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Physician Assistants Salary in South Dakota: Cost of Living Adjusted (2024)

What does a Physician Assistants salary really buy you in South Dakota?

South Dakota is 12.0% cheaper than the US average

Data: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31

Nominal Salary
$128,130
Median annual (2024)
+13.6%
Real Purchasing Power
$145,602
COL-adjusted (RPP=88.0)

South Dakota Cost of Living Index

South Dakota's Regional Price Parity (RPP) is 88.0, meaning prices are 12.0% lower the national average. A Physician Assistants earning $128,130 in South Dakota has the equivalent purchasing power of $145,602 in an average-cost US state.

SD: 88.0
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for South Dakota's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $102,720 $116,727 +$14,007
25th Percentile (P25) $109,750 $124,715 +$14,965
Median (P50) $128,130 $145,602 +$17,472
75th Percentile (P75) $141,420 $160,704 +$19,284
90th Percentile (P90) $154,050 $175,056 +$21,006
Key Insight

A Physician Assistants in South Dakota earns $128,130 on paper, but low living costs mean your money goes 14% further — like earning $145,602 in an average-cost state. This makes South Dakota one of the best value states for this occupation.

Best States for Physician Assistants (After Cost of Living)

Where does Physician Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$153,835
RPP 91.0
$152,799
RPP 91.1
3. Iowa
$150,904
RPP 88.4
4. Montana
$147,264
RPP 90.3
$147,240
RPP 88.8
6. Hawaii
$147,129
RPP 110.8
$145,602
RPP 88.0
8. Wyoming
$145,081
RPP 91.9
9. Indiana
$144,008
RPP 91.8
10. Wisconsin
$143,900
RPP 92.3

South Dakota ranks #7 out of 50 states for Physician Assistants after cost-of-living adjustment.

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Frequently Asked Questions

What is the real salary for a Physician Assistants in South Dakota after cost of living?

A Physician Assistants in South Dakota earns a median salary of $128,130 per year. After adjusting for South Dakota's cost of living (RPP=88.0), the real purchasing power is $145,602 — a +13.6% difference.

Is South Dakota expensive to live in?

South Dakota's cost of living is 12.0% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for South Dakota is 88.0 (US average = 100).

What are Regional Price Parities (RPP)?

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.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Physician Assistants in South Dakota: $128,130 x (100 / 88.0) = $145,602. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Physician Assistants in South Dakota financially?

From a purchasing power perspective, yes. A Physician Assistants in South Dakota enjoys 13.6% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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