Anesthesiologist Pay

Norfolk vs Roanoke: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Norfolk, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Norfolk, VA
$531,346
$255.45/hr
Roanoke, VA
$510,284
$245.33/hr

Side-by-Side Comparison

MetricNorfolk, VARoanoke, VA
Median Salary$531,346$510,284
Hourly Rate$255.45$245.33
Entry Level (P10)$308,181$40,389
25th Percentile$382,569$502,990
75th Percentile$680,123$510,294
Top Earner (P90)$790,084$510,294
Total Employed54N/A
Side-by-side bar chart comparing Norfolk ($531,346) and Roanoke ($510,284) anesthesiologist salaries.NorfolkRoanokeMedian Salary$531,346$510,284Entry Level (P10)$308,181$40,389Top Earner (P90)$790,084$510,294US Median $409,107

Verdict

Norfolk, VA offers better overall compensation for anesthesiologists, winning 4 out of 4 metrics compared to Roanoke.

The salary gap between Norfolk and Roanoke is $21,062 (4.13%). Norfolk's median is +29.88% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Norfolk spans $481,903,Roanoke spans $469,905. Norfolk has a wider pay range, meaning more potential for high earners but also more variation.

Norfolk
P10 (Entry)$308,181
P25$382,569
Median$531,346
P75$680,123
P90 (Top)$790,084
Roanoke
P10 (Entry)$40,389
P25$502,990
Median$510,284
P75$510,294
P90 (Top)$510,294

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($545,070 effective) pays 5.87% more than Norfolk ($514,870 effective).

Norfolk
Nominal: $531,346
CoL Index: 103.2
Adjusted: $514,870
Roanoke
Nominal: $510,284
CoL Index: 93.618
Adjusted: $545,070

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

Which City Is Right for You?

Choose Norfolk if…

  • Higher median salary ($531,346/year)
  • Better top-earner potential ($790,084)
  • Larger job market (54 employed)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Better purchasing power (CoL-adjusted: $545,070)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Norfolk grew 24.0% from 2024 to 2025, compared to 25.6% growth in Roanoke over the same period.

Norfolk, VA

+24.0%

$409,951 (2024) → $508,465 (2025)

Roanoke, VA

+25.6%

$388,810 (2024) → $488,310 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Norfolk or Roanoke?

Norfolk has a higher median anesthesiologist salary at $531,346/year, compared to Roanoke at $510,284/year — a difference of $21,062 (4.13%).

What is the hourly rate difference between Norfolk and Roanoke?

Norfolk anesthesiologists earn $255.45/hr while Roanoke hygienists earn $245.33/hr (2026 est.).

Should I relocate from Norfolk to Roanoke as a anesthesiologist?

Consider more than just salary when comparing Norfolk and Roanoke. Factor in cost of living (CoL-adjusted: Norfolk = $514,870, Roanoke = $545,070), commute, and career growth potential.

What do entry-level anesthesiologists earn in Norfolk vs Roanoke?

Entry-level (10th percentile) anesthesiologists earn $308,181 in Norfolk and $40,389 in Roanoke. The Norfolk area offers higher starting salaries.
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