Nashville, Tennessee · 2026
Physician Assistants Salary in Nashville
Based on BLS data · Cost of living adjusted · Updated 2026 · 3 min read
Average Salary
$131,272
per year
Cost of Living Adjusted
$129,972
effective purchasing power
vs National Average
+1%
national avg: $130,490
Salary Range in Nashville
25th %ile
$108,748
Entry
Median
$130,800
Mid
75th %ile
$152,630
Senior
Physician Assistants in Nashville earn an average of $130,800, which is virtually aligned with the national average despite a slightly elevated cost of living. Understanding the local salary landscape and strategic career moves can help you maximize earning potential in this competitive healthcare market.
Complete Physician Assistants Salary Guide — Nashville
Based on BLS data · Updated 2026
Salary Overview for Physician Assistants in Nashville
Physician Assistants in Nashville, Tennessee currently earn an average salary of $130,800, with a median of $130,800. This means half of PAs in the area earn above this figure and half earn below it. The salary range is substantial: the 25th percentile earns $108,748, while those in the 75th percentile command $152,630. This $43,882 spread between the 25th and 75th percentiles indicates significant variation based on experience, specialization, and employer type. The field is experiencing healthy growth with a year-over-year increase of 6.3%, suggesting strong demand for qualified professionals.
Cost of Living Impact on Your Salary
Nashville's cost of living index stands at 101, just slightly above the national average of 100. This means your expenses are roughly 1% higher than the national baseline. However, your effective purchasing power in Nashville is $129,972, which is actually slightly lower than your nominal salary of $130,800. This indicates that while Nashville isn't significantly more expensive than average, your salary doesn't stretch quite as far as it would in lower cost-of-living areas. Housing, healthcare, and transportation costs should be factored into your financial planning. The good news is that Nashville remains relatively affordable compared to major metropolitan areas like New York or San Francisco, allowing PAs to build wealth more effectively.
Comparison to National Average
Your Nashville salary of $130,800 is essentially equivalent to the national average of $130,490—just $310 higher. This is excellent news for Nashville-based PAs. You're earning at parity with the national market while living in a city with a lower cost of living than many major healthcare hubs. This positions Nashville as a particularly attractive market for physician assistants seeking competitive compensation without the expense burden of larger coastal cities.
Factors Affecting PA Compensation in Nashville
Several factors influence PA salaries in Nashville's healthcare market. Specialization plays a crucial role—PAs in surgical specialties, emergency medicine, and orthopedics typically earn more than those in primary care. Your employer type matters significantly; hospital systems and private practices often pay differently than urgent care centers or clinics. Years of experience directly correlate with higher compensation, with experienced PAs commanding premium salaries. Board certification and additional credentials enhance earning potential. Nashville's growing healthcare sector, anchored by major institutions like Vanderbilt University Medical Center and HCA Healthcare facilities, creates competitive pressure that benefits qualified candidates. Geographic location within Nashville also matters, with certain medical centers offering higher compensation packages.
Strategies to Reach the Top 25% ($152,630+)
To achieve 75th percentile earnings, pursue specialized certifications in high-demand fields like emergency medicine, orthopedic surgery, or cardiology. Develop expertise that makes you invaluable to employers. Negotiate aggressively during hiring—your market value is strong. Consider positions at major academic medical centers or specialized surgical practices. Build a track record of excellent patient outcomes and clinical leadership. Network within Nashville's healthcare community to learn about premium-paying opportunities. Pursue continuing education and advanced certifications that justify higher compensation. Consider roles with call requirements or shift differentials that increase base pay. As you gain experience, transition toward positions with leadership responsibilities or specialized clinical roles that command higher salaries.
Salary Distribution — Physician Assistants in Nashville
25th percentile: $108,748, Median: $130,800, Average: $131,272, 75th percentile: $152,630, National average: $130,490
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