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Does a PA get paid more than a RN?

Published in Healthcare Salaries 3 mins read

Yes, Physician Assistants (PAs) typically earn a higher salary than Registered Nurses (RNs). This trend holds true across all states, with PAs generally receiving greater compensation compared to RNs. According to May 2022 data from the U.S. Bureau of Labor Statistics, registered nurses are typically paid less than physician assistants.

Understanding the Roles and Responsibilities

The difference in compensation largely stems from the distinct roles, educational requirements, and levels of autonomy associated with each profession.

  • Physician Assistants (PAs): PAs are healthcare professionals who practice medicine on healthcare teams with physicians and other providers. They diagnose illnesses, develop and manage treatment plans, prescribe medications, and often assist in surgeries. Their education typically involves a rigorous master's degree program following a bachelor's degree, focusing on a medical model similar to that of physicians.
  • Registered Nurses (RNs): RNs provide direct patient care, educate patients and their families, administer medications, and assist in diagnostic tests and medical procedures. Their education can range from an Associate's Degree in Nursing (ADN) to a Bachelor of Science in Nursing (BSN), or even a Master of Science in Nursing (MSN) for advanced roles. While highly skilled, RNs generally operate under the direct orders or supervision of physicians or other advanced practice providers like PAs and Nurse Practitioners.

Salary Comparison and Influencing Factors

The median annual wages illustrate the typical pay difference between these two vital healthcare professions.

Profession Median Annual Wage (May 2022)
Physician Assistant $126,010
Registered Nurse $81,220

Source: U.S. Bureau of Labor Statistics

Several factors can influence the specific salary an individual PA or RN earns:

  • Experience Level: As with most professions, more years of experience typically lead to higher pay for both PAs and RNs.
  • Geographic Location: Salaries can vary significantly by state, city, and even urban vs. rural areas due to differences in cost of living, demand, and healthcare facility budgets.
  • Specialty: PAs specializing in high-demand or procedure-heavy fields like surgery, dermatology, or emergency medicine may earn more than those in primary care. Similarly, RNs in specialties such as critical care, operating room, or oncology often command higher wages.
  • Education and Certifications: While a master's is standard for PAs, RNs with a BSN often earn more than those with an ADN. Advanced certifications in specific areas can also boost earning potential for both roles.
  • Healthcare Setting: Pay scales can differ based on the type of employer, such as hospitals, private physician offices, outpatient clinics, government agencies, or educational services.

Career Outlook and Growth

Both Physician Assistants and Registered Nurses are in high demand, reflecting the growing need for healthcare services. The U.S. Bureau of Labor Statistics projects continued strong employment growth for both professions in the coming decade, ensuring ample career opportunities. The decision between these two fulfilling careers often comes down to individual interests, desired scope of practice, and educational pathways.