PA Salary

Middletown vs Wilmington: Physician Assistant Salary (2026)

Compare physician assistant salaries between Middletown, DE and Wilmington, DE. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, DE
$131,919
$63.42/hr
Wilmington, DE
$142,537
$68.53/hr

Side-by-Side Comparison

MetricMiddletown, DEWilmington, DE
Median Salary$131,919$142,537
Hourly Rate$63.42$68.53
Entry Level (P10)$100,836$102,963
25th Percentile$118,502$124,550
75th Percentile$154,344$169,517
Top Earner (P90)$172,726$193,661
Total Employed610
Side-by-side bar chart comparing Middletown ($131,919) and Wilmington ($142,537) physician assistant salaries.MiddletownWilmingtonMedian Salary$131,919$142,537Entry Level (P10)$100,836$102,963Top Earner (P90)$172,726$193,661US Median $140,391

Verdict

Wilmington, DE offers better overall compensation for physician assistants, winning 4 out of 4 metrics compared to Middletown.

The salary gap between Middletown and Wilmington is $10,618 (8.05%). Wilmington's median is +1.53% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $71,890,Wilmington spans $90,698. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced physician assistants.

Middletown
P10 (Entry)$100,836
P25$118,502
Median$131,919
P75$154,344
P90 (Top)$172,726
Wilmington
P10 (Entry)$102,963
P25$124,550
Median$142,537
P75$169,517
P90 (Top)$193,661

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Wilmington ($140,154 effective) pays 8.05% more than Middletown ($129,714 effective).

Middletown
Nominal: $131,919
CoL Index: 101.7
Adjusted: $129,714
Wilmington
Nominal: $142,537
CoL Index: 101.7
Adjusted: $140,154

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

Which City Is Right for You?

Choose Middletown if…

  • You prefer the Delaware area and lifestyle

Choose Wilmington if…

  • Higher median salary ($142,537/year)
  • Better top-earner potential ($193,661)
  • Larger job market (10 employed)
  • Better purchasing power (CoL-adjusted: $140,154)
  • You prefer the Delaware area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Middletown grew 8.7% from 2024 to 2025, compared to 7.8% growth in Wilmington over the same period.

Middletown, DE

+8.7%

$117,456 (2024) → $127,680 (2025)

Wilmington, DE

+7.8%

$128,003 (2024) → $137,957 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Middletown or Wilmington?

Wilmington has a higher median physician assistant salary at $142,537/year, compared to Middletown at $131,919/year — a difference of $10,618 (8.05%).

What is the hourly rate difference between Middletown and Wilmington?

Middletown physician assistants earn $63.42/hr while Wilmington hygienists earn $68.53/hr (2026 est.).

Should I relocate from Middletown to Wilmington as a physician assistant?

Consider more than just salary when comparing Middletown and Wilmington. Factor in cost of living (CoL-adjusted: Middletown = $129,714, Wilmington = $140,154), job availability (6 vs 10 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Middletown vs Wilmington?

Entry-level (10th percentile) physician assistants earn $100,836 in Middletown and $102,963 in Wilmington. The Wilmington 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