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What to Pay a Physician Assistant in Rochester, NY (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$128,000
base, annual
Competitive Range
$111K–$147K
25th–75th percentile
YoY Movement
+3.8%
trailing 12 months
Days to Fill
~32
Rochester metro average
To hire a Physician Assistant in Rochester at market, plan on a base salary range of $111,000 to $147,000, with $128,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 32 days, expect to lead at $147K–$169K plus a sign-on bonus, common in skilled nursing settings. New York REQUIRES pay range disclosure under the NY Pay Transparency Law.

How to set your PA pay range in Rochester

Three pay positions, modeled against current Rochester market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$97K–$111K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Rochester average.
Match Market — recommended
Pay at Median
$121.2K–$135.6K
Default for most Rochester employers. Competitive enough to fill in ~32 days. A range width of ~30% (min $111,000 to max $147,000) keeps compa-ratio movement smooth across a PA's typical 8–12 year tenure.
Lead Market
Pay Above Median
$139.4K–$169K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

PA salary percentile distribution in Rochester, NY

Where the Rochester market actually sits for PA base pay.

10th $97K
25th $111K
Median $128K
75th $147K
90th $169K

Most Rochester employers building a range for this role anchor the midpoint to the market median ($128,000) and set range width at 30–35% — a min of $111,000 and a max of $147,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

New York pay transparency compliance for PA job postings

What you must post when hiring a PA in New York.

Required. New York requires employers with 4+ employees to include a good-faith salary range in every job posting, promotion, or transfer opportunity advertised to NYC-area candidates.
Requirement Applies When Penalty for Non-Compliance
Salary or hourly range in posting 4+ employees; role performed in NY Up to $1,000 first violation; up to $3,000 subsequent
Job description included Where description exists Same schedule

For a PA role in Rochester, a compliant good-faith range looks like $111,000 to $147,000. A compliant good-faith range for this role in Rochester is $111,000–$147,000.

Top PA employers in Rochester — who you're competing against

Top healthcare employers hiring PAs in the Rochester metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
URMC Academic medical center $120K–$151K Very common ($8K–$15K)
Rochester Regional Health Health system $120K–$151K Very common ($8K–$15K)
Highland Hospital (URMC) Hospital $118K–$151K Very common ($8K–$15K)
Golisano Children's Hospital Pediatric specialty $120K–$151K Very common ($8K–$15K)
F. F. Thompson Hospital Community hospital $113K–$143K Very common ($8K–$15K)

PA talent supply and hiring difficulty in Rochester

How hard is it to fill a PA role in Rochester.

~32
Avg Days to Fill
~1,024
Active Postings
~3,840
Rochester PA Workforce
Tight
Supply : Demand

Rochester PA market anchored by hospital systems, urgent care networks, and specialty practices. Surgical PA and emergency medicine PA command specialty premiums.

Skill premiums PA candidates command in Rochester, NY

Skill / Credential Pay Premium Demand Signal
Surgical PA (CAQ-CV, CAQ-Ortho) +10–15% Very high
Emergency medicine PA +8–13% Very high
Bilingual Spanish +4–7% High
DEA prescriptive authority Required Standard

PA total compensation in Rochester — what candidates expect beyond base

Total rewards mix for PAs in Rochester. "Prevalence" reflects share of Rochester disclosed-range postings including each element.

Component Typical Value Prevalence in Rochester Postings
Base salary $128,000 (median) 100%
Productivity bonus (RVU-based) $13K–$36K ~62%
Sign-on bonus $9K–$20K ~64%
Loan repayment (FQHCs) $25K–$50K total ~22%
CME allowance $3,000–$5,500/yr ~90%
Estimated total comp benchmark ~$151K–$179K —

Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.

PA pay by setting in Rochester — SNF, hospital, clinic, home health

Where the PA range splits by employer type in the Rochester metro.

Setting Median Competitive Range Hiring Difficulty
Primary care $115,000 $102K–$131K Moderate
Hospital (hospitalist) $136,000 $120K–$154K Very high
Surgical PA $148,000 $133K–$169K Very high
Emergency medicine $141,000 $125K–$159K Very high
Urgent care $120,000 $108K–$136K Moderate

FAQ: hiring a Physician Assistant in Rochester, NY

Market median is $128,000 for base pay. To match market, set a range with the midpoint at $128,000 — typically $111,000 to $147,000. To lead the market, plan on $147K–$169K base plus a sign-on bonus.
Yes. New York's pay transparency law (effective September 2023) requires a good-faith salary or hourly range in every posting for roles that can or will be performed in New York.
$115,000 falls below the Rochester market median of $128,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Roughly 64% of Rochester PA postings include a sign-on bonus ($9K–$20K). Surgical and EM specialties command highest premiums.
Average fill time is approximately 32 days in the Rochester metro. Roles paid above the 75th percentile ($147K+) fill in roughly 18–22 days. Roles below the 25th percentile ($111K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Rochester-metro posting volume: URMC, Rochester Regional Health, Highland Hospital (URMC), Golisano Children's Hospital, F. F. Thompson Hospital lead the pack.
A 30–35% range width (min to max) is standard for PA in Rochester — for example, $111,000 to $147,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months. New York does not specify a maximum range width, but the range must be a good-faith estimate of what the employer will pay.
Yes. New York's law covers internal transfer and promotion postings, not just external job ads.

Related PA pay benchmarks — New York metros and nearby nursing roles

Same role, nearby metros
PA pay benchmark — Buffalo, NY → All PA pay benchmarks →
Related roles in Rochester
Certified Nursing Assistant pay benchmark — Rochester → Certified Registered Nurse Anesthetist pay benchmark — Rochester → Licensed Practical Nurse pay benchmark — Rochester → Nurse Practitioner pay benchmark — Rochester → Physical Therapist pay benchmark — Rochester → Registered Nurse pay benchmark — Rochester → Respiratory Therapist pay benchmark — Rochester → Surgical Technologist pay benchmark — Rochester → Travel Nurse pay benchmark — Rochester → Emergency Room Registered Nurse pay benchmark — Rochester → ICU Registered Nurse pay benchmark — Rochester → Operating Room Registered Nurse pay benchmark — Rochester → All roles' pay benchmarks →

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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.