PA Salary

Alexandria vs Virginia Beach: Physician Assistant Salary (2026)

Compare physician assistant salaries between Alexandria, VA and Virginia Beach, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$151,828
$73.00/hr
Virginia Beach, VA
$130,627
$62.80/hr

Side-by-Side Comparison

MetricAlexandria, VAVirginia Beach, VA
Median Salary$151,828$130,627
Hourly Rate$73.00$62.80
Entry Level (P10)$113,202$99,559
25th Percentile$135,777$107,773
75th Percentile$186,749$144,410
Top Earner (P90)$217,992$178,599
Total Employed26780
Side-by-side bar chart comparing Alexandria ($151,828) and Virginia Beach ($130,627) physician assistant salaries.AlexandriaVirginia BeachMedian Salary$151,828$130,627Entry Level (P10)$113,202$99,559Top Earner (P90)$217,992$178,599US Median $140,391

Verdict

Alexandria, VA offers better overall compensation for physician assistants, winning 3 out of 4 metrics compared to Virginia Beach.

The salary gap between Alexandria and Virginia Beach is $21,201 (16.23%). Alexandria's median is +8.15% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $104,790,Virginia Beach spans $79,040. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$113,202
P25$135,777
Median$151,828
P75$186,749
P90 (Top)$217,992
Virginia Beach
P10 (Entry)$99,559
P25$107,773
Median$130,627
P75$144,410
P90 (Top)$178,599

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Alexandria ($147,120 effective) pays 10.31% more than Virginia Beach ($133,373 effective).

Alexandria
Nominal: $151,828
CoL Index: 103.2
Adjusted: $147,120
Virginia Beach
Nominal: $130,627
CoL Index: 97.941
Adjusted: $133,373

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($151,828/year)
  • Better top-earner potential ($217,992)
  • Better purchasing power (CoL-adjusted: $147,120)
  • You prefer the Virginia area and lifestyle

Choose Virginia Beach if…

  • Larger job market (780 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Alexandria grew 11.1% from 2024 to 2025, compared to 26.0% growth in Virginia Beach over the same period.

Alexandria, VA

+11.1%

$132,291 (2024) → $146,949 (2025)

Virginia Beach, VA

+26.0%

$100,370 (2019) → $126,430 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Alexandria or Virginia Beach?

Alexandria has a higher median physician assistant salary at $151,828/year, compared to Virginia Beach at $130,627/year — a difference of $21,201 (16.23%).

What is the hourly rate difference between Alexandria and Virginia Beach?

Alexandria physician assistants earn $73.00/hr while Virginia Beach hygienists earn $62.80/hr (2026 est.).

Should I relocate from Alexandria to Virginia Beach as a physician assistant?

Consider more than just salary when comparing Alexandria and Virginia Beach. Factor in cost of living (CoL-adjusted: Alexandria = $147,120, Virginia Beach = $133,373), job availability (26 vs 780 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Alexandria vs Virginia Beach?

Entry-level (10th percentile) physician assistants earn $113,202 in Alexandria and $99,559 in Virginia Beach. The Alexandria area offers higher starting salaries.
JT

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.

Clinically reviewed by Michael Chen, PA-CData verified by Amina Patel, MSPAS, PA-C

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

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