Entry-Level Anesthesiologist Salary in Sioux Falls, SD: $238,407 (2026)
Quick Answer:New anesthesiologists entering the Sioux Falls, SD job market in 2026 can expect a starting salary around $238,407 (BLS 10th-percentile benchmark for SOC 29-1211, projected from 2025 OEWS data). Stripping out Sioux Falls's local price level (BEA RPP 92.8 — 7% below national), a first-year paycheck buys what $256,904 would in average-cost America. Most reach the city median ($411,047) within a few years of clinical practice.
Based on BLS state-level estimates · View source
In Sioux Falls, South Dakota, new graduates entering the anesthesiology field can expect an entry-level anesthesiologist salary of around $238,407 in 2026. This starting figure, while substantial, represents a notable gap from the city’s median annual salary of $411,047. As early-career professionals progress, they can look forward to a growth trajectory, with potential earnings reaching about $295,953 at the 25th percentile within three to five years. Given the favorable growth rate of 4.50% projected for this sector, Sioux Falls is becoming an increasingly attractive market for new grads, who may find ample opportunities to bridge the salary gap and secure a comfortable living in a relatively low-cost area, as reflected by the region's cost of living index at 92.8.
About the Sioux Falls Market
Salary estimated from South Dakota average ($355,000) adjusted for local cost of living.
Career Earnings Timeline in Sioux Falls
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 Sioux Falls
Entry-level anesthesiologists in Sioux Falls, SD typically start between $238,407 and $295,953 per year (2026 est.). The full salary range spans $370,429 from the 10th to 90th percentile, with the local median at $411,047 — 0.47% above the national median.
Return on Investment
The average anesthesiology program cost in South Dakota of $245,000 represents just 102.77% of the starting anesthesiologist pay ($238,407/year) in Sioux Falls. 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 Sioux Falls
- 1Research the Sioux Falls market: entry-level anesthesiologist pay ranges from $238,407 to $295,953, 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 SD often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Sioux Falls, 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 Sioux Falls for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Sioux Falls'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 Sioux Falls is $370,429 ( 155.38%) between entry-level and top earners. Starting at $238,407, experienced hygienists can earn up to $608,836.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$279,004
2025 BLS Actual
$228,141
2026 Current Est.
$238,407
2019–2027 Growth
+-10.7%
Salary Trajectory for Anesthesiologists in Sioux Falls (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $279,004 | Actual |
| 2020 | $306,212 | Actual |
| 2021 | $264,411 | Actual |
| 2022 | $168,329 | Actual |
| 2023 | $190,994 | Actual |
| 2024 | $193,210 | Actual |
| 2025 | $228,141 | Actual |
| 2026(current) | $238,407 | Estimated |
| 2027 | $249,136 | Projected |
Entry-level anesthesiologist compensation (10th percentile) in Sioux Falls, SD grew -18.2% over 7 years based on actual BLS metropolitan area surveys, rising from $279,004 in 2019 to $228,141 in 2025. By 2027, starting salaries are projected to reach $249,136. New graduates entering the Sioux Falls job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Sioux Falls 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 Sioux Falls
To find favorable employment as a new grad anesthesiologist in Sioux Falls, targeting academic medical centers may yield the broadest case mix, which includes areas such as cardiac, transplant, and pediatric anesthesia. Large group practices often recruit residents immediately upon graduation, often offering partnership tracks within two to three years. For those prioritizing work-life balance, outpatient surgery centers without on-call responsibilities may be appealing. To enhance starting compensation, candidates should pursue relevant credentials such as an MD or DO, complete a four-year anesthesiology residency, and attain ABA board certification, which is essential for independence in practice. Although compensation models are diverging sharply between hospital employment and private group practice, understanding these dynamics will help new grads strategically plan for the first few years, during which realistic salary growth expectations can lead to considerable advancement as experience accumulates.
More salary data for Sioux Falls, SD:
Frequently Asked Questions
What is the starting salary for anesthesiologists in Sioux Falls in 2026?
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Is anesthesiology school worth it in Sioux Falls?
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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 Sioux Falls. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Sioux Falls 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