Rapid City vs Spearfish: Anesthesiologist Salary (2026)
Compare anesthesiologist salaries between Rapid City, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Rapid City, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $411,213▲ | $389,772 |
| Hourly Rate | $197.70▲ | $187.39 |
| Entry Level (P10) | $238,503▲ | $226,068 |
| 25th Percentile | $296,074▲ | $280,636 |
| 75th Percentile | $518,736▲ | $467,641 |
| Top Earner (P90) | $587,993▲ | $509,241 |
| Total Employed | 16▲ | 5 |
Verdict
Rapid City, SD offers better overall compensation for anesthesiologists, winning 4 out of 4 metrics compared to Spearfish.
The salary gap between Rapid City and Spearfish is $21,441 (5.50%). Rapid City's median is +0.51% compared to the US national median of $409,107.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Rapid City spans $349,490,Spearfish spans $283,173. Rapid City has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Rapid City ($443,117 effective) pays 5.50% more than Spearfish ($420,013 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Rapid City if…
- ✓Higher median salary ($411,213/year)
- ✓Better top-earner potential ($587,993)
- ✓Larger job market (16 employed)
- ✓Better purchasing power (CoL-adjusted: $443,117)
- ✓You prefer the South Dakota area and lifestyle
Choose Spearfish if…
- ✓You prefer the South Dakota area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Rapid City grew 18.1% from 2024 to 2025, compared to 18.1% growth in Spearfish over the same period.
Rapid City, SD
$333,256 (2024) → $393,505 (2025)
Spearfish, SD
$315,879 (2024) → $372,988 (2025)
View Full Salary Data
Rapid City, SD
Spearfish, SD
Frequently Asked Questions
Which city pays anesthesiologists more: Rapid City or Spearfish?
What is the hourly rate difference between Rapid City and Spearfish?
Should I relocate from Rapid City to Spearfish as a anesthesiologist?
What do entry-level anesthesiologists earn in Rapid City vs Spearfish?
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.
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