Anesthesiologist Pay

San Diego vs Sacramento: Anesthesiologist Salary (2026)

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

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

Side-by-Side Comparison

MetricSan Diego, CASacramento, CA
Median Salary$490,262$493,219
Hourly Rate$235.70$237.12
Entry Level (P10)$284,352$286,067
25th Percentile$352,988$355,118
75th Percentile$627,535$631,320
Top Earner (P90)$725,535$737,369
Total Employed30794
Side-by-side bar chart comparing San Diego ($490,262) and Sacramento ($493,219) anesthesiologist salaries.San DiegoSacramentoMedian Salary$490,262$493,219Entry Level (P10)$284,352$286,067Top Earner (P90)$725,535$737,369US 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 San Diego and Sacramento 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 San Diego spans $441,183,Sacramento spans $451,302. Sacramento has a wider pay range, suggesting more variation in pay between entry-level and experienced anesthesiologists.

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

Cost-of-Living Adjusted Comparison

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

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

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

Which City Is Right for You?

Choose San Diego if…

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

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

Historical Salary Growth Comparison

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

San Diego, CA

+-13.0%

$539,266 (2024) → $469,150 (2025)

Sacramento, CA

+-13.0%

$542,520 (2024) → $471,980 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: San Diego or Sacramento?

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 San Diego and Sacramento?

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

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

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

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

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