PA Salary

Roanoke vs Suffolk: Physician Assistant Salary (2026)

Compare physician assistant salaries between Roanoke, VA and Suffolk, VA. All figures are 2026 estimates projected from BLS 2025 data.

Roanoke, VA
$140,453
$67.53/hr
Suffolk, VA
$128,437
$61.74/hr

Side-by-Side Comparison

MetricRoanoke, VASuffolk, VA
Median Salary$140,453$128,437
Hourly Rate$67.53$61.74
Entry Level (P10)$109,674$98,136
25th Percentile$130,927$116,248
75th Percentile$157,418$151,872
Top Earner (P90)$168,205$185,889
Total Employed36015
Side-by-side bar chart comparing Roanoke ($140,453) and Suffolk ($128,437) physician assistant salaries.RoanokeSuffolkMedian Salary$140,453$128,437Entry Level (P10)$109,674$98,136Top Earner (P90)$168,205$185,889US Median $140,391

Verdict

Roanoke, VA offers better overall compensation for physician assistants, winning 3 out of 4 metrics compared to Suffolk.

The salary gap between Roanoke and Suffolk is $12,016 (9.36%). Roanoke's median is +0.04% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $58,531,Suffolk spans $87,753. Suffolk has a wider pay range, suggesting more variation in pay between entry-level and experienced physician assistants.

Roanoke
P10 (Entry)$109,674
P25$130,927
Median$140,453
P75$157,418
P90 (Top)$168,205
Suffolk
P10 (Entry)$98,136
P25$116,248
Median$128,437
P75$151,872
P90 (Top)$185,889

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($150,028 effective) pays 20.55% more than Suffolk ($124,454 effective).

Roanoke
Nominal: $140,453
CoL Index: 93.618
Adjusted: $150,028
Suffolk
Nominal: $128,437
CoL Index: 103.2
Adjusted: $124,454

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

Which City Is Right for You?

Choose Roanoke if…

  • Higher median salary ($140,453/year)
  • Larger job market (360 employed)
  • Better purchasing power (CoL-adjusted: $150,028)
  • You prefer the Virginia area and lifestyle

Choose Suffolk if…

  • Better top-earner potential ($185,889)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Roanoke grew 35.7% from 2019 to 2025, compared to -4.3% growth in Suffolk over the same period.

Roanoke, VA

+35.7%

$100,160 (2019) → $135,940 (2025)

Suffolk, VA

+-4.3%

$129,881 (2024) → $124,310 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Roanoke or Suffolk?

Roanoke has a higher median physician assistant salary at $140,453/year, compared to Suffolk at $128,437/year — a difference of $12,016 (9.36%).

What is the hourly rate difference between Roanoke and Suffolk?

Roanoke physician assistants earn $67.53/hr while Suffolk hygienists earn $61.74/hr (2026 est.).

Should I relocate from Roanoke to Suffolk as a physician assistant?

Consider more than just salary when comparing Roanoke and Suffolk. Factor in cost of living (CoL-adjusted: Roanoke = $150,028, Suffolk = $124,454), job availability (360 vs 15 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Roanoke vs Suffolk?

Entry-level (10th percentile) physician assistants earn $109,674 in Roanoke and $98,136 in Suffolk. The Roanoke 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