Physician Assistant Hourly Pay in Madison, AL: $50.58 (2026)
Quick Answer:Hourly pay for a physician assistant working in Madison, AL runs $50.58 at the median for 2026 — annualizing to $105,193 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1071). Weighted against Madison's regional price level (BEA RPP 87.9, 12% below national), each hour of work buys what $57.54 nationally would. A 24-hour part-time schedule grosses $63,118 per year.
Based on BLS state-level estimates · View source

In Madison, Alabama, the physician assistant hourly pay is projected to be $50.58 in 2026, which is below the national median of $67.50. This figure offers insight not only for full-time PAs but also those considering part-time roles or per-diem opportunities. Given the nature of typical settings—such as operating rooms, hospital floors, and urgent care clinics—physician assistants working three days a week may enjoy a balanced work schedule while still receiving substantial compensation. The hourly rate ranges from $37.97 for entry-level positions to about $70.64 for the highest earners in the field, reflecting the variation in experience and the types of services rendered.
About the Madison Market
Salary estimated from Alabama average ($112,000) adjusted for local cost of living.
Physician Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $37.97 | $303.76 |
| Lower Range (P25) | $45.26 | $362.12 |
| Median (P50) | $50.58 | $404.60 |
| Upper Range (P75) | $61.14 | $489.16 |
| Top Earners (P90) | $70.64 | $565.12 |
Estimated Annual Income by Work Schedule in Madison
Based on $50.58/hr median hourly rate · 2026 est.
At $50.58/hr, a physician assistant working full-time (40 hr/wk) in Madison, AL can expect to earn approximately $105,196 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $60,690. With a cost-of-living index of 87.90 (below the national average), these earnings stretch further in Madison.
Hourly Rate Calculator
Schedule Comparison in Madison
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,023.01 | $8,766 | $105,196 |
| Part-Time (24 hrs) | $1,213.80 | $5,260 | $63,118 |
| Per Diem (16 hrs) | $809.20 | $3,507 | $42,079 |
Compare PA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Physician Assistant (Madison) | $50.58 |
| Nurse Practitioner (National Avg) | $63.20 |
| Registered Nurse (National Avg) | $42.80 |
| Family Medicine Physician (National Avg) | $116.45 |
| Physical Therapist (National Avg) | $48.18 |
Physician Assistants in Madison, AL earn a median of $105,193 per year (2026 est.), which is 25.07% lower than the national median of $140,391 and 2.50% below the Alabama state average of $107,890.
Physician Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $50.58/hr = $63,118/year (purchasing power: $71,806).
Working 40h/week (full-time) = $105,196/year (purchasing power: $119,677).
CoL index: 87.9 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$40.44/hr
2025 BLS Actual
$48.95/hr
2026 Current Est.
$50.58/hr
2019–2027 Growth
+29.2%
Hourly Rate Trajectory for Physician Assistants in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $40.44/hr | Actual |
| 2020 | $41.57/hr | Actual |
| 2021 | $43.78/hr | Actual |
| 2022 | $45.39/hr | Actual |
| 2023 | $46.84/hr | Actual |
| 2024 | $46.15/hr | Actual |
| 2025 | $48.95/hr | Actual |
| 2026(current) | $50.58/hr | Estimated |
| 2027 | $52.25/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for physician assistants in Madison grew 21.0% from $40.44/hr (2019) to $48.95/hr (2025). At a 3.32% projected growth rate, hourly pay is expected to reach $52.25/hr by 2027. Part-time and per-diem physician assistants can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison 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.
Working as an Hourly Physician Assistant in Madison
For those contemplating a part-time role, working as a physician assistant for three days a week could result in take-home pay that differs significantly from full-time earnings. Typically, a part-time PA might bring home less annually than their full-time counterparts, impacting their financial stability. Additionally, per diem physician assistants in Madison can see markedly higher rates, often billing $75-$130 per hour, depending on their specialty. Surgical PAs, particularly in orthopedics, command even larger sums, with some billing as much as $1,200 to $1,800 per day for operating room coverage. Employers vary in their payment structures; those aligned with hospital systems generally offer W-2 positions, whereas specialty practices and locum agencies might provide higher hourly wages without benefits. In Madison, savvy negotiation for hourly pay can make a significant difference, as some PAs weigh the trade-off between accepting lower rates for benefits or pursuing higher wages without health insurance coverage.
More salary data for Madison, AL:
Frequently Asked Questions
What is the hourly rate for physician assistants in Madison in 2026?
How much do part-time physician assistants make in Madison?
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Related Pages
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.32% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for physician assistants in Madison. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Madison 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