HealthcareUpdated Q1 2026No state income tax

Physician Assistant Salary
in Spokane, WA

Practice medicine under physician supervision β€” diagnosing, treating, and prescribing. Median salary in Spokane: $125K/year. Data from BLS, O*NET, and H-1B disclosures.

Median salary
$125K
per year
Take-home: $88K

Salary range in Spokane

Entry level (25th)$104,000
Median (50th)$125,000
Senior (75th)$149,000
Top earner (90th)$178,000
Data freshness

Figures represent annual base salary in Spokane, Washington. Reviewed by SalaryOptics Editorial Β· How we calculate this β†’

Help build this dataset. Add your own Physician Assistant salary so other workers in Spokane have better numbers to work with.
Submit yours β†’

What the numbers say for Spokane

Analysis derived from the salary, COL, tax, and labor-market figures above β€” specific to this role and city.

4% discount vs national median

Physician Assistants in Spokane earn approximately 4% lower than the US national median for this role β€” a $5,000 discount on annual base salary. Spokane's lower wage level partially reflects the area's cost-of-living index of 95 (US avg = 100).

No state income tax β€” $12K effective edge

Washington has no state income tax, which is worth roughly $11,625 per year at this salary level compared to a California Physician Assistant on the same gross pay. A Spokane Physician Assistant would need to earn $137,817 in California to net the same take-home.

Primarily on-site role

Only 5% of Physician Assistant positions offer remote flexibility, meaning the Spokane salary above represents what local employers actually pay β€” not a remote-anywhere rate. Geographic constraints reinforce the local market, so the salary range above is more directly applicable than for remote-friendly roles.

Key facts for Spokane

Median salary
$125K
annual
Take-home pay
$88K
after fed/state tax
COL index
95
100 = US avg
State income tax
None
no-tax state
Avg 1BR rent
$1,150
per month
YoY growth
+4.8%
salary trend

Salary forecast: Spokane Physician Assistant to 2030

Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $149K by 2030.

Salary trend & forecast β€” Spokane

Historical (2019–2025) + projected to 2030 based on BLS growth rates

HistoricalProjected
Physician Assistant salary trend 2019–2030PROJECTED β†’$105K$118K$131K$143K$156K201920212023202520272029
2026
$131K
projected
2027
$137K
projected
2028
$143K
projected
2029
$149K
projected
2030
$156K
projected

Projections based on BLS Employment Projections 2022–2032 CAGR and WEF Jobs Report 2025. Not financial advice.

YearProjected median salaryvs today
2027 projected$131,000+$6,000
2028 projected$137,000+$12,000
2029 projected$143,000+$18,000
2030 projected$149,000+$24,000

Projections use compound annual growth rate (CAGR) from BLS occupational outlook data. Actual salaries may vary.

Full salary breakdown & negotiation guide

Unlock the full salary report + negotiation email template

Enter your email for free access. We'll send salary market updates β€” unsubscribe anytime.

No spam. Unsubscribe anytime.

Physician Assistant Salary in Spokane, Washington: Complete Guide (2026)

The median Physician Assistant salary in Spokane, WA is $125,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Spokane–WA metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.

Salary range for Physician Assistant in Spokane

Entry-level Physician Assistants in Spokane with 0–2 years of experience typically earn between $104,000 and $125,000 annually. Mid-career professionals with 3–7 years command $125,000 to $149,000, while senior-level practitioners with 8+ years of experience regularly earn $149,000 to $178,000 or more.

Cost of living in Spokane for Physician Assistants

Spokane has a cost of living index of 95 compared to the US national average of 100. This means your salary goes approximately 5% further in Spokane than the national average. Crucially, Washington has no state income tax β€” giving Spokane-based Physician Assistants an immediate 3–5% take-home pay advantage over workers in states like California (9.3%) or New York (6.85%).

Education requirements for Physician Assistant

Master's in Physician Assistant Studies; PA-C certification. 5% of these roles offer some remote flexibility.

Physician Assistant salary in nearby cities

CityMedian salaryCOL index
Spokane (current)$125K95
Seattle$159K150
Tacoma$143K128
Vancouver$153K118
Bellevue$228K175
Kirkland$211K162