Entry-Level Anesthesiologist Salary in Rochester, NH: $281,211 (2026)
Quick Answer:New anesthesiologists entering the Rochester, NH job market in 2026 can expect a starting salary around $281,211 (BLS 10th-percentile benchmark for SOC 29-1211, projected from 2025 OEWS data). Stripping out Rochester's local price level (BEA RPP 107.3 — 7% above national), a first-year paycheck buys what $262,079 would in average-cost America. Most reach the city median ($484,847) within a few years of clinical practice.
Based on BLS state-level estimates · View source

In Rochester, New Hampshire, the starting anesthesiologist salary for entry-level positions is projected at $281,211 in 2026. This is significantly lower than the city's median salary of $484,847, highlighting the gap that new graduates can expect as they begin their careers. However, this underlines the growth potential; as experience builds and skills are honed, salaries can progress from that initial figure through to the 25th percentile at $349,090, eventually reaching the median in the first three to five years. With a projected annual growth rate of 4.50%, Rochester presents a favorable opportunity for new anesthesiologists, especially compared to national averages which reflect a median annual salary of $409,107, allowing local graduates to consider Rochester a solid market for launching their medical careers.
About the Rochester Market
Salary estimated from New Hampshire average ($385,000) adjusted for local cost of living.
Career Earnings Timeline in Rochester
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 Rochester
Entry-level anesthesiologists in Rochester, NH typically start between $281,211 and $349,090 per year (2026 est.). The full salary range spans $393,456 from the 10th to 90th percentile, with the local median at $484,847 — 18.51% above the national median.
Return on Investment
The average anesthesiology program cost in New Hampshire of $350,000 represents just 124.46% of the starting anesthesiologist pay ($281,211/year) in Rochester. 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 Rochester
- 1Research the Rochester market: entry-level anesthesiologist pay ranges from $281,211 to $349,090, 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 NH often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Rochester, 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 Rochester for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Rochester's moderate cost of living means your starting salary goes further here compared to many larger metro areas.
Anesthesiologist Compensation Range
The anesthesiologist wage spread in Rochester is $393,456 ( 139.91%) between entry-level and top earners. Starting at $281,211, experienced hygienists can earn up to $674,667.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$329,096
2025 BLS Actual
$269,101
2026 Current Est.
$281,211
2019–2027 Growth
+-10.7%
Salary Trajectory for Anesthesiologists in Rochester (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $329,096 | Actual |
| 2020 | $361,188 | Actual |
| 2021 | $311,882 | Actual |
| 2022 | $198,550 | Actual |
| 2023 | $225,285 | Actual |
| 2024 | $230,637 | Actual |
| 2025 | $269,101 | Actual |
| 2026(current) | $281,211 | Estimated |
| 2027 | $293,865 | Projected |
Entry-level anesthesiologist compensation (10th percentile) in Rochester, NH grew -18.2% over 7 years based on actual BLS metropolitan area surveys, rising from $329,096 in 2019 to $269,101 in 2025. By 2027, starting salaries are projected to reach $293,865. New graduates entering the Rochester job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rochester 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 Rochester
Which employers hire newly graduated anesthesiologists in Rochester primarily include academic medical centers and large group practices, with the former offering a diverse case mix that is ideal for new practitioners looking to gain experience across various specialties such as cardiac and pediatric anesthesia. Often, larger practices provide a clear pathway to partnership within a few years, while lifestyle-focused opportunities in outpatient surgery centers allow graduates to work without on-call responsibilities. Credentialing with an MD or DO degree along with completing an anesthesiology residency will set the foundation for starting pay, but securing ABA board certification and ongoing education via MOCA can enhance earning potential. New anesthesiologists should develop strategic relationships within their respective medical community because the current market dynamics favor W-2 hospital employment and private equity-backed practices, both of which influence compensation significantly. Following trends in local hiring practices can help to set realistic expectations for salary growth during the early years in the field.
More salary data for Rochester, NH:
Frequently Asked Questions
What is the starting salary for anesthesiologists in Rochester in 2026?
How fast do anesthesiologist salaries grow in Rochester?
Is anesthesiology school worth it in Rochester?
What do new anesthesiologists make right out of school in Rochester?
How do I become a anesthesiologist in New Hampshire?
Related Pages
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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 Rochester. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Rochester 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