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Physical Therapist Salary by State 2026: Where PTs Earn the Most

AH
Ava Health Team
··8 min read

Physical therapist salaries in 2026 average $100,000-$115,000 nationally, but the range is wide: PTs in high-demand states and settings can earn $130,000+, while rural outpatient PTs in low-cost states may see base salaries under $85,000. This guide covers 2026 PT pay benchmarks, top-paying states, and how setting and specialty affect total compensation.

National Physical Therapist Salary Benchmarks (2026)

SettingMedian Base SalaryTop 25%
Acute care hospital$110,000$130,000
Inpatient rehabilitation$108,000$125,000
Outpatient orthopedics$98,000$118,000
Skilled nursing facility (SNF)$105,000$120,000
Home health$106,000$122,000
Pediatric / school-based$92,000$110,000
Travel PT (contract)N/A$1,800-$2,600/week

Sources: BLS May 2024 OES, APTA 2024 Physical Therapist Salary Survey.

Top 15 Highest-Paying States for Physical Therapists (2026)

RankStateMedian PT SalaryKey Markets
1Nevada$128,000+Las Vegas metro, acute care
2California$125,000+LA, Bay Area, San Diego
3Alaska$123,000+Anchorage, rural health
4New Jersey$121,000+NJ/NYC metro, hospital systems
5Connecticut$118,000+Hartford, New Haven
6Texas$117,000+Houston, Dallas, Austin
7New York$116,000+NYC metro, SUNY hospital system
8Massachusetts$115,000+Boston, academic medical centers
9Washington$114,000+Seattle, Spokane
10Arizona$113,000+Phoenix, Tucson
11Oregon$112,000+Portland, OHSU
12Colorado$111,000+Denver, sports medicine corridor
13Virginia$110,000+Northern Virginia, Richmond
14Minnesota$109,000+Twin Cities, Mayo
15Maryland$109,000+Baltimore/DC metro

How Setting Affects PT Pay

Setting is the primary driver of PT salary variation, often more than geography:

  • Acute care hospital: Highest base salaries in most markets. Hospital-employed PTs often receive full benefits, overtime, shift differential, and structured raise schedules.
  • Outpatient orthopedics: Widely variable. Private outpatient clinics may start PTs at $80,000 in competitive markets with productivity bonuses that can push total comp to $110,000+ for high-volume therapists. Large PT chain employers (ATI, Select Medical, Athletico) use standardized national pay grids.
  • SNF: SNF PTs frequently earn per-visit or per-unit rates that create higher hourly effective pay for high-productivity therapists. The tradeoff is documentation burden and RUG/PDPM pressure.
  • Home health: Per-visit pay ($60-$90/visit) creates income variability. PTs who manage high visit volumes efficiently can earn $110,000+, but the lack of schedule predictability is a quality-of-life concern.

Specialty PT Salary Premium (2026)

PT Specialty / CertificationTypical Premium Over Median
Orthopedic Clinical Specialist (OCS)+$8,000-$15,000
Sports Physical Therapy (SCS)+$10,000-$18,000
Neurological Clinical Specialist (NCS)+$8,000-$12,000
Pelvic Health+$10,000-$20,000 (niche, high demand)
Wound Care / CWCPT+$8,000-$15,000
Hand Therapy (CHT)+$12,000-$20,000

Travel Physical Therapist Rates (2026)

Travel PT contracts have stabilized post-pandemic but remain well above pre-2020 rates:

  • Standard 13-week contract: $1,800-$2,400/week all-in (taxable + non-taxable stipends)
  • High-demand markets (CA, NV, AK): $2,200-$2,800/week all-in
  • SNF-focused travel PT: $1,600-$2,000/week (lower acuity premium, higher volume expectations)
  • Pediatric travel PT: $2,000-$2,500/week (specialty premium, limited supply)

Note: Travel PT assignments are typically W2 through the staffing agency. The non-taxable housing and meal stipends (non-taxable if the PT maintains a permanent tax home) often represent 30-40% of the gross weekly rate.

Browse PT positions at freejobpost.co or source physical therapist candidates at app.avahealth.co.

Related: PT Salary Guide 2026, PT Interview Questions, OT Salary by State, RN Salary by State.

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