The average new graduate PA salary in 2025 is approximately $95,000–$105,000 nationally, with a typical range of $90,000–$110,000 depending on specialty, location, and practice setting. Primary care roles generally start around $90,000–$100,000, while surgical and specialty positions can reach $100,000–$110,000 or more. Geographic variation is significant: higher salaries are common in the West and Northeast, whereas the South and Midwest tend to offer lower starting pay. Compensation has risen modestly in recent years, but real growth is often offset by inflation and regional cost-of-living differences.
National average salary for new graduate PAs
- National average: $95,000–$105,000 annually.
- Typical range: $90,000–$110,000, varying by specialty, location, and setting.
- Primary care: $90,000–$100,000.
- Surgical/specialty: $100,000–$110,000+.
Regional variation in salaries
Geography significantly influences starting salaries:
Regional Average starting salary: West Coast (CA, OR, WA)$100,000–$110,000Northeast (NY, MA, CT)$95,000–$105,000South (TX, FL, GA)$85,000–$95,000Midwest (IL, OH, MI)$90,000–$100,000
Higher salaries in the West and Northeast reflect higher living costs and demand, whereas the South and Midwest generally offer lower starting pay.
Specialty-specific salary ranges
Specialty choice also affects starting compensation:
- Primary care (FM, IM, peds): $90,000–$100,000.
- Emergency medicine: $95,000–$105,000.
- Surgery (general, ortho, CV): $100,000–$110,000+.
- Dermatology: $95,000–$105,000.
- Psychiatry: $90,000–$100,000.
Factors influencing salary variations
Several factors drive differences in new-grad PA pay:
- Geographic location: Cost of living and local demand.
- Specialty: Surgical and procedural fields pay more.
- Practice setting: Hospitals and health systems often pay more than private practices.
- Experience: Prior healthcare experience can boost starting offers.
- Market demand: Underserved areas may offer higher salaries or incentives.
Trends in PA salaries over recent years
PA salaries have risen modestly in recent years, but real growth is often muted by inflation. The profession remains in strong demand, which supports continued upward pressure on compensation, though increases vary by region and specialty.
Comparison with other healthcare professions
New-grad PAs generally earn more than new-grad NPs (≈$90,000–$100,000) and significantly more than new-grad RNs (≈$65,000–$75,000), reflecting differences in training, scope, and market demand.
Impact of student loan debt on salary considerations
With median PA student debt around $100,000–$120,000, starting salaries are a key factor in career decisions. Many graduates prioritize loan repayment and may accept higher-paying specialties or locations to manage debt, though this can limit access to lower-paying primary care roles.
Benefits and compensation packages
Beyond base salary, new PAs often receive:
- Signing bonuses: $5,000–$15,000.
- Relocation assistance: Common for hard-to-fill roles.
- Health insurance: Medical, dental, vision.
- Retirement plans: 401(k) with employer match.
- CME allowance: $1,500–$3,000 annually.
- Malpractice insurance: Typically employer-paid.
Job market outlook for new graduate PAs
The job market remains strong, with PA employment projected to grow 27% from 2022 to 2032. Demand is especially high in primary care, emergency medicine, and under served areas, though competition can be stiff in desirable urban markets.
Negotiation strategies for new graduate PAs
New grads can improve their offers by:
- Researching local benchmarks: Use AAPA and specialty data.
- Highlighting unique skills: Procedures, languages, or certifications.
- Negotiating total compensation: Consider bonuses, CME, and schedule flexibility.
- Being flexible on location: Rural or under served roles often pay more.
Conclusion
In 2025, new graduate PAs can expect starting salaries in the $95,000–$105,000 range, with variation by specialty, region, and setting. Compensation has risen modestly, but real gains depend on location and specialty choice. Strong demand and competitive benefits continue to make the profession attractive, though student debt remains a key consideration.