Skip to content
Max Mello, PA-CCareer coaching for PAs, NPs and CRNAs

Physician assistant salary in Hawaii

Hawaii physician assistants earn a median of $164,050 a year ($78.87 an hour), according to BLS data for May 2025. That is 21% above the national median of $135,880, and ranks 4th of 51 states.

Median, Hawaii

$164,050

Mean $146,780

Middle half earns

$126,780 to $170,060

US: $120,670 to $163,980

Employed in Hawaii

530

0.81x the national concentration

Where Hawaii sits in the range

Hawaii

Statewide

United States

National

Urban Honolulu

Metro area

Kahului

Metro area

Line: 10th to 90th percentile. Bar: 25th to 75th. Tick: median. Annual wages, BLS OEWS, May 2025.

Physician assistant pay by percentile

Ten percent of Hawaii physician assistants earned less than $79,280 and ten percent earned more than $178,110, a spread of $98,830. Where you land depends mostly on specialty, setting, experience and how the productivity pay is built, which is why two offers in the same city can be far apart.

Annual wages, BLS OEWS, May 2025
PercentileHawaiiUnited StatesDifference
10th$79,280$99,380-20.2%
25th$126,780$120,670+5.1%
Median$164,050$135,880+20.7%
75th$170,060$163,980+3.7%
90th$178,110$190,280-6.4%

Physician assistant pay by metro area

BLS published PA pay for 2 metro areas that include part of Hawaii. Urban Honolulu, HI has the highest median at $170,060. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.

Annual wages, BLS OEWS, May 2025
Metro areaEmployedMedianMiddle half
Urban Honolulu, HI390$170,060$147,570 to $170,060
Kahului-Wailuku, HImoderate precision50$134,960$100,110 to $145,120

How PA pay compares with other clinicians in Hawaii

Median annual wage, BLS OEWS, May 2025
OccupationHawaiiUnited States
Physician assistant$164,050$135,880
Nurse practitioner$135,570$132,300
Nurse anesthetist (CRNA)not published$236,590
Registered nurse$136,320$97,550

The Hawaii PA workforce

BLS counts 530 physician assistants on Hawaii payrolls, or 0.85 for every 1,000 jobs in the state, close to the national concentration. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 517 physician assistants with a Hawaii practice address, and 17 new PA NPIs there in the past twelve months.

Using these numbers when you negotiate

A state median is a reference point, not a target. If an offer comes in under $126,780, it sits in the bottom quarter of what Hawaii physician assistants earn, and you should know why before you sign: a new-grad rate, a light schedule, or a base kept low because a productivity bonus is supposed to make up the difference. If it is above $170,060, ask what is expected in return, such as call, volume targets or a longer non-compete.

Compare the whole package, not the base: how the bonus is calculated, call pay, CME, PTO and who pays malpractice tail coverage. The negotiation guide and the contract checklist walk through each term.

Questions about PA pay in Hawaii

How much does a PA make in Hawaii?

The median annual wage for physician assistants in Hawaii was $164,050 in May 2025, and the mean was $146,780, per the BLS. The middle half earned between $126,780 and $170,060.

What is the hourly rate for physician assistants in Hawaii?

The median hourly wage was $78.87 and the mean was $70.57. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.

Where do PAs earn the most in Hawaii?

Among Hawaii metro areas with published data, Urban Honolulu, HI had the highest median at $170,060, and Kahului-Wailuku, HI the lowest at $134,960.

How does Hawaii rank for PA pay?

Hawaii ranks 4th of 51 states (including DC) by median PA pay, 21% above the national median of $135,880. Pay is only half the picture: compare it with what housing and taxes cost where you would live.

How many physician assistants work in Hawaii?

BLS estimated 530 physician assistants employed in Hawaii in May 2025. The federal NPI registry lists 517 with a Hawaii practice address.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1071, all industries and ownerships. NPI counts: NPPES monthly file, August 2026 (CMS, public domain). BLS wages are straight-time pay: they include production bonuses but leave out overtime, shift differentials, non-production bonuses and benefits, and they exclude the self-employed.

Have an offer on the table?

Book a free intro call with Max. Tell him what you are weighing, and he will tell you whether coaching would help, or whether you just need a few answers.