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The average salary for an Orthopaedic Physician Assistant in the United States is approximately $189,482 per year, translating to about $91 per hour. This figure can vary based on factors such as geographic location, years of experience, and the specific healthcare setting. For instance, states like California and New York often report higher earnings due to higher living costs and demand for specialized medical services.
In addition to state variations, specific cities also present lucrative opportunities. Cities known for high salaries in this profession include San Francisco, New York City, and Los Angeles. These locations typically offer higher compensation packages, reflecting the cost of living and the competitive healthcare environment.
Experience plays a significant role in salary potential as well. Entry-level positions may offer lower salaries, while seasoned Orthopaedic Physician Assistants can significantly increase their earnings, especially if they pursue further specialization or leadership roles. Understanding these dynamics helps current and aspiring professionals in the field to make informed career decisions and seek out positions that align with their financial goals.
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The highest-paying states for orthopaedic physician assistants are Nebraska, New Mexico, and Minnesota. The lowest average orthopaedic physician assistant salary states are Missouri, Rhode Island, and Idaho.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | New Mexico | $192,322 | $92.46 |
| 2 | North Dakota | $185,386 | $89.13 |
| 3 | South Dakota | $179,101 | $86.11 |
| 4 | Minnesota | $189,190 | $90.96 |
| 5 | Nevada | $182,477 | $87.73 |
| 6 | Nebraska | $193,939 | $93.24 |
| 7 | Iowa | $183,594 | $88.27 |
| 8 | Oregon | $180,748 | $86.90 |
| 9 | Vermont | $177,303 | $85.24 |
| 10 | Arizona | $174,471 | $83.88 |
| 11 | Wisconsin | $169,254 | $81.37 |
| 12 | Montana | $171,944 | $82.67 |
| 13 | Indiana | $169,492 | $81.49 |
| 14 | Wyoming | $174,166 | $83.73 |
| 15 | Washington | $176,818 | $85.01 |
| 16 | Alaska | $172,919 | $83.13 |
| 17 | Texas | $172,947 | $83.15 |
| 18 | California | $187,665 | $90.22 |
| 19 | Illinois | $174,424 | $83.86 |
| 20 | Massachusetts | $178,366 | $85.75 |
| 21 | Tennessee | $166,813 | $80.20 |
| 22 | Utah | $175,094 | $84.18 |
| 23 | New York | $171,552 | $82.48 |
| 24 | Hawaii | $170,811 | $82.12 |
| 25 | West Virginia | $163,086 | $78.41 |
| 26 | Colorado | $176,467 | $84.84 |
| 27 | South Carolina | $163,648 | $78.68 |
| 28 | North Carolina | $164,926 | $79.29 |
| 29 | Louisiana | $164,667 | $79.17 |
| 30 | Arkansas | $167,974 | $80.76 |
| 31 | Kansas | $166,546 | $80.07 |
| 32 | Oklahoma | $161,007 | $77.41 |
| 33 | Michigan | $162,648 | $78.20 |
| 34 | Maine | $159,164 | $76.52 |
| 35 | Ohio | $164,523 | $79.10 |
| 36 | Pennsylvania | $157,706 | $75.82 |
| 37 | Georgia | $164,511 | $79.09 |
| 38 | Florida | $162,154 | $77.96 |
| 39 | Kentucky | $156,028 | $75.01 |
| 40 | Connecticut | $157,161 | $75.56 |
| 41 | New Jersey | $157,662 | $75.80 |
| 42 | Alabama | $156,065 | $75.03 |
| 43 | New Hampshire | $140,373 | $67.49 |
| 44 | Maryland | $157,939 | $75.93 |
| 45 | Missouri | $153,348 | $73.72 |
| 46 | District of Columbia | $163,435 | $78.57 |
| 47 | Rhode Island | $150,063 | $72.15 |
| 48 | Virginia | $147,782 | $71.05 |
| 49 | Delaware | $155,243 | $74.64 |
| 50 | Idaho | $148,137 | $71.22 |
| 51 | Mississippi | $136,040 | $65.40 |
The highest-paying cities for orthopaedic physician assistants are Omaha, NE, Albuquerque, NM, and Minneapolis, MN.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Omaha, NE | $271,379 | $130.47 |
| 2 | Albuquerque, NM | $254,592 | $122.40 |
| 3 | Minneapolis, MN | $249,383 | $119.90 |
| 4 | Fresno, CA | $236,808 | $113.85 |
| 5 | Vancouver, WA | $224,927 | $108.14 |
| 6 | Greeley, CO | $221,098 | $106.30 |
| 7 | Chicago, IL | $207,255 | $99.64 |
| 8 | Tucson, AZ | $206,428 | $99.24 |
| 9 | Peabody, MA | $205,882 | $98.98 |
| 10 | Houston, TX | $198,887 | $95.62 |
| 11 | Watertown, NY | $197,146 | $94.78 |
| 12 | Chattanooga, TN | $188,805 | $90.77 |
| 13 | Toledo, OH | $184,471 | $88.69 |
| 14 | Alexandria, LA | $183,380 | $88.16 |
| 15 | Raleigh, NC | $181,096 | $87.07 |
| 16 | Spartanburg, SC | $180,517 | $86.79 |
| 17 | Palm Beach Gardens, FL | $177,587 | $85.38 |
| 18 | Scranton, PA | $171,144 | $82.28 |
| 19 | Towson, MD | $170,427 | $81.94 |
| 20 | Saint Louis, MO | $169,640 | $81.56 |
An orthopaedic physician assistant's salary ranges from $104,000 a year at the 10th percentile to $344,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $344,000 | $28,667 | $165 |
| 75th Percentile | $259,000 | $21,583 | $125 |
| Average | $189,482 | $15,790 | $91 |
| 25th Percentile | $138,000 | $11,500 | $66 |
| 10th Percentile | $104,000 | $8,667 | $50 |
The highest paying types of orthopaedic physician assistants are pain management physician, obstetrics gynecology physician, and physician extender.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Pain Management Physician | $253,724 | $21,144 | $121.98 | 109,196 |
| Obstetrics Gynecology Physician | $253,219 | $21,102 | $121.74 | 47,501 |
| Physician Extender | $244,718 | $20,393 | $117.65 | 73,599 |
Top companies hiring orthopaedic physician assistants now:
Orthopaedic physician assistant salaries at ProMedica Toledo Hospital and Samaritan Medical Center are the highest-paying according to our most recent salary estimates. In addition, the average orthopaedic physician assistant salary at companies like Unm Medical Group, Inc. and Hennepin Healthcare are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | ProMedica Toledo Hospital | $245,876 | $118.21 |
| 2 | Samaritan Medical Center | $230,435 | $110.79 |
| 3 | Unm Medical Group, Inc. | $229,431 | $110.30 |
| 4 | Hennepin Healthcare | $226,717 | $109.00 |
| 5 | IL Bone & Joint | $220,358 | $105.94 |
| 6 | VA Greater Los Angeles Healthcare System | $211,730 | $101.79 |
| 7 | UPMC | $207,866 | $99.94 |
| 8 | Pinehurst Surgical Clinic | $205,769 | $98.93 |
| 9 | St Joseph Medical Group | $201,700 | $96.97 |
| 10 | University of Maryland Medical System | $200,965 | $96.62 |
| 11 | Community Health Systems | $200,558 | $96.42 |
| 12 | Geisinger Medical Center | $199,725 | $96.02 |
| 13 | Vancouver Clinic | $196,312 | $94.38 |
| 14 | HCR ManorCare | $195,589 | $94.03 |
| 15 | CHI Health | $191,986 | $92.30 |
| 16 | Icahn School of Medicine at Mount Sinai | $190,802 | $91.73 |
| 17 | Partners Healthcare Solutions Inc | $189,902 | $91.30 |
| 18 | Ohio State University Medical Center | $186,698 | $89.76 |
| 19 | Dignity Health | $184,752 | $88.82 |
| 20 | McLeod Health | $183,712 | $88.32 |
The average orthopaedic physician assistant salary has risen by $43,894 over the last ten years. In 2014, the average orthopaedic physician assistant earned $145,588 annually, but today, they earn $189,482 a year. That works out to a 14% change in pay for orthopaedic physician assistants over the last decade.
Compare orthopaedic physician assistant salaries for cities or states with the national average over time.
Compare orthopaedic physician assistant salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $189,000 | $91.10 | +2.7% |
| 2024 | $184,000 | $88.63 | +3.3% |
| 2023 | $178,000 | $85.74 | +3.5% |
| 2022 | $172,000 | $82.78 | +3.2% |
| 2021 | $167,000 | $80.12 | +3.3% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Barnes-Jewish Hospital | Physician-Pgy2-Orthopaedic Surgery | Saint Louis, MO | 03/21/2025 | $72,940 |
| Geisinger Clinic | Physician, Orthopaedic Surgery Hand | Port Matilda, PA | 03/03/2025 | $468,859 |
| Inspire Health Medical Group | Physician Assistant-Orthopaedic Surgery | Fresno, CA | 03/02/2025 | $110,000 |
| University of Illinois at Chicago | Physician Assistant (Pa-C)-Orthopaedics (Idoc) | Chicago, IL | 02/22/2025 | $100,000 |
| Raleighgeneral | Physician-Orthopaedic Surgery | Beckley, WV | 02/20/2025 | $100,000 |
| Rochester Music Hall of Fame | Orthopaedics-Fellowship-Nurse Practitioner/Physician Assistant | Rochester, NY | 02/19/2025 | $65,125 |
| Royal Victoria Hospital | Physician Assistant-Orthopaedics | Union, NJ | 02/17/2025 | $118,709 |
| MUSC | Univ-Open Rank-Total Joint Reconstruction Physician-Department of Orthopaedics | Charleston, SC | 02/16/2025 | $20,000 |
| Northwestern Medicine | Physician Assistant Only-Orthopaedics (Total Joint Surgery), Days | Lake Forest, IL | 02/08/2025 | $112,698 |
| Linkpas | Orthopaedic Physician Assistant | Atlanta, GA | 01/25/2025 | $125,000 |
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