What does a Physician Assistants salary really buy you in California?
California is 12.5% pricier than the US averageData: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31
California's Regional Price Parity (RPP) is 112.5, meaning prices are 12.5% higher the national average. A Physician Assistants earning $161,080 in California has the equivalent purchasing power of $143,182 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for California's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $94,870 | $84,328 | $-10,541 |
| 25th Percentile (P25) | $130,020 | $115,573 | $-14,446 |
| Median (P50) | $161,080 | $143,182 | $-17,897 |
| 75th Percentile (P75) | $197,600 | $175,644 | $-21,955 |
| 90th Percentile (P90) | $219,300 | $194,933 | $-24,366 |
While $161,080 sounds high, California's elevated cost of living erases 11% of that salary's purchasing power. Your real buying power is $143,182. Consider whether the higher pay offsets the higher costs.
Where does Physician Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
California ranks #11 out of 50 states for Physician Assistants after cost-of-living adjustment.
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A Physician Assistants in California earns a median salary of $161,080 per year. After adjusting for California's cost of living (RPP=112.5), the real purchasing power is $143,182 — a -11.1% difference.
California's cost of living is 12.5% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for California is 112.5 (US average = 100).
Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Physician Assistants in California: $161,080 x (100 / 112.5) = $143,182. This represents what the salary would be worth in a state with average living costs.
Partially — a Physician Assistants's nominal salary of $161,080 in California has 11.1% less purchasing power due to higher living costs. The real value is $143,182. However, California may offer better career opportunities, networking, and industry access.