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Physician Assistant Salary in Louisville, KY: 2026

Physician Assistant salary data for Louisville, KY, adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.

The median Physician Assistant salary in Louisville, KY is $130,830 per year ($10,903/month, $62.90/hr). That is the BLS OEWS May 2025 median annual wage for Physician Assistants in the Louisville/Jefferson County, KY-IN metropolitan area, which covers Louisville. Salario's cost-of-living model (index 90) would have estimated $122,292; the entry, senior and top tiers below are Salario estimates rescaled to the BLS median.

Also known as: PA, Physician Associate, Medical Assistant. The estimates on this page are used for these related job titles in Louisville, KY, although actual pay can differ by title and scope.

Entry Level
$98K
$47/hr
Median
$131K
$63/hr
Senior
$167K
$80/hr
Top Earner
$199K
$96/hr

Median: BLS OEWS May 2025, Physician Assistants (SOC 29-1071), Louisville/Jefferson County, KY-IN MSA. Entry, senior and top earner are Salario estimates rescaled to the BLS median.

Physician Assistant Take-Home Pay in Louisville

Tax Breakdown (Median Salary)

Gross Annual$130,830
Federal Tax-$20,133
State Tax (3.4% eff.)-$4,461
Local Tax (2.2%)-$2,878
FICA (SS + Medicare)-$10,008
Annual Take-Home$93,349
Monthly Take-Home$7,779

Living Cost Comparison

Median Rent$1,000/mo
Rent-to-Income Ratio9.2%
Median Home Price$210,000
Cost of Living Index90
City Median Salary (BLS metro, all jobs)$48,370
Physician Assistant vs City Median+$82,460

Physician Assistant Requirements

Education
Master's Degree
Experience
0-2 years
Job Growth
28.0% (2024-2034)

Key Skills

Clinical ExaminationDiagnosisProcedure AssistanceEHRPatient Education

Physician Assistant salary search terms in Louisville

People comparing Physician Assistant pay in Louisville, KY may use related job-title wording. Salario keeps the main estimate tied to the Physician Assistant role, then treats the terms below as comparison phrases that should be checked for licensing, employer type, seniority, and role scope.

PAPhysician AssociateMedical Assistant
Comparison pointHow to use it
Primary local answer$130,830 median salary, $97,800-$167,000 modeled range, and $93,349 estimated take-home pay in Louisville.
Title variantsPA, Physician Associate, Medical Assistant can point to similar searches, but some variants may represent a narrower specialty or a higher/lower seniority band.
Offer comparisonCompare base salary, hourly equivalent, take-home pay, certifications, local cost of living, and whether the job is employee, contractor, public-sector, commission-heavy, or management-level.

Louisville Job Market Overview

Louisville, Kentucky has a population of 633,045 and an unemployment rate of 3.5%. The top industries are Healthcare, Logistics, Manufacturing. The local job growth rate is 1.5%, and the average commute time is 23minutes. These local figures come from Salario's city dataset; verify current values with BLS Local Area Unemployment Statistics and Census QuickFacts.

Salary Percentile Breakdown: Physician Assistant in Louisville

Based on Salario's cost-of-living-adjusted salary tiers for Physician Assistant in Louisville, KY, here is an estimated percentile breakdown:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$97,800$47/hrEntry-level, < 1 yr exp.
25th$114,315$55/hrJunior, 1-3 yrs exp.
50th (median)$130,830$63/hrMid-career, 0-2 years
75th$167,000$80/hrSenior, 5-10 yrs exp.
90th (top)$198,900$96/hrLead/Principal, 10+ yrs

P50 is the measured BLS OEWS May 2025 metro median; P10, P25, P75 and P90 are approximations, not measured local percentiles: they map to Salario's entry, senior and top tiers rescaled to the BLS median, with P25 interpolated halfway between entry and median. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Louisville's Healthcare sector.

5-Year Salary Trajectory

Salario's national dataset models approximately 15.0% salary growth for Physician Assistants over the past 5 years. That national assumption is applied to the Louisville estimate below; it is not a measured local trend, and it should be compared with cumulative CPI inflation before treating it as a real-terms gain:

5 Years Ago
$113,765
Adjusted for Louisville COL
Today (2026)
$130,830
+15.0% vs 5y ago
Projected 2031
$150,455
If growth continues

Year-over-year, an average Physician Assistant can expect a 14.3% annual increase moving from entry to senior level over 4 years in Louisville. Negotiation, certifications (PANCE, NCCPA Certification), and changing employers strategically can accelerate this trajectory.

Louisville vs National Average

The national median Physician Assistant salary is $135,880 (BLS OEWS May 2025, Physician Assistants). In the Louisville/Jefferson County, KY-IN metro, the BLS median of $130,830 is 3.7% below the national figure. Louisville's cost of living index is 90 (lower than the national average of 100), so the wage premium and the cost premium do not necessarily cancel out.

For Physician Assistants, this means: rent typically consumes 12.9% of take-home pay (households spending >30% are considered affordable), and a median home in Louisville costs about 2.2× annual take-home. Homeownership is relatively attainable on this salary in Louisville.

Industry Context: Healthcare in Louisville

Louisville's economy is anchored by Healthcare, Logistics, Manufacturing, with 633,045 residents and an unemployment rate of 3.5% in Salario's city dataset. Pay for Physician Assistants can differ by sector, so compare Healthcare employers with other local employers. The local job growth rate in Salario's city dataset is 1.5%, and Salario's job dataset lists a 28.0% growth outlook for Physician Assistant roles; check the BLS Occupational Outlook Handbook for the official 2024-2034 projection for the closest matching occupation.

Methodology & Data Sources

How we calculate Physician Assistant salaries in Louisville, KY:

  1. Local median is the BLS OEWS May 2025 median annual wage for Physician Assistants (SOC 29-1071) in the Louisville/Jefferson County, KY-IN metropolitan statistical area, retrieved from the BLS Public Data API on September 17, 2026. BLS reports by metro area, so this is a regional figure, not a Louisville-only wage.
  2. Cost-of-living adjustment is shown only for comparison ($122,292 modeled) using the Louisville index of 90 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs stored separately in Salario's city dataset.
  3. Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rescaled to the BLS metro median rather than claimed as exact employer payroll data.
  4. Take-home pay calculated using 2026 federal tax brackets (10%-37%), KY 2026 state income tax brackets after the standard deduction (top rate 3.5%), Louisville local tax of 2.2%, and FICA (Social Security 6.2% + Medicare 1.45%).
  5. Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.

Authoritative data sources:

Last reviewed: 2026. Salario's salary dataset is refreshed periodically, not automatically; check the linked BLS releases for the latest official data. Physician Assistant salaries can vary significantly based on employer, sector (Healthcare vs others in Louisville), specific skill set (Clinical Examination, Diagnosis, Procedure Assistance), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Physician Assistant salary in Louisville, KY?
The median Physician Assistant salary in Louisville, KY is $130,830 per year: the BLS OEWS May 2025 median annual wage for Physician Assistants (SOC 29-1071) in the Louisville/Jefferson County, KY-IN metropolitan area. BLS publishes wages by metro area, not by city. The entry-level estimate of around $97,800 and the senior estimate of $167,000 or more are Salario tiers calibrated to that BLS median, not BLS percentiles.
How much does a Physician Assistant take home in Louisville after taxes?
A Physician Assistant earning the median salary of $130,830 in Louisville, KY takes home approximately $93,349 per year ($7,779/month) after federal, state, and local taxes. The effective tax rate is 28.6%.
Is Louisville a good city for Physician Assistants?
Louisville, KY has a cost of living index of 90 (below national average). Physician Assistants here earn above the city median. The local unemployment rate is 3.5% and top industries include Healthcare, Logistics, Manufacturing.
What skills are needed for a Physician Assistant in Louisville?
Key skills for Physician Assistants include Clinical Examination, Diagnosis, Procedure Assistance, EHR, Patient Education. Typical education requirement is Master's Degree. Valuable certifications include PANCE, NCCPA Certification.
How does Physician Assistant salary in Louisville compare to the national average?
The national median for Physician Assistants is $135,880 (BLS OEWS May 2025). In the Louisville/Jefferson County, KY-IN metro, the BLS median is $130,830, which is 3.7% lower than the national figure. For comparison, Salario's cost-of-living model (index 90) would have estimated $122,292.
What job titles are similar to Physician Assistant in Louisville?
Related search terms for Physician Assistant in Louisville, KY include PA, Physician Associate, Medical Assistant. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.

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Frequently Asked Questions

What is the average Physician Assistant salary in Louisville, KY?

The median Physician Assistant salary in Louisville, KY is $130,830 per year: the BLS OEWS May 2025 median annual wage for Physician Assistants (SOC 29-1071) in the Louisville/Jefferson County, KY-IN metropolitan area. BLS publishes wages by metro area, not by city. The entry-level estimate of around $97,800 and the senior estimate of $167,000 or more are Salario tiers calibrated to that BLS median, not BLS percentiles.

How much does a Physician Assistant take home in Louisville after taxes?

A Physician Assistant earning the median salary of $130,830 in Louisville, KY takes home approximately $93,349 per year ($7,779/month) after federal, state, and local taxes. The effective tax rate is 28.6%.

Is Louisville a good city for Physician Assistants?

Louisville, KY has a cost of living index of 90 (below national average). Physician Assistants here earn above the city median. The local unemployment rate is 3.5% and top industries include Healthcare, Logistics, Manufacturing.

What skills are needed for a Physician Assistant in Louisville?

Key skills for Physician Assistants include Clinical Examination, Diagnosis, Procedure Assistance, EHR, Patient Education. Typical education requirement is Master's Degree. Valuable certifications include PANCE, NCCPA Certification.

How does Physician Assistant salary in Louisville compare to the national average?

The national median for Physician Assistants is $135,880 (BLS OEWS May 2025). In the Louisville/Jefferson County, KY-IN metro, the BLS median is $130,830, which is 3.7% lower than the national figure. For comparison, Salario's cost-of-living model (index 90) would have estimated $122,292.

What job titles are similar to Physician Assistant in Louisville?

Related search terms for Physician Assistant in Louisville, KY include PA, Physician Associate, Medical Assistant. Use them as comparison terms, not always exact matches: licensing, employer type, seniority, public-sector rules, and whether the role is W-2, contractor, clinical, technical, management, or sales-focused can change the salary range.