Entry-Level Anesthesiologist Salary in Round Rock, TX: $231,679 (2026)
Quick Answer:New anesthesiologists entering the Round Rock, TX job market in 2026 can expect a starting salary around $231,679 (BLS 10th-percentile benchmark for SOC 29-1211, projected from 2025 OEWS data). Stripping out Round Rock's local price level (BEA RPP 96.0 — 4% below national), a first-year paycheck buys what $241,332 would in average-cost America. Most reach the city median ($399,446) within a few years of clinical practice.
Based on BLS state-level estimates · View source

For new anesthesiology graduates in Round Rock, Texas, the projected entry-level anesthesiologist salary in 2026 starts at around $231,679. While this figure may seem modest compared to the city median salary of $399,446, it serves as a launching point for career growth. The pathway from entry-level through the first five years shows significant potential, with compensation for early-career professionals expected to reach $287,601 by the 25th percentile. Thus, while new graduates might start lower on the pay scale, they have a clear trajectory towards achieving median earnings within a few years, making Round Rock a promising market for those entering the profession.
About the Round Rock Market
Salary estimated from Texas average ($420,000) adjusted for local cost of living.
Career Earnings Timeline in Round Rock
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 Round Rock
Entry-level anesthesiologists in Round Rock, TX typically start between $231,679 and $287,601 per year (2026 est.). The full salary range spans $363,430 from the 10th to 90th percentile, with the local median at $399,446 — 2.36% below the national median.
Return on Investment
The average anesthesiology program cost in Texas of $240,000 represents just 103.59% of the starting anesthesiologist pay ($231,679/year) in Round Rock. 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 Round Rock
- 1Research the Round Rock market: entry-level anesthesiologist pay ranges from $231,679 to $287,601, 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 TX often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Round Rock, 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 Round Rock for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Round Rock'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 Round Rock is $363,430 ( 156.87%) between entry-level and top earners. Starting at $231,679, experienced hygienists can earn up to $595,109.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$271,129
2025 BLS Actual
$221,702
2026 Current Est.
$231,679
2019–2027 Growth
+-10.7%
Salary Trajectory for Anesthesiologists in Round Rock (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $271,129 | Actual |
| 2020 | $297,569 | Actual |
| 2021 | $256,948 | Actual |
| 2022 | $163,578 | Actual |
| 2023 | $185,604 | Actual |
| 2024 | $237,848 | Actual |
| 2025 | $221,702 | Actual |
| 2026(current) | $231,679 | Estimated |
| 2027 | $242,104 | Projected |
Entry-level anesthesiologist compensation (10th percentile) in Round Rock, TX grew -18.2% over 7 years based on actual BLS metropolitan area surveys, rising from $271,129 in 2019 to $221,702 in 2025. By 2027, starting salaries are projected to reach $242,104. New graduates entering the Round Rock job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Round Rock 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 Round Rock
In Round Rock, various healthcare settings actively recruit new grad anesthesiologists, creating numerous opportunities. Academic medical centers often provide a diverse range of case experiences, including cardiac, transplant, and pediatric anesthesiology, beneficial for building a well-rounded skill set. Additionally, large group practices typically recruit directly from residency programs, offering structured partnership tracks that may lead to increased earnings within 2-3 years. To enhance their earning potential, new grads should prioritize obtaining their ABA board certification, consider fellowships, and maintain DEA and state controlled-substance registrations. Recently, compensation methods have diverged sharply between W-2 employed positions and private practice partnerships, influenced by hospital-owned systems versus private equity arrangements. Consequently, understanding these dynamics can guide new graduates in making informed career decisions, with realistic expectations of salary growth from initial roles in this evolving healthcare environment in Round Rock.
More salary data for Round Rock, TX:
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 Round Rock. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Salary data for Round Rock 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