Physician Assistant Hourly Pay in Nacogdoches, TX: $62.66 (2026)
Quick Answer:Hourly pay for a physician assistant working in Nacogdoches, TX runs $62.66 at the median for 2026 — annualizing to $130,341 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1071). Weighted against Nacogdoches's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $65.27 nationally would. A 24-hour part-time schedule grosses $78,204 per year.
Based on BLS state-level estimates · View source

In Nacogdoches, Texas, the physician assistant hourly pay in 2026 is projected to be $62.66, which trails the national median of $67.50. This median rate provides a solid foundation for part-time practitioners working three days a week, allowing for considerable financial flexibility, especially in typical settings such as operating rooms, emergency departments, and ambulatory clinics. The hourly pay ranges from $47.78 for entry-level positions (P10) to $83.97 for the most experienced professionals (P90). This variation reflects the demand for PAs in various healthcare environments, where they play critical roles in patient care, from first assisting in surgeries to conducting urgent care assessments. Understanding these dynamics helps aspiring PAs gauge their earning potential in a growing healthcare market.
About the Nacogdoches Market
Salary estimated from Texas average ($125,000) adjusted for local cost of living.
Physician Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $47.78 | $382.20 |
| Lower Range (P25) | $55.07 | $440.56 |
| Median (P50) | $62.66 | $501.31 |
| Upper Range (P75) | $74.19 | $593.55 |
| Top Earners (P90) | $83.97 | $671.75 |
Estimated Annual Income by Work Schedule in Nacogdoches
Based on $62.66/hr median hourly rate · 2026 est.
At $62.66/hr, a physician assistant working full-time (40 hr/wk) in Nacogdoches, TX can expect to earn approximately $130,340 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $75,196. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Nacogdoches.
Hourly Rate Calculator
Schedule Comparison in Nacogdoches
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,506.54 | $10,862 | $130,340 |
| Part-Time (24 hrs) | $1,503.93 | $6,517 | $78,204 |
| Per Diem (16 hrs) | $1,002.62 | $4,345 | $52,136 |
Compare PA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Physician Assistant (Nacogdoches) | $62.66 |
| 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 Nacogdoches, TX earn a median of $130,341 per year (2026 est.), which is 7.16% lower than the national median of $140,391 and 5.10% below the Texas state average of $137,346.
Physician Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $62.66/hr = $78,204/year (purchasing power: $81,463).
Working 40h/week (full-time) = $130,340/year (purchasing power: $135,771).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$50.11/hr
2025 BLS Actual
$60.65/hr
2026 Current Est.
$62.66/hr
2019–2027 Growth
+29.2%
Hourly Rate Trajectory for Physician Assistants in Nacogdoches (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $50.11/hr | Actual |
| 2020 | $51.50/hr | Actual |
| 2021 | $54.24/hr | Actual |
| 2022 | $56.24/hr | Actual |
| 2023 | $58.03/hr | Actual |
| 2024 | $54.75/hr | Actual |
| 2025 | $60.65/hr | Actual |
| 2026(current) | $62.66/hr | Estimated |
| 2027 | $64.74/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for physician assistants in Nacogdoches grew 21.0% from $50.11/hr (2019) to $60.65/hr (2025). At a 3.32% projected growth rate, hourly pay is expected to reach $64.74/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 Nacogdoches 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 Nacogdoches
Exploring the earning potential of physician assistants who choose to work part-time or in per-diem roles reveals a compelling financial landscape. A physician assistant working 24 hours a week could expect an annual income significantly lower than a full-time counterpart, but the flexibility of part-time work caters to those seeking work-life balance. For per diem physician assistants in Nacogdoches, pay can range notably, with locum tenens positions billing anywhere from $75 to $130 per hour based on specialty, while surgical PAs, especially in orthopedics, can demand $1,200 to $1,800 per day for operating room coverage. Additionally, hourly rates can vary across employer types; hospitals typically offer stable W-2 employment with benefits, whereas surgical specialty practices and urgent care chains might offer higher hourly rates with fewer benefits. PAs should weigh the trade-offs—such as the allure of higher pay versus the security of benefits—when negotiating positions. Approaching negotiations with an understanding of local market rates can empower PAs to secure favorable terms that reflect their skills and the demand for their services in Nacogdoches and beyond.
More salary data for Nacogdoches, 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 Nacogdoches. 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 Nacogdoches 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