Physician Assistant Hourly Pay in Midland, TX: $78.59 (2026)
Quick Answer:Hourly pay for a physician assistant working in Midland, TX runs $78.59 at the median for 2026 — annualizing to $163,452 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1071). Weighted against Midland's regional price level (BEA RPP 95.8, 4% below national), each hour of work buys what $82.05 nationally would. A 24-hour part-time schedule grosses $98,074 per year.
Official BLS data · View source

In Midland, Texas, the physician assistant hourly pay stands at a substantial median of $78.59, which is notably higher than the national hourly median of $67.50. This elevated rate reflects the demand for skilled PAs across various medical settings, such as operating rooms, emergency departments, and outpatient clinics. For part-time positions, such as those working three days a week, the compensation translates into significant earnings, enabling flexibility in work-life balance. For entry-level PAs, the hourly rate begins at $27.83, while top earners in the field can make up to $88.55 per hour, signaling varied opportunities depending on experience, specialization, and practice settings. This data is derived from the official BLS estimates based on 2025 BLS OEWS data, projected to 2026.
Physician Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $27.83 | $222.68 |
| Lower Range (P25) | $60.02 | $480.15 |
| Median (P50) | $78.59 | $628.68 |
| Upper Range (P75) | $84.74 | $677.94 |
| Top Earners (P90) | $88.55 | $708.36 |
Estimated Annual Income by Work Schedule in Midland
Based on $78.59/hr median hourly rate · 2026 est.
At $78.59/hr, a physician assistant working full-time (40 hr/wk) in Midland, TX can expect to earn approximately $163,457 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $94,302. With a cost-of-living index of 95.78 (below the national average), these earnings stretch further in Midland.
Hourly Rate Calculator
Schedule Comparison in Midland
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $3,143.41 | $13,621 | $163,457 |
| Part-Time (24 hrs) | $1,886.04 | $8,173 | $98,074 |
| Per Diem (16 hrs) | $1,257.36 | $5,449 | $65,383 |
Compare PA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Physician Assistant (Midland) | $78.59 |
| 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 Midland, TX earn a median of $163,452 per year (2026 est.), which is 16.43% higher than the national median of $140,391 and 19.00% above the Texas state average of $137,355.
Physician Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $78.59/hr = $98,074/year (purchasing power: $102,392).
Working 40h/week (full-time) = $163,457/year (purchasing power: $170,654).
CoL index: 95.783 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$61.86/hr
2025 BLS Actual
$76.06/hr
2026 Current Est.
$78.59/hr
2019–2027 Growth
+31.3%
Hourly Rate Trajectory for Physician Assistants in Midland (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $61.86/hr | Actual |
| 2020 | $59.62/hr | Actual |
| 2021 | $73.50/hr | Actual |
| 2022 | $63.31/hr | Actual |
| 2023 | $72.56/hr | Actual |
| 2024 | $73.32/hr | Actual |
| 2025 | $76.06/hr | Actual |
| 2026(current) | $78.59/hr | Estimated |
| 2027 | $81.19/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for physician assistants in Midland grew 23.0% from $61.86/hr (2019) to $76.06/hr (2025). At a 3.32% projected growth rate, hourly pay is expected to reach $81.19/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 Midland 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 Midland
Looking deeper into earning potential, a physician assistant working part-time in Midland, averaging 24 hours a week, could bring in approximately $98,007 annually, which aligns well with individuals prioritizing work-life balance. Conversely, those seeking per diem contracts have even more diverse earning possibilities. Locum physician assistants often bill hourly anywhere from $75 to $130, depending on their specialties. In surgical settings, particularly orthopedics, compensation can reach as high as $1,800 for a day, while emergency medicine shift rates generally range from $900 to $1,400 for a 12-hour stint. It's crucial to note that hourly rates also fluctuate based on employer type; for example, hospital-employed PAs may have fixed hourly compensation, while those in specialty practices or locum roles may negotiate for higher pay. Moreover, some PAs choose to accept lower hourly rates for the benefits of health insurance and retirement plans. Negotiation, especially in Midland's evolving healthcare market, often includes discussing these benefits for overall compensation.
More salary data for Midland, TX:
Frequently Asked Questions
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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 Midland. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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