PA Salary

Costa Mesa vs San Francisco: Physician Assistant Salary (2026)

Compare physician assistant salaries between Costa Mesa, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

Costa Mesa, CA
$171,066
$82.24/hr
San Francisco, CA
$190,501
$91.59/hr

Side-by-Side Comparison

MetricCosta Mesa, CASan Francisco, CA
Median Salary$171,066$190,501
Hourly Rate$82.24$91.59
Entry Level (P10)$123,702$109,674
25th Percentile$149,941$162,202
75th Percentile$210,960$226,488
Top Earner (P90)$247,205$245,881
Total Employed231,830
Side-by-side bar chart comparing Costa Mesa ($171,066) and San Francisco ($190,501) physician assistant salaries.Costa MesaSan FranciscoMedian Salary$171,066$190,501Entry Level (P10)$123,702$109,674Top Earner (P90)$247,205$245,881US Median $140,391

Verdict

San Francisco, CA offers better overall compensation for physician assistants, winning 3 out of 4 metrics compared to Costa Mesa.

The salary gap between Costa Mesa and San Francisco is $19,435 (11.36%). San Francisco's median is +35.69% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Costa Mesa spans $123,503,San Francisco spans $136,207. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced physician assistants.

Costa Mesa
P10 (Entry)$123,702
P25$149,941
Median$171,066
P75$210,960
P90 (Top)$247,205
San Francisco
P10 (Entry)$109,674
P25$162,202
Median$190,501
P75$226,488
P90 (Top)$245,881

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($164,775 effective) pays 8.94% more than Costa Mesa ($151,252 effective).

Costa Mesa
Nominal: $171,066
CoL Index: 113.1
Adjusted: $151,252
San Francisco
Nominal: $190,501
CoL Index: 115.613
Adjusted: $164,775

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

Which City Is Right for You?

Choose Costa Mesa if…

  • Better top-earner potential ($247,205)
  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($190,501/year)
  • Larger job market (1,830 employed)
  • Better purchasing power (CoL-adjusted: $164,775)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Costa Mesa grew -6.0% from 2024 to 2025, compared to 45.6% growth in San Francisco over the same period.

Costa Mesa, CA

+-6.0%

$176,144 (2024) → $165,569 (2025)

San Francisco, CA

+45.6%

$126,660 (2019) → $184,380 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Costa Mesa or San Francisco?

San Francisco has a higher median physician assistant salary at $190,501/year, compared to Costa Mesa at $171,066/year — a difference of $19,435 (11.36%).

What is the hourly rate difference between Costa Mesa and San Francisco?

Costa Mesa physician assistants earn $82.24/hr while San Francisco hygienists earn $91.59/hr (2026 est.).

Should I relocate from Costa Mesa to San Francisco as a physician assistant?

Consider more than just salary when comparing Costa Mesa and San Francisco. Factor in cost of living (CoL-adjusted: Costa Mesa = $151,252, San Francisco = $164,775), job availability (23 vs 1,830 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Costa Mesa vs San Francisco?

Entry-level (10th percentile) physician assistants earn $123,702 in Costa Mesa and $109,674 in San Francisco. The Costa Mesa area offers higher starting salaries.

Related Comparisons

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