How much does a Physician Assistants actually take home in North Carolina?
4.5% flat rate — 27.9% effective total tax rateData: BLS OEWS 2024 + IRS/State Tax Brackets 2024 • Updated 2026-04-06
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Detailed line-by-line tax calculation for a Physician Assistants earning $126,480 in North Carolina (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $126,480 | — |
| Federal Income Tax | -$19,893 | 15.7% |
| North Carolina State Income Tax | -$5,691 | 4.5% |
| Social Security (OASDI) | -$7,841 | 6.2% |
| Medicare | -$1,833 | 1.5% |
| Total Taxes | -$35,261 | 27.9% |
| Take-Home Pay | $91,218 | 72.1% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Physician Assistants in North Carolina.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $95,490 | -$24,450 | $71,039 | 25.6% |
| 25th Percentile (P25) | $108,130 | -$28,767 | $79,362 | 26.6% |
| Median (P50) | $126,480 | -$35,261 | $91,218 | 27.9% |
| 75th Percentile (P75) | $136,770 | -$38,980 | $97,789 | 28.5% |
| 90th Percentile (P90) | $157,100 | -$46,330 | $110,769 | 29.5% |
After federal income tax ($19,893), state tax ($5,691), and FICA ($9,675), a Physician Assistants in North Carolina takes home $91,218 per year — or $7,601 per month. The effective tax rate of 27.9% is moderate compared to the national range.
Where does a Physician Assistants keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
North Carolina ranks #32 out of 50 states for Physician Assistants after-tax take-home pay.
A Physician Assistants in North Carolina earning a median salary of $126,480 will take home approximately $91,218 per year after federal income tax ($19,893), state income tax ($5,691), and FICA ($9,675). That is $7,601 per month or $3,508 per bi-weekly paycheck.
The effective total tax rate for a Physician Assistants in North Carolina is 27.9%, broken down as: federal income tax 15.7%, North Carolina state tax 4.5%, and FICA (Social Security + Medicare) 7.6%. This assumes a single filer with the standard deduction for 2024.
North Carolina has a 4.5% flat rate. On a Physician Assistants's median salary of $126,480, the state income tax amounts to $5,691 per year, which is an effective state rate of 4.5%.
After all taxes, a Physician Assistants in North Carolina takes home approximately $7,601 per month, or about $43.86 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2024 BLS median salary of $126,480 for Physician Assistants in North Carolina, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), North Carolina state income tax (4.5% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $91,218/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR