Physician Assistant salary in North Carolina
Updated Updated for 2026 tax law
A physician assistant in North Carolina earns a median of $129,360 a year ($62.19/hour equivalent), 4.8% below the national median of $135,880. North Carolina ranks #40 of 51 states. About 7,490 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $95,031 a year after federal, FICA and North Carolina taxes — $3,655 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $4,975.38
- Federal income tax
- −$760.78
- Social Security (6.2%)
- −$308.47
- Medicare (1.45%)
- −$72.14
- North Carolina income tax
- −$178.95
- Take-home pay
- $3,655.03
Annual breakdown
- Gross
- $129,360
- Federal
- $19,780
- FICA
- $9,896
- State + local
- $4,653
- Net
- $95,031
- Marginal federal rate
- 24.0%
- Marginal state rate
- 4.0%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | New Jersey | $165,690 |
| #2 | California | $165,650 |
| #3 | Washington | $164,360 |
| #4 | Hawaii | $164,050 |
| #5 | New York | $160,880 |
| #40 | North Carolina | $129,360 |
| #49 | Georgia | $115,390 |
| #50 | Mississippi | $105,920 |
| #51 | Alabama | $104,960 |
See the national physician assistant salary page for the full pay range and all states.
BLS occupation: Physician Assistants (SOC 29-1071), May 2025, state estimates.
Frequently asked questions
How much does a physician assistant make in North Carolina?
The median salary is $129,360 a year and the average is $130,030 (BLS May 2025).
Is North Carolina a good state for physician assistants?
North Carolina ranks #40 of 51 states for median pay in this job, 5% below the national median of $135,880.
What is $129,360 after taxes in North Carolina?
About $95,031 a year ($3,655 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.