Physician Assistant License Difficulty by State (2026)

Compare physician assistant license difficulty across 51 states. Average difficulty: 20/100. Easiest in New York (19), hardest in Alaska (21).

Average

Easiest

New York

Score: 19

Hardest

Alaska

Score: 21

#	State	Score	Grade	Label	Confidence
1	New York	19	A	Very Easy	33%
2	South Carolina	19	A	Very Easy	33%
3	Alabama	20	A	Very Easy	33%
4	Arkansas	20	A	Very Easy	33%
5	California	20	A	Very Easy	33%
6	Colorado	20	A	Very Easy	33%
7	Delaware	20	A	Very Easy	33%
8	Georgia	20	A	Very Easy	33%
9	Hawaii	20	A	Very Easy	33%
10	Idaho	20	A	Very Easy	33%
11	Illinois	20	A	Very Easy	33%
12	Indiana	20	A	Very Easy	33%
13	Iowa	20	A	Very Easy	33%
14	Kansas	20	A	Very Easy	33%
15	Kentucky	20	A	Very Easy	33%
16	Maine	20	A	Very Easy	33%
17	Massachusetts	20	A	Very Easy	33%
18	Michigan	20	A	Very Easy	33%
19	Minnesota	20	A	Very Easy	33%
20	Mississippi	20	A	Very Easy	33%
21	Missouri	20	A	Very Easy	33%
22	Montana	20	A	Very Easy	33%
23	Nebraska	20	A	Very Easy	33%
24	New Hampshire	20	A	Very Easy	33%
25	New Mexico	20	A	Very Easy	33%
26	North Carolina	20	A	Very Easy	33%
27	North Dakota	20	A	Very Easy	33%
28	Ohio	20	A	Very Easy	33%
29	Oklahoma	20	A	Very Easy	33%
30	Pennsylvania	20	A	Very Easy	33%
31	Rhode Island	20	A	Very Easy	33%
32	South Dakota	20	A	Very Easy	33%
33	Tennessee	20	A	Very Easy	33%
34	Texas	20	A	Very Easy	33%
35	Utah	20	A	Very Easy	33%
36	Vermont	20	A	Very Easy	33%
37	Virginia	20	A	Very Easy	33%
38	West Virginia	20	A	Very Easy	33%
39	Wisconsin	20	A	Very Easy	33%
40	Wyoming	20	A	Very Easy	33%
41	Alaska	21	B	Easy	33%
42	Arizona	21	B	Easy	33%
43	Connecticut	21	B	Easy	33%
44	District of Columbia	21	B	Easy	33%
45	Florida	21	B	Easy	33%
46	Louisiana	21	B	Easy	33%
47	Maryland	21	B	Easy	33%
48	Nevada	21	B	Easy	33%
49	New Jersey	21	B	Easy	33%
50	Oregon	21	B	Easy	33%
51	Washington	21	B	Easy	33%

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FAQ

Which state is easiest to get a physician assistant license?

New York has the easiest physician assistant license with a difficulty score of 19/100.

Which state is hardest to get a physician assistant license?

Washington has the hardest physician assistant license with a difficulty score of 21/100.

Planning to get your Physician Assistant license?