Physician assistant salary in North Dakota
North Dakota physician assistants earn a median of $133,450 a year ($64.16 an hour), according to BLS data for May 2025. That is 2% below the national median of $135,880, and ranks 31st of 51 states.
Median, North Dakota
$133,450
Mean $130,930
Middle half earns
$107,030 to $155,010
US: $120,670 to $163,980
Employed in North Dakota
510
1.15x the national concentration
Where North Dakota sits in the range
North Dakota
Statewide
United States
National
Fargo
Metro area
Bismarck
Metro area
Grand Forks
Metro area
Minot
Metro area
Physician assistant pay by percentile
Ten percent of North Dakota physician assistants earned less than $77,300 and ten percent earned more than $173,860, a spread of $96,560. 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.
| Percentile | North Dakota | United States | Difference |
|---|---|---|---|
| 10th | $77,300 | $99,380 | -22.2% |
| 25th | $107,030 | $120,670 | -11.3% |
| Median | $133,450 | $135,880 | -1.8% |
| 75th | $155,010 | $163,980 | -5.5% |
| 90th | $173,860 | $190,280 | -8.6% |
Physician assistant pay by metro area
BLS published PA pay for 4 metro areas that include part of North Dakota. Fargo, ND-MN has the highest median at $136,610. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.
| Metro area | Employed | Median | Middle half |
|---|---|---|---|
| Fargo, ND-MN | 240 | $136,610 | $111,920 to $156,550 |
| Bismarck, NDmoderate precision | 80 | $129,650 | $107,030 to $136,600 |
| Grand Forks, ND-MN | 70 | $133,450 | $104,220 to $156,680 |
| Minot, ND | 40 | $134,090 | $83,880 to $152,000 |
How PA pay compares with other clinicians in North Dakota
| Occupation | North Dakota | United States |
|---|---|---|
| Physician assistant | $133,450 | $135,880 |
| Nurse practitioner | $130,070 | $132,300 |
| Nurse anesthetist (CRNA) | $244,240 | $236,590 |
| Registered nurse | $80,730 | $97,550 |
The North Dakota PA workforce
BLS counts 510 physician assistants on North Dakota payrolls, or 1.20 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 563 physician assistants with a North Dakota practice address, and 13 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 $107,030, it sits in the bottom quarter of what North Dakota 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 $155,010, 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 North Dakota
How much does a PA make in North Dakota?
The median annual wage for physician assistants in North Dakota was $133,450 in May 2025, and the mean was $130,930, per the BLS. The middle half earned between $107,030 and $155,010.
What is the hourly rate for physician assistants in North Dakota?
The median hourly wage was $64.16 and the mean was $62.95. 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 North Dakota?
Among North Dakota metro areas with published data, Fargo, ND-MN had the highest median at $136,610, and Bismarck, ND the lowest at $129,650.
How does North Dakota rank for PA pay?
North Dakota ranks 31st of 51 states (including DC) by median PA pay, 2% below 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 North Dakota?
BLS estimated 510 physician assistants employed in North Dakota in May 2025. The federal NPI registry lists 563 with a North Dakota 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?
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