Combining a passion for helping children with a high-demand medical career, the role of a pediatric Physician Assistant (PA) is both deeply rewarding and financially stable. If you're considering this dynamic profession, one of your key questions is likely about compensation. So, what can you expect to earn?
While salaries vary, a pediatric PA in the United States can expect to earn a competitive salary, with most professionals making between $110,000 and $135,000 annually. This article provides a data-driven look at what a pediatric PA earns, the factors that shape your income, and the bright future of this vital profession.
What Does a Pediatric PA Do?

Before diving into the numbers, it's essential to understand the role. A pediatric PA is a licensed medical professional who works under the supervision of a physician to provide healthcare to infants, children, adolescents, and young adults. They are a cornerstone of many pediatric practices and hospitals.
Their daily responsibilities are extensive and impactful, including:
- Conducting well-child checkups and developmental screenings.
- Diagnosing and treating common childhood illnesses (like ear infections, colds, and rashes).
- Ordering and interpreting diagnostic tests.
- Prescribing medications and administering immunizations.
- Managing chronic conditions such as asthma and diabetes.
- Providing guidance and education to parents and caregivers on nutrition, safety, and development.
Pediatric PAs work in a variety of settings, from small private practices to large children's hospitals and urgent care centers.
Average Pediatric PA Salary

While salary data can fluctuate based on the source and its methodology, a clear picture emerges when we synthesize information from leading authorities.
The American Academy of Physician Associates (AAPA), the premier professional organization for PAs, provides the most specialized data. According to the 2023 AAPA Salary Report, the median base salary for PAs specializing in pediatrics was $115,000.
Other reputable sources provide a similar range, reflecting different data collection methods:
- Salary.com reports that the median salary for a Physician Assistant specializing in pediatrics is approximately $126,590, with a typical range falling between $118,658 and $134,842 (as of late 2023).
- Payscale notes an average base salary closer to $103,000, which likely includes more entry-level and part-time positions in its aggregate data.
It's important to remember that these figures often represent base salary and may not include bonuses, profit-sharing, or other compensation, which can add several thousand dollars to your total annual earnings. The overall range for a pediatric PA, from entry-level to highly experienced, typically spans from $100,000 to over $140,000.
Key Factors That Influence Salary

Your salary as a pediatric PA is not a single, fixed number. It is influenced by a combination of factors. Understanding these variables can help you maximize your earning potential throughout your career.
Level of Education
To become a PA, you must graduate from an accredited PA program and obtain a master's degree. While this is the standard educational requirement, further qualifications can enhance your expertise and salary potential.
Obtaining a Certificate of Added Qualifications (CAQ) in Pediatrics from the National Commission on Certification of Physician Assistants (NCCPA) is a significant differentiator. The CAQ demonstrates a high level of knowledge and experience in the specialty, making you a more attractive candidate for competitive positions and potentially leading to higher pay. Furthermore, PAs who pursue a Doctor of Medical Science (DMSc) degree may be better positioned for leadership, administrative, or academic roles, which often come with higher compensation.
Years of Experience
Experience is one of the most significant drivers of salary growth. As you build your clinical skills, gain confidence, and demonstrate your value to a practice or hospital, your earning potential increases.
- Entry-Level (0-2 years): New graduates can expect to earn on the lower end of the salary spectrum, typically starting between $100,000 and $112,000. This period is focused on applying academic knowledge to real-world clinical practice.
- Mid-Career (3-9 years): With several years of experience, PAs become more autonomous and efficient. Salaries often climb into the $115,000 to $128,000 range.
- Experienced (10+ years): Senior PAs with a decade or more of experience are highly valued for their expertise and potential mentorship roles. They can command salaries well over $130,000, with top earners exceeding $140,000, especially in high-demand locations or specialized roles.
Geographic Location
Where you choose to practice has a major impact on your salary. Compensation varies dramatically between states and even between urban and rural areas. This is often driven by a combination of local market demand and cost of living.
According to the U.S. Bureau of Labor Statistics (BLS), the top-paying states for Physician Assistants in general include California, Washington, New York, Alaska, and Connecticut. While this data is for all PAs, it indicates markets where compensation is highest. Conversely, working in a rural or medically underserved area may come with salary incentives or loan repayment programs designed to attract qualified providers. When evaluating a job offer, always weigh the salary against the local cost of living to understand your true earning power.
Company Type
The type of facility you work in directly affects your compensation structure and benefits.
- Large Hospital Systems: These employers often offer the most competitive salaries and comprehensive benefits packages, including retirement plans and health insurance. PAs may work in outpatient pediatric clinics, inpatient wards, or the emergency department.
- Private Pediatric Practices: While base salaries might be slightly lower than at large hospitals, private practices often offer productivity bonuses or a path to partnership, which can significantly increase total compensation over time.
- Urgent Care Centers: PAs in pediatric-focused urgent care centers often earn competitive wages, sometimes with hourly pay rates that can be lucrative if working evenings or weekends.
- Academic Medical Centers: Working at a university-affiliated hospital may involve teaching or research responsibilities. While base salaries can be competitive, the primary draw is often the prestige and opportunities for professional development.
Area of Specialization
While pediatrics is itself a specialty, there are sub-specialties within it that can lead to higher earnings. A PA working in general pediatrics will have a different salary expectation than one in a highly specialized field.
For example, pediatric PAs who sub-specialize in areas like pediatric surgery, cardiology, oncology, or critical care require additional training and manage more complex cases. This advanced expertise is compensated accordingly, and these roles are consistently among the highest-paid positions for PAs in pediatrics.
Job Outlook

The career outlook for Physician Assistants is exceptionally strong. The U.S. Bureau of Labor Statistics (BLS) projects that employment for PAs will grow by 27% from 2022 to 2032, which is vastly faster than the average for all occupations.
This incredible growth is fueled by several factors, including an increased demand for healthcare services, a focus on team-based care, and the proven cost-effectiveness and high-quality care that PAs provide. For pediatrics specifically, the consistent need for preventative care, sick visits, and management of childhood conditions ensures a stable and growing demand for qualified PAs.
Conclusion

A career as a pediatric PA offers a powerful combination of personal fulfillment and financial security. With a strong average salary and a wealth of opportunities for growth, it is a path that rewards both your head and your heart.
For those aspiring to enter this field, the key takeaways are clear:
- Expect a competitive starting salary with significant growth potential.
- Your earnings will be shaped by your experience, location, work setting, and any additional qualifications you pursue.
- The job outlook is outstanding, promising a long and stable career.
By strategically navigating these factors, you can build a successful and prosperous career dedicated to the health and well-being of the next generation.