Physical Therapist · Hawaii · SOC 29-1123
Hawaii Physical Therapist Salary — 2026 BLS + BEA RPP
BLS Occupational Employment and Wage Statistics, 2024 reference period · BEA Regional Price Parity 2023 vintage · Last synced 2026-05-05.
TL;DR
- BLS reports Hawaii PT median pay at $100,740. Adjusted for state cost of living, real purchasing power equals $91,830.
- P25-P75 spread runs $93,600 to $114,820; P10 floor $81,210, P90 ceiling $121,760.
- BEA RPP near 100 means nominal pay translates almost 1:1 into real take-home.
- PT ranking: #21 on the BLS table, #50 once cost of living is in.
- Hawaii stays outside the PT Compact, so cross-state moves require a separate endorsement application.
Wage breakdown — Hawaii
| Percentile | Nominal (BLS) | Real (BEA RPP-adjusted) |
|---|---|---|
| P10 (entry tier) | $81,210 | $74,027 |
| P25 (lower quartile) | $93,600 | $85,321 |
| P50 (median) | $100,740 | $91,830 |
| P75 (upper quartile) | $114,820 | $104,664 |
| P90 (top tier) | $121,760 | $110,991 |
| Mean | $100,900 | $91,976 |
| Employment | 990 PTs in Hawaii | |
Cost of living — BEA Regional Price Parity
| Component | Hawaii index (US = 100) |
|---|---|
| All-items RPP | 109.7 |
| Goods | 110.3 |
| Services | 191.7 |
| Rents | 128.7 |
Hawaii is a high-cost state — RPP 109.7 above the national 100 baseline. Most of the cost premium routes through rents (128.7) and services (191.7).
After-tax take-home — Hawaii (2024 BLS · 2024 tax year, single filer)
Layer-by-layer take-home math at the BLS median
| Layer | Amount | Note |
|---|---|---|
| Gross BLS P50 (PT) | $100,740 | nominal median |
| Federal income tax | −$13,410 | 13.3% effective; std deduction $15,750 applied |
| State income tax | −$7,383 | 1.4–11% (12 brackets) |
| FICA (SS 6.2% + Medicare 1.45%) | −$7,707 | SS capped at $183,600 wage base |
| Take-home (after-tax) | $72,240 | 71.7% of gross |
| Real take-home (RPP-adjusted) | $65,851 | ÷ (109.7 / 100) BEA cost-of-living |
What the Hawaii state-tax burden means for PT take-home
Hawaii carries one of the heavier state-tax loads in the country at this income tier (7.3% effective on the BLS median). Combined with federal and FICA, gross-to-take-home spread is 28.3%, leaving $72,240 pre-RPP and $65,851 after the 109.7 cost-of-living index — a $34,889 gap from the headline gross.
Computed from 2026 IRS federal brackets (Rev. Proc. 2025-32), 2026 state DOR brackets, and 2026 FICA rates. Single filer, standard deduction, no other adjustments. See methodology · tax for limitations (married filers, ITM/SALT itemizers, retirement deferrals, HSA, dependent credits, etc.).
National context
Across the United States, BLS reports a national median of $101,020 for PTs with mean pay of $102,400 and total employment of 248,630. Hawaii sits at #21 on nominal pay and #50 on real (cost-adjusted) pay among the 51 states and DC. After cost adjustment, Hawaii falls 29 positions — the cost premium eats into the headline wage.
Licensure — Hawaii (PT Compact)
Hawaii is not currently a PT Compact member. PTs moving to Hawaii must apply for a Hawaii-specific license through endorsement; a Compact Privilege from another state is not sufficient. Endorsement fees and processing timelines are set by the Hawaii Board of Physical Therapy.
Legislative status (2026-05): No active PT Compact legislation.
Source: ptcompact.org state status — re-synced quarterly. See PT Compact reciprocity hub for the cross-state matrix and changelog for status changes.
Frequently asked questions
- How much does a PT make in Hawaii?
- BLS reports a median annual wage of $100,740 for PTs in Hawaii as of the latest OES release. That is the 50th-percentile figure — half earn more, half earn less. The 25th-percentile is $93,600 and the 75th-percentile is $114,820.
- What is the real (cost-adjusted) PT salary in Hawaii?
- After BEA RPP adjustment (regional price parity index 109.7 for Hawaii), the real-wage equivalent is $91,830 — what the $100,740 nominal salary actually buys. Quartiles in real terms: $85,321 to $104,664.
- How are Hawaii PT salaries calculated on this page?
- Nominal wages come from BLS Occupational Employment and Wage Statistics (OES) — annual employer surveys, May 2026 reference period. Real-wage figures use BEA Regional Price Parities (2023 vintage) to adjust for state-level cost of living. No self-report or jobs-board data is mixed in.
- Where does Hawaii rank for PT pay?
- On nominal BLS wages alone, Hawaii ranks among the 51 states and DC by median pay. After the BEA cost-of-living adjustment the ordering changes — high-cost states fall, low-cost states rise. Both rankings are shown in the data table on this page.
- How wide is the wage spread in Hawaii?
- P10 to P90 spans $81,210 to $121,760. That spread captures entry-level to top-quartile pay, including specialty differentials and metro-area variance within the state.
- DPT degree ROI in Hawaii — does the salary justify $100K+ tuition?
- BLS reports a Hawaii PT median in the table above; DPT programs typically run $80K-$150K in tuition plus 3 years of foregone earnings. ROI breakeven is usually 8-15 years post-graduation depending on starting compensation, specialty (orthopedic / neuro / cardiopulmonary), and clinical setting (outpatient vs hospital vs home health).
- Outpatient vs hospital vs home-health PT pay in Hawaii?
- BLS does not segment PT pay by setting. In practice across Hawaii, hospital-based PTs typically lead on hourly rate, home-health PTs lead on per-visit productivity bonuses, and outpatient orthopedic clinics fall in the middle. Travel-PT contracts can substantially exceed all staff settings during demand spikes.
Sources & methodology
- U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OES), SOC 29-1123, 2024 reference period.
- U.S. Bureau of Economic Analysis — Regional Price Parities, 2023 vintage (all-items, goods, services, rents).
- Real-wage figures = nominal BLS wage ÷ (state RPP / 100).
- See the methodology page for full computation details and limitations.
Cross-comparison: see how Hawaii PT pay ranks against the other 254 state × occupation pages on the Real Wage Atlas → — four-way ranking by real wage, after-tax take-home, state-tax savings, and cost-of-living arbitrage.