2026 Edition

The average PA negotiates almost nothing.

The employer expected a counter. The employer built room for one. This is the preparation that uses it, written by a Director of Advanced Practice Providers who approves these requests for a living.

Get the Playbook · $39 Playbook + Workbook · $59

Instant download. Benchmarked to the AAPA 2026 Salary Report and current non-compete law.

I have been on both sides of a PA offer letter

 

As a PA, I signed contracts, including at least one I should have negotiated harder. As a director of advanced practice providers, I now sit on the side that writes the offers, sets the ranges, and decides which counters get approved.

Here is what that second seat taught me. The average PA negotiates almost nothing. The offer arrives, gratitude sets in, one timid question gets asked about the start date, and the contract gets signed. The employer expected a counter. The employer built room for a counter. That room goes unused, and it goes unused again at every raise after, because the base you accept in year one compounds through every percentage increase for as long as you hold the job.

Median PA compensation is $140,000, up 4.5 percent in a year. The spread around that median is enormous, by specialty, by region, by setting, and by who negotiated. A $10,000 difference at signing, compounded through a career of percentage-based raises and retirement matching, is a six-figure decision. It usually gets made in about a week, with no preparation at all.

This book is the preparation. It runs in the order the process actually runs. Benchmark your number. Evaluate the full offer. Read the contract clause by clause. Then negotiate it, with scripts. Along the way I tell you what the person across the table can actually move, what they cannot, and how to make saying yes to you easy.

One rule governs everything in it. If it is not in the contract, it does not exist. Verbal promises about schedule, call, raises, and reviews are not benefits. They are recruiting. The contract is the job.

What the book covers

 
  • Building your number from AAPA, BLS, and specialty-society data, adjusted for cost of living, specialty, and experience
  • Evaluating the whole offer before you open the contract: schedule, call pay, site assignment, productivity formulas, team structure, probation
  • The contract clause by clause: term and renewal, compensation review, termination, moonlighting, and when to stop and call an attorney
  • Restrictive covenants in 2026, including what changed when the FTC rule was withdrawn, which states now restrict non-competes for healthcare workers, and how to narrow a covenant you cannot remove
  • Malpractice coverage: occurrence versus claims-made, and the tail question that can arrive as a six-figure bill years after you leave
  • Benefits priced as compensation, with a worked example of two offers where the one that looks $10,000 smaller is the larger one
  • What a director can actually approve, in the order it is easiest to say yes to, and why the six-month review with defined criteria is the strongest move when base is capped
  • Scripts for the counter, the counter email, the response to “this is our standard contract,” a genuine no, and the walk-away
  • The cadence after you sign, so your compensation tracks the market every year instead of only at hiring
  • An offer evaluation checklist, a red flags list, and the current year’s benchmark numbers

This year’s edition

 

Compensation figures reflect the AAPA 2026 Salary Report, covering 2025 earnings. Legal references reflect non-compete and employment law as of mid-2026. A new edition publishes annually, because both the salary data and the legal landscape change annually.

Get the book

 

Book only

The Playbook

$39

The complete 2026 edition, delivered as a PDF you can read anywhere. Every chapter, every script, the offer evaluation checklist, and this year’s benchmarks.

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Most useful

Playbook + Workbook

$59

The book, plus a working Excel workbook: a total compensation comparison sheet that prices any offer against another, and the offer evaluation checklist in a format you can fill in against your actual contract.

Get the Bundle

If you want eyes on your own contract

 

This book teaches you to evaluate any offer and negotiate any contract. What it cannot do is read yours.

Contract Negotiation Bundle · $495

A line-by-line review of your actual offer, comparison against any competing offers, a full benefits and incentives review, and rehearsal of the negotiation conversation before you have it, with someone who approves these requests for a living.

Whatever you paid for the book or the bundle above is credited in full toward it.

See the Bundle

Hourly sessions are also available at $150 for narrower questions.

What it is not

 

This is educational information, not legal advice. I am a PA and an administrator, not an attorney. Any restrictive covenant you do not fully understand, any equity or partnership language, and any repayment obligation over a few thousand dollars still belongs in front of a licensed employment attorney in your state. The book tells you when to make that call and what to ask.

Get your number from the data. Get every promise in writing. Never sign on the day they hand it to you. Jeff Brown Jr, PA-C, MBA · physicianassociatecoaching.com