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Physician Assistants Salary in Texas: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Physician Assistants salary really buy you in Texas?

Texas is 2.5% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$134,550
Median annual (2025)
+2.6%
Real Purchasing Power
$138,000
COL-adjusted (RPP=97.5)

Texas Cost of Living Index

Texas's Regional Price Parity (RPP) is 97.5, meaning prices are 2.5% lower the national average. A Physician Assistants earning $134,550 in Texas has the equivalent purchasing power of $138,000 in an average-cost US state.

TX: 97.5
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 Texas's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $102,650 $105,282 +$2,632
25th Percentile (P25) $122,720 $125,866 +$3,146
Median (P50) $134,550 $138,000 +$3,450
75th Percentile (P75) $156,000 $160,000 +$4,000
90th Percentile (P90) $169,000 $173,333 +$4,333
Key Insight

Texas's cost of living is close to the national average, so $134,550 keeps most of its value at $138,000 in real terms. Location choice here is more about career opportunities than cost arbitrage.

What the Cost-of-Living Data Says

Texas Sits Near the National Cost Benchmark

RPP 97.5

With an RPP of 97.5, Texas is within a few percent of the national cost-of-living baseline. Salary adjustment for Physician Assistants is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Minor COL Adjustment for This Salary

+2.6%

After adjusting for Texas's cost of living, $134,550 nominal nets out to $138,000 in real purchasing power — a small 2.6% gain. The state's cost profile is close enough to average that COL alone shouldn't drive location decisions for this Physician Assistants.

Below-Median Adjusted Pay

#31 / 51

Texas's rank of #31 of 51 states means real purchasing power for Physician Assistants trails the national half-way line.

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.

1. Montana
$156,666
RPP 90.3
$153,772
RPP 88.8
$153,758
RPP 91.0
4. Iowa
$152,454
RPP 88.4
$152,288
RPP 108.8
$151,363
RPP 88.0
$150,450
RPP 88.7
$149,690
RPP 109.8
$149,516
RPP 107.6
10. Vermont
$148,852
RPP 101.1

Texas ranks #31 out of 51 states for Physician Assistants after cost-of-living adjustment.

How much do you actually take home? See Physician Assistants take-home pay in Texas after taxes →

Frequently Asked Questions

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

A Physician Assistants in Texas earns a median salary of $134,550 per year. After adjusting for Texas's cost of living (RPP=97.5), the real purchasing power is $138,000 — a +2.6% difference.

Is Texas expensive to live in?

Texas's cost of living is 2.5% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for Texas is 97.5 (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 Texas: $134,550 x (100 / 97.5) = $138,000. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Physician Assistants in Texas financially?

From a purchasing power perspective, yes. A Physician Assistants in Texas enjoys 2.6% 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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