Anesthesiologist Pay

Columbia vs St. Louis: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Columbia, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Columbia, MO
$372,462
$179.07/hr
St. Louis, MO
$379,977
$182.68/hr

Side-by-Side Comparison

MetricColumbia, MOSt. Louis, MO
Median Salary$372,462$379,977
Hourly Rate$179.07$182.68
Entry Level (P10)$216,028$220,386
25th Percentile$268,173$273,583
75th Percentile$476,751$486,370
Top Earner (P90)$554,421$582,816
Total Employed2368
Side-by-side bar chart comparing Columbia ($372,462) and St. Louis ($379,977) anesthesiologist salaries.ColumbiaSt. LouisMedian Salary$372,462$379,977Entry Level (P10)$216,028$220,386Top Earner (P90)$554,421$582,816US Median $409,107

Verdict

St. Louis, MO offers better overall compensation for anesthesiologists, winning 4 out of 4 metrics compared to Columbia.

The salary gap between Columbia and St. Louis is $7,515 (2.02%). St. Louis's median is -7.12% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Columbia spans $338,393,St. Louis spans $362,430. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced anesthesiologists.

Columbia
P10 (Entry)$216,028
P25$268,173
Median$372,462
P75$476,751
P90 (Top)$554,421
St. Louis
P10 (Entry)$220,386
P25$273,583
Median$379,977
P75$486,370
P90 (Top)$582,816

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Louis ($424,081 effective) pays 2.02% more than Columbia ($415,694 effective).

Columbia
Nominal: $372,462
CoL Index: 89.6
Adjusted: $415,694
St. Louis
Nominal: $379,977
CoL Index: 89.6
Adjusted: $424,081

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Columbia if…

  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($379,977/year)
  • Better top-earner potential ($582,816)
  • Larger job market (68 employed)
  • Better purchasing power (CoL-adjusted: $424,081)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Columbia grew 8.7% from 2024 to 2025, compared to 8.7% growth in St. Louis over the same period.

Columbia, MO

+8.7%

$327,753 (2024) → $356,423 (2025)

St. Louis, MO

+8.7%

$334,366 (2024) → $363,614 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Columbia or St. Louis?

St. Louis has a higher median anesthesiologist salary at $379,977/year, compared to Columbia at $372,462/year — a difference of $7,515 (2.02%).

What is the hourly rate difference between Columbia and St. Louis?

Columbia anesthesiologists earn $179.07/hr while St. Louis hygienists earn $182.68/hr (2026 est.).

Should I relocate from Columbia to St. Louis as a anesthesiologist?

Consider more than just salary when comparing Columbia and St. Louis. Factor in cost of living (CoL-adjusted: Columbia = $415,694, St. Louis = $424,081), job availability (23 vs 68 employed), commute, and career growth potential.

What do entry-level anesthesiologists earn in Columbia vs St. Louis?

Entry-level (10th percentile) anesthesiologists earn $216,028 in Columbia and $220,386 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

MC

Written by Dr. Maria Chen, MD

Career Analyst

Dr. Chen has over 10 years of experience in anesthesiology. She specializes in perioperative care at a major metropolitan hospital.

Clinically reviewed by Dr. Raj Patel, MDData verified by Dr. Amina Khan, MD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov