Anesthesiologist Pay

Sacramento vs San Diego: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Sacramento, CA and San Diego, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$493,219
$237.12/hr
San Diego, CA
$490,262
$235.70/hr

Side-by-Side Comparison

MetricSacramento, CASan Diego, CA
Median Salary$493,219$490,262
Hourly Rate$237.12$235.70
Entry Level (P10)$286,067$284,352
25th Percentile$355,118$352,988
75th Percentile$631,320$627,535
Top Earner (P90)$737,369$725,535
Total Employed94307
Side-by-side bar chart comparing Sacramento ($493,219) and San Diego ($490,262) anesthesiologist salaries.SacramentoSan DiegoMedian Salary$493,219$490,262Entry Level (P10)$286,067$284,352Top Earner (P90)$737,369$725,535US Median $409,107

Verdict

Sacramento, CA offers better overall compensation for anesthesiologists, winning 3 out of 4 metrics compared to San Diego.

The salary gap between Sacramento and San Diego is $2,957 (0.60%). Sacramento's median is +20.56% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $451,302,San Diego spans $441,183. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.

Sacramento
P10 (Entry)$286,067
P25$355,118
Median$493,219
P75$631,320
P90 (Top)$737,369
San Diego
P10 (Entry)$284,352
P25$352,988
Median$490,262
P75$627,535
P90 (Top)$725,535

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($436,091 effective) pays 0.60% more than San Diego ($433,477 effective).

Sacramento
Nominal: $493,219
CoL Index: 113.1
Adjusted: $436,091
San Diego
Nominal: $490,262
CoL Index: 113.1
Adjusted: $433,477

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($493,219/year)
  • Better top-earner potential ($737,369)
  • Better purchasing power (CoL-adjusted: $436,091)
  • You prefer the California area and lifestyle

Choose San Diego if…

  • Larger job market (307 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Sacramento grew -13.0% from 2024 to 2025, compared to -13.0% growth in San Diego over the same period.

Sacramento, CA

+-13.0%

$542,520 (2024) → $471,980 (2025)

San Diego, CA

+-13.0%

$539,266 (2024) → $469,150 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Sacramento or San Diego?

Sacramento has a higher median anesthesiologist salary at $493,219/year, compared to San Diego at $490,262/year — a difference of $2,957 (0.60%).

What is the hourly rate difference between Sacramento and San Diego?

Sacramento anesthesiologists earn $237.12/hr while San Diego hygienists earn $235.70/hr (2026 est.).

Should I relocate from Sacramento to San Diego as a anesthesiologist?

Consider more than just salary when comparing Sacramento and San Diego. Factor in cost of living (CoL-adjusted: Sacramento = $436,091, San Diego = $433,477), job availability (94 vs 307 employed), commute, and career growth potential.

What do entry-level anesthesiologists earn in Sacramento vs San Diego?

Entry-level (10th percentile) anesthesiologists earn $286,067 in Sacramento and $284,352 in San Diego. The Sacramento 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