits 3.0% below the Texas state average.
Based on BLS state-level estimates · View source

With a projected median annual salary of $133,261 for 2026, the physician assistant salary in Little Elm, TX, is relatively competitive, albeit slightly below the national average of $140,391. Local estimates indicate a salary range that spans from $95,564 at the lower end (P10) to $176,351 at the higher end (P90). This salary picture is derived from BLS state-level data and adjusted for regional cost factors. The compensation landscape in Little Elm varies significantly depending on the type of employer, with W-2 hospital positions and 1099 surgical practices often presenting distinct salary structures, influencing how much do physician assistants make in Little Elm.
About the Little Elm Market
Salary estimated from Texas average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $95,564 | $45.95 |
| Lower Range (P25) | $123,635 | $59.44 |
| Median (P50)(typical) | $133,261 | $64.07 |
| Upper Range (P75) | $156,127 | $75.06 |
| Top Earners (P90) | $176,351 | $84.78 |
Median Salary Position
5.08% below the national average
2026 Salary Percentile Distribution in Little Elm
In Little Elm, TX, the physician assistant salary spread from the 10th to 90th percentile is $80,787 (2026 est.). At $133,261, the local median is 5.08% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Little Elm: You'd be in the lower-middle range
How Little Elm Physician Assistant Pay Compares
Little Elm median: $133,261/year (2026)
| Compared To | Median Salary | Little Elm Pays |
|---|---|---|
| Texas Average | $137,383 | -3.00% less |
| National Average | $140,391 | -5.08% less |
Physician Assistants in Little Elm, TX earn a median of $133,261 per year (2026 est.), which is 5.08% lower than the national median of $140,391 and 3.00% below the Texas state average of $137,383.
Cost-of-Living Adjusted Salary
Little Elm 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.
Little Elm, TX has a cost-of-living index of 96 (below the national average of 100). A physician assistant earning $133,261 nominally has purchasing power equivalent to $138,814 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$106,559
2025 BLS Actual
$128,979
2026 Current Est.
$133,261
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in Little Elm (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $106,559 | Actual |
| 2020 | $109,530 | Actual |
| 2021 | $115,358 | Actual |
| 2022 | $119,610 | Actual |
| 2023 | $123,417 | Actual |
| 2024 | $116,442 | Actual |
| 2025 | $128,979 | Actual |
| 2026(current) | $133,261 | Estimated |
| 2027 | $137,685 | Projected |
Based on 7 years of BLS OEWS data for the Little Elm metropolitan area, the median physician assistant salary grew 21.0% from $106,559 (2019) to $128,979 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $137,685 by 2027 — a total increase of $31,126 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Little Elm 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) | $95,564 – $123,635 |
| 3-5 years (Mid Career) | $123,635 – $133,261 |
| 5+ years (Experienced) | $133,261 – $156,127 |
| 10+ years (Top Earner) | $156,127 – $176,351 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Little Elm
Currently, there are only 12 physician assistants employed in Little Elm, demonstrating a localized job market that can be competitive. With a cost-of-living index of 96, salaries here provide a favorable take-home purchasing power compared to many other parts of Texas. Among the various healthcare settings, surgical specialty practices typically pay the most, particularly for roles in orthopedics and cardiothoracic surgery, where PAs often take on first-assist responsibilities, enhancing their earning potential. Several elements contribute to the pay gap in this market: specialty type, the volume of first-assist cases, call coverage requirements, and RVU productivity bonuses are key determinants. To maximize earnings, professionals in Little Elm should consider targeting surgical settings and exploring opportunities for growth in high-demand specialties as the area continues to develop its healthcare offerings.
More salary data for Little Elm, TX:
Frequently Asked Questions
How much do physician assistants make in Little Elm, TX in 2026?
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Can physician assistants make $100K in Little Elm?
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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 $128,979 for physician assistantsin the Little Elm 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 Little Elm 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