Entry-Level Anesthesiologist Salary in Madisonville, KY: $201,865 (2026)
Quick Answer:New anesthesiologists entering the Madisonville, KY job market in 2026 can expect a starting salary around $201,865 (BLS 10th-percentile benchmark for SOC 29-1211, projected from 2025 OEWS data). Stripping out Madisonville's local price level (BEA RPP 89.3 — 11% below national), a first-year paycheck buys what $226,053 would in average-cost America. Most reach the city median ($348,042) within a few years of clinical practice.
Based on BLS state-level estimates · View source

In 2026, the starting anesthesiologist salary in Madisonville, Kentucky, is projected to begin at around $201,865. This figure represents the lower end of the salary spectrum for entry-level positions, considerably below the city’s median annual salary of $348,042. For new graduates eager to enter the field, this creates a notable gap, but it's essential to recognize the potential for salary growth within the first few years of practice. As early-career anesthesiologists move toward the 25th percentile, they could see their salaries rise to approximately $250,591 as they gain experience and establish their skills in the local healthcare market. The favorable growth trajectory, with an annual rate of 4.50%, indicates that Madisonville remains a viable location for new graduates to launch their careers, especially given its lower-than-average cost of living index of 89.3 compared to the national average.
About the Madisonville Market
Salary estimated from Kentucky average ($345,000) adjusted for local cost of living.
Career Earnings Timeline in Madisonville
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Madisonville
Entry-level anesthesiologists in Madisonville, KY typically start between $201,865 and $250,591 per year (2026 est.). The full salary range spans $247,725 from the 10th to 90th percentile, with the local median at $348,042 — 14.93% below the national median.
Return on Investment
The average anesthesiology program cost in Kentucky of $230,000 represents just 113.94% of the starting anesthesiologist pay ($201,865/year) in Madisonville. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on AAMC tuition reports for LCME-accredited MD programs and COCA-accredited DO programs, plus ACGME-accredited anesthesiology residency data. Totals include 4 years of medical school tuition, fees, and living expenses; residency is salaried but adds opportunity cost. Actual debt varies widely by public vs. private institution and state residency status.
ANES Salary Negotiation Tips for New Graduates in Madisonville
- 1Research the Madisonville market: entry-level anesthesiologist pay ranges from $201,865 to $250,591, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the anesthesiology field — employers in KY often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Madisonville, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Madisonville for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Madisonville's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Anesthesiologist Compensation Range
The anesthesiologist wage spread in Madisonville is $247,725 ( 122.72%) between entry-level and top earners. Starting at $201,865, experienced hygienists can earn up to $449,590.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$236,239
2025 BLS Actual
$193,172
2026 Current Est.
$201,865
2019–2027 Growth
+-10.7%
Salary Trajectory for Anesthesiologists in Madisonville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $236,239 | Actual |
| 2020 | $259,276 | Actual |
| 2021 | $223,882 | Actual |
| 2022 | $142,528 | Actual |
| 2023 | $161,719 | Actual |
| 2024 | $170,232 | Actual |
| 2025 | $193,172 | Actual |
| 2026(current) | $201,865 | Estimated |
| 2027 | $210,949 | Projected |
Entry-level anesthesiologist compensation (10th percentile) in Madisonville, KY grew -18.2% over 7 years based on actual BLS metropolitan area surveys, rising from $236,239 in 2019 to $193,172 in 2025. By 2027, starting salaries are projected to reach $210,949. New graduates entering the Madisonville job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madisonville metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your anesthesiology Career in Madisonville
Certainly, finding the right employer is critical for new grad anesthesiologists in Madisonville. Academic medical centers often provide a diverse case mix that can enhance a new graduate's experience in different areas like cardiac and pediatric anesthesiology. Large group practices typically recruit directly from residency programs, and many offer structured partnership tracks relatively quickly—within two to three years. Those new to the field may also consider outpatient surgery centers, which often promote a more balanced lifestyle without the pressures of on-call duties. To enhance their starting pay, graduates should ensure they meet credentialing requirements, including obtaining an MD or DO, completing a four-year anesthesiology residency, and earning ABA board certification with MOCA. As recent changes in the anesthesiology market show a significant divergence between compensation models—hospital employment versus private practice—new graduates are advised to evaluate these options carefully. Realistically, they should anticipate steady salary increases, building upon their entry-level compensation as they solidify their roles within the evolving healthcare landscape of Madisonville, KY.
More salary data for Madisonville, KY:
Frequently Asked Questions
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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
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new anesthesiology graduates. A 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Madisonville. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Madisonville is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.50%, derived from historical BLS wage trends for anesthesiologists (SOC 29-1211).
Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov