1099 Physician Assistant Jobs in Iowa
What independent physician assistants earn in Iowa, where the work is, and what to charge.
- Physician Assistants employed
- 1,200
- Median annual pay
- $133,400
- 1099 equivalent
- $177,935
- Suggested hourly
- $106.93
- State income tax
- Yes
BLS OEWS, May 2024
all employment types
1.33× — estimate
at 80% utilisation
on top of federal
Iowa has 1,200 physician assistants and a median wage of $133,400. This page works through what that means for an independent contractor: the pay spread, the rate you need to quote to come out ahead of payroll, and the tax and classification rules that apply in Iowa.
Every figure is from the Bureau of Labor Statistics' Occupational Employment and Wage Statistics programme (May 2024) or the Census Bureau's 2024 population estimates. Where BLS suppressed a number for this market, the sentence that would have used it is simply absent — nothing here is filled in with an estimate unless it is labelled as one.
Iowa by the numbers
Iowa employs 1,200 physician assistants. That figure counts every employment arrangement, W-2 and 1099 alike — BLS does not split the two. Applying 1099WORK's estimate that roughly 25% of physician assistants work on a 1099 basis puts the independent share near 300 people. Treat that as an order of magnitude, not a census.
The location quotient is 0.76 — physician assistants are 24% less concentrated here than in the average US market. That thins the employer pool, but it also thins the competition for the contracts that do exist.
A thin concentration cuts both ways: fewer employers and longer sales cycles, but far less competition once you have a relationship.
From bottom decile to top in Iowa
$133,400 is the midpoint in Iowa. That works out to $64.14 an hour at a standard 2,080-hour year. That is in line with the national median of $133,260.
The spread matters more than the midpoint for anyone working 1099. The gap between the 10th and 90th percentile is $64,110, which is the range your negotiating position, client mix and specialisation actually move you across. Top-decile earners clear $172,510, against $108,400 at the bottom decile. These are W-2 and 1099 earnings combined, before any contractor adjusts for self-employment tax and unfunded benefits — which is what the next section is for.
| Percentile | Annual | Hourly |
|---|---|---|
| 10th percentile | $108,400 | $52.12 |
| Median | $133,400 | $64.14 |
| Mean | $135,450 | $65.12 |
| 90th percentile | $172,510 | $82.94 |
Iowa against the wider market
Against the national median of $133,260 it is effectively level. The location quotient column is the one worth reading twice: it measures how concentrated the occupation is relative to the national average, and it moves independently of pay.
| Area | Employed | Median annual | 90th percentile | Location quotient |
|---|---|---|---|---|
| Iowa | 1,200 | $133,400 | $172,510 | 0.76 |
| United States | 155,540 | $133,260 | $182,200 | — |
Setting your 1099 rate in Iowa
A 1099 contract that pays the same headline number as a W-2 job is a pay cut. You pick up the employer's half of payroll tax, you stop being paid for holidays and time off, and health cover and retirement come out of your own revenue. Matching a $133,400 salary in Iowa therefore takes about $177,935 in contractor gross — a multiplier of 1.33×.
Spread across a full 2,080-hour year that is $85.55 an hour. Nobody bills 2,080 hours: at a more realistic 80% utilisation, with the rest going to admin, invoicing and finding the next contract, the number you should quote is closer to $106.93.
The 1.33× multiplier assumes:
- 7.07% for the employer half of FICA, which self-employment tax shifts onto you
- 20 unpaid days a year — roughly ten holidays plus two weeks off
- 15% for health coverage and retirement you now fund yourself
- excludes business insurance, mileage, accounting fees and unbilled time
What to quote, by experience level
The percentile spread above is more useful as a rate card than as a statistic. Each row below takes a point in the local wage distribution and applies the same 1.33× contractor multiplier, then divides across a realistic 80% billable year. Treat the middle row as your default and the bottom row as a floor you do not go under — not as a starting offer.
| Position in the local market | Annual equivalent | Hourly at 80% utilisation |
|---|---|---|
| Entering the market (10th percentile) | $144,589 | $86.89 |
| Established (median) | $177,935 | $106.93 |
| Specialised (90th percentile) | $230,102 | $138.28 |
Where the physician assistants are in Iowa
Statewide totals hide how concentrated the work is. These 8 metros account for the bulk of Iowa's physician assistant employment:
| Metro | Employed | Median annual | Population |
|---|---|---|---|
| Omaha | 660 | $128,240 | 1.0 million |
| Des Moines | 260 | $134,400 | 754,000 |
| Davenport | 110 | $126,740 | 382,000 |
| Cedar Rapids | 90 | $131,280 | 279,000 |
| Iowa City | 340 | $138,360 | 183,000 |
| Waterloo | 50 | $124,330 | 170,000 |
| Sioux City | 90 | $126,500 | 146,000 |
| Ames | 30 | $121,870 | 129,000 |
Tax treatment in Iowa
Nothing is withheld from a 1099 payment. You pay self-employment tax at 15.3% on 92.35% of net profit, plus income tax, in four estimated payments a year. At the Iowa median that is roughly $4,712 a quarter in self-employment tax alone, before income tax. Iowa adds its own income tax and its own estimated-payment schedule on top.
One thing to get right first
Labelling an engagement 1099 does not make it 1099 — the IRS weighs who controls the work, who supplies the tools and who carries the risk. For physician assistants the usual flashpoints are set schedules, employer-supplied equipment and exclusivity clauses. Iowa also applies its own test, which can reach a different answer than the IRS does on identical facts.
1099WORK, briefly
1099WORK is a marketplace built for 1099 engagements specifically: companies post a defined scope, physician assistants keep one verified profile, and agreements, onboarding and payment happen in the same place. It launched as 1099REPS for independent medical sales reps and now covers the wider 1099 economy, Iowa included.
Frequently asked questions
What hourly rate should a 1099 physician assistant charge in Iowa?
About $106.93 an hour at 80% utilisation, derived from the $133,400 local median. That builds in the employer half of payroll tax, twenty unpaid days a year and a 15% allowance for self-funded health cover and retirement. It excludes business insurance, mileage and unbilled sales time.
Do I need an LLC to work 1099 in Iowa?
No. A sole proprietor can accept 1099 work under their own name and Social Security number, and many contractors start that way. An LLC adds liability separation and lets you elect S-corp taxation once profit is high enough for the payroll-tax saving to beat the extra filing cost. Iowa sets its own formation fee and annual report requirements.
Is 1099 work better than a W-2 job in Iowa?
It depends entirely on rate and stability. 1099 wins on control, deductibility and upside; W-2 wins on predictability, benefits and unemployment cover. As a rule of thumb, a 1099 engagement needs to pay about 1.33× the equivalent salary before it is genuinely better money.
How many physician assistants work in Iowa?
BLS counts 1,200 physician assistants in Iowa. 1099WORK estimates roughly 300 of them work on a 1099 basis, though BLS does not publish that split.
How often do 1099 contractors pay taxes in Iowa?
Quarterly. The IRS expects estimated payments in mid-April, mid-June, mid-September and mid-January, and charges an underpayment penalty for missing them even if you pay in full at filing. Iowa runs its own estimated-payment schedule alongside the federal one.
How much does a 1099 physician assistant make in Iowa?
The median physician assistant in Iowa earns $133,400 a year according to BLS OEWS data for May 2024, covering W-2 and 1099 workers together. The top decile clears $172,510. Working 1099, you would need roughly $177,935 in gross billings to match that median after self-employment tax and unfunded benefits.