Anesthesiologist Pay

Louisville vs Richmond: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Louisville, KY and Richmond, KY. All figures are 2026 estimates projected from BLS 2025 data.

Louisville, KY
$398,300
$191.49/hr
Richmond, KY
$359,717
$172.94/hr

Side-by-Side Comparison

MetricLouisville, KYRichmond, KY
Median Salary$398,300$359,717
Hourly Rate$191.49$172.94
Entry Level (P10)$231,014$208,636
25th Percentile$286,776$258,996
75th Percentile$509,133$444,060
Top Earner (P90)$586,631$481,511
Total Employed1325
Side-by-side bar chart comparing Louisville ($398,300) and Richmond ($359,717) anesthesiologist salaries.LouisvilleRichmondMedian Salary$398,300$359,717Entry Level (P10)$231,014$208,636Top Earner (P90)$586,631$481,511US Median $409,107

Verdict

Louisville, KY offers better overall compensation for anesthesiologists, winning 4 out of 4 metrics compared to Richmond.

The salary gap between Louisville and Richmond is $38,583 (10.73%). Louisville's median is -2.64% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Louisville spans $355,617,Richmond spans $272,875. Louisville has a wider pay range, meaning more potential for high earners but also more variation.

Louisville
P10 (Entry)$231,014
P25$286,776
Median$398,300
P75$509,133
P90 (Top)$586,631
Richmond
P10 (Entry)$208,636
P25$258,996
Median$359,717
P75$444,060
P90 (Top)$481,511

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville ($446,025 effective) pays 10.73% more than Richmond ($402,819 effective).

Louisville
Nominal: $398,300
CoL Index: 89.3
Adjusted: $446,025
Richmond
Nominal: $359,717
CoL Index: 89.3
Adjusted: $402,819

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

Which City Is Right for You?

Choose Louisville if…

  • Higher median salary ($398,300/year)
  • Better top-earner potential ($586,631)
  • Larger job market (132 employed)
  • Better purchasing power (CoL-adjusted: $446,025)
  • You prefer the Kentucky area and lifestyle

Choose Richmond if…

  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Louisville grew 13.5% from 2024 to 2025, compared to 13.5% growth in Richmond over the same period.

Louisville, KY

+13.5%

$335,886 (2024) → $381,148 (2025)

Richmond, KY

+13.5%

$303,349 (2024) → $344,227 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Louisville or Richmond?

Louisville has a higher median anesthesiologist salary at $398,300/year, compared to Richmond at $359,717/year — a difference of $38,583 (10.73%).

What is the hourly rate difference between Louisville and Richmond?

Louisville anesthesiologists earn $191.49/hr while Richmond hygienists earn $172.94/hr (2026 est.).

Should I relocate from Louisville to Richmond as a anesthesiologist?

Consider more than just salary when comparing Louisville and Richmond. Factor in cost of living (CoL-adjusted: Louisville = $446,025, Richmond = $402,819), job availability (132 vs 5 employed), commute, and career growth potential.

What do entry-level anesthesiologists earn in Louisville vs Richmond?

Entry-level (10th percentile) anesthesiologists earn $231,014 in Louisville and $208,636 in Richmond. The Louisville 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