How much does an anesthesiologist make?
An anesthesiologist makes $391,490 a year at the national median and $360,570 on average, and the middle half of anesthesiologists earn between $207,000 and $490,530.[onet_anes][oews_api] The mean sits below the median because a group of lower-paid positions pulls the average down while most of the distribution is bunched high. BLS counted 38,760 anesthesiologist jobs in May 2025.
| Pay level | Annual | Hourly | Take-home* |
|---|---|---|---|
| Mean (average) | $360,570 | $173.35 | $253,124 |
| 10th | $101,460 | $48.78 | $80,207 |
| 25th | $207,000 | $99.52 | $154,083 |
| Median (50th) | $391,490 | $188.22 | $272,495 |
| 75th | $490,530 | $235.83 | $334,544 |
| 90th | $557,130 | $267.85 | $376,269 |
*Single filer, 2026 federal income tax, Social Security and Medicare (with the 0.9% surtax over $200,000); before state tax.
These are the first BLS anesthesiology figures that are not capped. Until the May 2024 estimates, BLS printed every percentile above $239,200 only as “$239,200 or more”; starting with May 2025 it publishes specific values for many of them.[oews_faq] Older articles that quote “at least $239,200” for anesthesiologists are describing that cap, not the pay.
Anesthesiologist salary per hour
Anesthesiologist pay per hour is $188.22 at the median, $48.78 at the 10th percentile and $267.85 at the 90th, using the 2,080-hour year BLS uses to convert annual pay.[oews_faq] Anesthesiologists who work longer weeks or take call earn less per actual hour than this conversion shows.
| Pay level | Hourly | Yearly | Take-home* | Monthly take-home |
|---|---|---|---|---|
| 10th | $48.78 | $101,460 | $80,207 | $6,684 |
| 25th | $99.52 | $207,000 | $154,083 | $12,840 |
| Median | $188.22 | $391,490 | $272,495 | $22,708 |
| 75th | $235.83 | $490,530 | $334,544 | $27,879 |
| 90th | $267.85 | $557,130 | $376,269 | $31,356 |
*Single filer, 2026 federal income tax, Social Security and Medicare including the 0.9% Additional Medicare Tax over $200,000; before state tax.
Anesthesiologist take-home pay
A single anesthesiologist paid the median keeps about $272,495 a year, or $22,708 a month, after 2026 federal income tax, Social Security and Medicare, before any state tax.[irs][ssa] Federal tax alone takes $100,156: at this income the top dollars fall in the 35% bracket. Social Security stops at the 2026 wage base of $184,500, so it costs at most $11,439, while the 0.9% Additional Medicare Tax applies to every dollar above $200,000. In a no-income-tax state such as Texas or Florida the federal figure is the whole bill; elsewhere, enter your state rate in the calculator.
Anesthesiologist salary by state
Washington has the highest average anesthesiologist salary at $508,520, followed by Minnesota ($449,130) and New Hampshire ($433,850); District of Columbia has the lowest published average at $239,320.[oews_api] The most anesthesiologist jobs are in New York (7,230), Texas (2,800), Florida (2,530), Washington (1,540). In Alaska, Arizona, Iowa, Maine, Missouri, Montana, Nevada, North Carolina, North Dakota, Oregon, Rhode Island, South Dakota, Utah BLS published the mean only as $239,200 or more. BLS released no May 2025 anesthesiologist wage for 13 states, including Arkansas, California, Colorado, Delaware, Hawaii, Illinois, usually because too few employers reported.
| State | Mean | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| 1. Washington | $508,520 | $499,990 | $239,000 | $646,940 | 1,540 |
| 2. Minnesota | $449,130 | $496,510 | $115,870 | $591,740 | 870 |
| 3. New Hampshire | $433,850 | $481,640 | $76,330 | $488,130 | 330 |
| 4. Pennsylvania | $425,950 | $461,390 | $75,070 | $542,880 | 410 |
| 5. Florida | $422,780 | $465,370 | $215,320 | $514,580 | 2,530 |
| 6. Ohio | $422,500 | $490,530 | $172,330 | $543,850 | 780 |
| 7. Connecticut | $416,580 | $481,820 | $75,050 | $529,860 | — |
| 8. Wisconsin | $411,910 | $443,990 | $217,060 | $639,120 | 790 |
| 9. Indiana | $389,030 | $394,060 | $217,040 | $512,160 | 1,460 |
| 10. Virginia | $388,620 | $488,310 | $42,100 | $507,500 | — |
| 11. Idaho | $385,470 | $449,990 | $89,130 | $497,100 | — |
| 12. Alabama | $376,440 | $392,350 | $223,700 | $492,400 | — |
| 13. Kansas | $375,020 | $437,030 | $222,520 | $536,800 | 600 |
| 14. Maryland | $371,320 | $418,010 | $170,770 | $506,640 | — |
| 15. Nebraska | $369,590 | $334,210 | $234,710 | $512,180 | 260 |
| 16. Louisiana | $368,640 | $410,500 | $231,450 | $417,550 | 190 |
| 17. New York | $349,940 | $445,660 | $136,760 | $561,000 | 7,230 |
| 18. New Mexico | $325,930 | $393,970 | $72,440 | $586,950 | 50 |
| 19. Tennessee | $323,070 | $330,620 | $75,260 | $442,360 | 840 |
| 20. Kentucky | $310,560 | $347,960 | $107,110 | $491,640 | 1,090 |
| 21. Vermont | $290,320 | $434,780 | $80,000 | $516,450 | 90 |
| 22. South Carolina | $283,240 | $238,970 | $77,540 | $549,580 | 950 |
| 23. Georgia | $276,840 | $230,000 | $169,710 | $494,270 | 1,040 |
| 24. Texas | $276,470 | $215,230 | $168,750 | $488,670 | 2,800 |
| 25. District of Columbia | $239,320 | $202,570 | $70,580 | $397,210 | 100 |
| 26. Alaska | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 120 |
| 27. Arizona | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | — |
| 28. Iowa | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 450 |
| 29. Maine | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 200 |
| 30. Missouri | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | — |
| 31. Montana | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | — |
| 32. Nevada | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 50 |
| 33. North Carolina | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 980 |
| 34. North Dakota | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 60 |
| 35. Oregon | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 390 |
| 36. Rhode Island | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 80 |
| 37. South Dakota | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | 210 |
| 38. Utah | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | ≥ $239,200 | — |
Jobs: BLS OEWS employment estimate, May 2025. “—”: not released. “≥ $239,200” means BLS published only that the wage is at least that much (its top-code of $115.00 an hour). No May 2025 wage estimate for Arkansas, California, Colorado, Delaware, Hawaii, Illinois, Massachusetts, Michigan, Mississippi, New Jersey, Oklahoma, West Virginia, Wyoming.
Download all anesthesiologist wages as CSV (nation, 51 states and every published metro area: mean, 10th–90th percentiles, jobs)
Anesthesiologist pay by metro area
The highest published metro median for anesthesiologists is Seattle-Tacoma-Bellevue, WA at $646,930.[onet_anes] Metro samples for a specialty this small are thin, and when the median and upper percentiles are identical many employers reported the same rate, so treat single metro figures as rough. The calculator above loads every metro area BLS published for a state.
| Area | Median | 10th pct. | 90th pct. |
|---|---|---|---|
| 1. Seattle-Tacoma-Bellevue, WA | $646,930 | $421,780 | $646,940 |
| 2. St. Cloud, MN | $591,740 | $209,090 | $591,740 |
| 3. Buffalo-Cheektowaga, NY | $512,620 | $166,890 | $553,410 |
| 4. Virginia Beach-Chesapeake-Norfolk, VA-NC | $500,990 | $40,160 | $507,500 |
| 5. Roanoke, VA | $488,310 | $38,650 | $488,320 |
| 6. Lakeland-Winter Haven, FL | $482,020 | $182,210 | $482,020 |
| 7. Kansas City, MO-KS | $477,890 | $222,520 | $524,630 |
| 8. Albany-Schenectady-Troy, NY | $471,720 | $168,700 | $521,220 |
| 9. New York-Newark-Jersey City, NY-NJ | $460,800 | $152,160 | $561,000 |
| 10. Dayton-Kettering-Beavercreek, OH | $455,300 | $167,460 | $605,890 |
How long it takes to become an anesthesiologist
Becoming an anesthesiologist takes about 12 years after high school: four of college, four of medical school and 4 of residency.[acgme_anes] ACGME accredits anesthesiology programs in 48-month and 36-month formats; the 36-month format requires a separate 12-month clinical year first, so both take four years. That long, mostly unpaid or low-paid stretch is why the cost of medical school matters as much as the salary; the loan calculator there shows how a typical balance grows during residency.
Anesthesiology pays more than the typical physician: the anesthesiologist median is $120,400 above the median for all non-surgical physicians and $147,310 above family medicine. Surgeons as a group earn a median of $369,540, covered on surgeon salary. Office-based specialties pay less; see dermatologist salary, or every specialty side by side on doctor salary by specialty.
Why anesthesiologist salary figures differ between sources
Salary figures for anesthesiologists differ between websites mainly because they use different years, different averages and different groups of workers. Check these six things before comparing any number with the BLS figures on this page.[oews_tec][oews_faq]
| Check | This page (BLS) | Why other figures differ |
|---|---|---|
| Which year? | BLS May 2025 estimates, released May 2026 | Older pages quote May 2023 or May 2024 data, or a survey year they do not name. |
| Median or mean? | Median $391,490, mean $360,570 ($30,920 apart) | A page that says “average” may mean either; for anesthesiologists the two differ by 7.9%. |
| Who is counted? | 38,760 wage-and-salary anesthesiologists | BLS leaves out self-employed owners paid from practice profits; owner surveys and job-ad sites count different people. |
| Top of the range | 3 of 4 key figures (10th, median, mean, 90th) exceed $239,200 | Until the May 2024 estimates BLS printed anything above $239,200 only as “$239,200 or more”, so older pages understate these. |
| Hourly figures | $188.22 at the median | BLS divides annual pay by 2,080 hours; it is not a measured shift or per-visit rate. |
| Range used | $101,460 (10th) to $557,130 (90th) | A single “typical” number hides a spread of this size; compare an offer with the percentiles, not one figure. |
Frequently asked questions
How much does an anesthesiologist make a year?
$391,490 at the national median and $360,570 on average (BLS, May 2025). The 10th percentile is $101,460 and the 90th is $557,130.
How much does an anesthesiologist make per hour?
About $188.22 at the median on BLS's 2,080-hour year; $267.85 at the 90th percentile.
What state pays anesthesiologists the most?
Washington, with a mean of $508,520, then Minnesota and New Hampshire, among states where BLS published an exact figure.
What is an anesthesiologist’s take-home pay?
About $272,495 a year ($22,708 a month) at the median for a single filer after 2026 federal income tax, Social Security and Medicare, before state tax.
Sources
- Technical Notes for May 2025 OEWS Estimates (scope: wage and salary workers; self-employed excluded)
- Local Wages: 29-1211.00 Anesthesiologist (national, state and metro percentiles)
- OEWS May 2025 employment, mean and percentile wage series (OEUN/OEUS), Public Data API v2
- Occupational Employment and Wage Statistics (OEWS), May 2025 estimates
- OEWS Frequently Asked Questions: changes in wage data processing (specific estimates above the $239,200 boundary from May 2025); 2,080-hour year
- IRS releases tax inflation adjustments for tax year 2026 (Rev. Proc. 2025-32)
- Contribution and Benefit Base ($184,500 for 2026)
- ACGME Program Requirements for Graduate Medical Education in Anesthesiology (Requirement 4.1, length of program)