Quick answer
✅ Yes — comfortably. A physician assistant in Sioux Falls earns roughly $112,509/yr (~$6,596/mo take-home) and a 1BR costs $1,150/mo — that's 17% of take-home on rent. The standard is 30% or less.
SD · 2026
Can a Physician Assistant Afford to Live in Sioux Falls?
Using local salary estimates and Sioux Falls's actual cost of living — rent, taxes, utilities, and groceries — here's the real monthly picture for a physician assistant in Sioux Falls, SD in 2026.
Monthly Budget Breakdown
Gross monthly salary
$112,509/yr local estimate
$9,376
Taxes (federal + state + FICA)
None state income tax
-$2,780
Monthly take-home
After all taxes
$6,596
1BR rent
17% of take-home
-$1,150
Utilities
Electric, gas, internet avg
-$130
Groceries
Single-person estimate
-$310
Transport
Car or transit average
-$350
Left for everything else
Dining, clothing, fun, savings
$4,656
At a 40% savings rate on discretionary income, a physician assistant in Sioux Falls could save roughly $22,344/year after covering all essentials.
What Does 17% Rent Burden Mean?
The standard rule of thumb is to spend no more than 30% of gross income on rent. At 17% of take-home pay, a physician assistant in Sioux Falls is well within a healthy range — leaving solid room for savings and discretionary spending.
No state income tax in SD meaningfully helps. A physician assistant earning $112,509/yr saves roughly $5,063/year compared to a 4.5% state income tax state — that's equivalent to one month of rent.
These numbers use a local salary estimate of $112,509/yr — adjusted from the national Physician Assistant median of $126,010/yr based on Sioux Falls's cost of living index. Actual salaries vary by employer, experience, and specialization.
Best Neighborhoods in Sioux Falls for a Physician Assistant
Based on walkability, rent levels, and quality of life — not just lowest price.
Downtown / Falls Park
The city's crown jewel with beautiful waterfalls, parks, restaurants, and shops. Walkable downtown core; lofts $1,300-1,600 1BR; young professional energy; priciest neighborhood.
East Side / Eastgate
Newer suburban development with chain restaurants and retail. Median home $420K; family-focused; less character but convenient and growing.
West Side
Established residential neighborhood with tree-lined streets and older, well-maintained homes. Median home $380K; quiet; strong community feel.
Frequently Asked Questions
What is the average salary for a Physician Assistant in Sioux Falls?
A Physician Assistant in Sioux Falls earns approximately $112,509 per year, based on the national BLS median of $126,010/yr adjusted for Sioux Falls's cost of living. Actual pay varies by employer, experience, and specialization.
Is Sioux Falls affordable for a physician assistant in 2026?
Yes. Rent takes around 17% of take-home pay — below the 30% guideline. A physician assistant can live comfortably in Sioux Falls with room to save.
How much take-home pay does a Physician Assistant get in Sioux Falls?
After federal taxes, no state income tax, and FICA, a Physician Assistant earning $112,509/yr takes home roughly $6,596/month in Sioux Falls.
What is the rent-to-income ratio for a Physician Assistant in Sioux Falls?
A 1-bedroom apartment in Sioux Falls costs a median of $1,150/month. On a Physician Assistant salary, that's 17% of monthly take-home pay. Financial experts recommend keeping this below 30%.