Is Physician Assistant a Good Career in Maryland?
Maryland · 2026 BLS salary data
Physician Assistant pay in Maryland
The median wage is $137,560/yr — 1% above the national median. Among U.S. states, Marylandranks #17 of 51 states by median pay.
The numbers in Maryland
Real BLS state-level figures for Physician Assistant.
- Median salary
- $137,560/yr
- Pay range (25th–75th)
- $125,140 – $160,090
- National median
- $135,880/yr
- Employed in Maryland
- 2,950
Source: BLS Occupational Employment & Wage Statistics (OEWS), state estimates, May 2025 release.
What that pay is really worth in Maryland
Salary alone can mislead — Maryland costs 5% more than the U.S. average. Here's the median adjusted for local prices (real purchasing power).
- Cost of living (US=100)
- 105
- Nominal median
- $137,560
- Adjusted for cost of living
- ≈ $131,010
- State income tax
- Up to 5.75%
Maryland's high pay is offset by cost of living — adjusted for prices it ranks #42 of 51, down from #17 on raw salary.
Cost of living: BEA Regional Price Parities (all items, US=100), 2024. Adjusted pay = nominal median ÷ (RPP/100) — purchasing power vs the U.S. average. State income tax = top marginal rate on wage income (Tax Foundation, 2025); your effective rate is lower and depends on income and deductions; some localities also levy income tax.
The verdict
Yes — physician assistant offers near-physician-level pay and scope with far less training than medical school, plus very fast growth. The catch is a competitive, demanding master's program and significant debt.
- Worth it If you want medical work and strong pay without med school
- Worth it If you can get into and fund a PA master's program
- Not worth it If you're unwilling to complete a demanding graduate program
Pros & cons
Pros
- High pay with much-faster-than-average growth
- Broad medical scope without med school or residency
- Flexibility to switch specialties
- Strong job security and demand
- Shorter path than becoming a physician
Cons
- Competitive, intense master's program
- Significant graduate debt
- High responsibility and liability
- Demanding hours in some specialties
- Prerequisite clinical hours before applying
Who it's for
✓ A good fit if…
- People wanting medical work without med school
- Those who can handle a rigorous graduate program
- Anyone valuing specialty flexibility
✗ Probably not if…
- People unwilling to take on graduate debt
- Those seeking a quick, low-barrier entry
What people are actually asking
Real Reddit discussions on whether Physician Assistant is worth it — titles link to the original threads.
- “Any thoughts, opinions, or regrets on becoming a physician ...”r/prephysicianassistantnegative/caution
- “Does any PA on Reddit like their jobs?”r/physicianassistantmixed
- “Thoughts on the PA profession from a 12 year PA”r/physicianassistantmixed
- “Is anyone generally happy/fulfilled with their job?”r/physicianassistantpositive/pro
- “Expectations vs Realities of being a PA in 2026.”r/physicianassistantmixed
- “Thoughts the projection of the PA Career?”r/physicianassistantmixed
- “How many of you all are actually happy with your career ...”r/physicianassistantpositive/pro