Anesthesiologist Hourly Pay in Sacramento, CA: $237.12 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Sacramento, CA runs $237.12 at the median for 2026 — annualizing to $493,219 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Sacramento's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $209.66 nationally would. A 24-hour part-time schedule grosses $295,927 per year.
Based on BLS state-level estimates · View source
In Sacramento, anesthesiologists earn a median hourly rate of $237.12, significantly surpassing the national median of $196.69. This elevated hourly pay opens multiple pathways for anesthesiologists pursuing part-time positions or per-diem opportunities in a variety of work settings, including main operating rooms, cardiac catheterization labs, and ambulatory surgery centers. The hourly wage can vary widely based on experience and specialization, with entry-level positions earning around $137.53, while the highest earners (P90) can command rates of up to $354.51. Sacramento's anesthesiologists enjoy a competitive advantage over their national counterparts, with projected rates derived from the 2025 BLS data showing a robust healthcare market, reflective of the cost of living index in the area.
About the Sacramento Market
Salary estimated from California average ($450,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $137.53 | $1100.26 |
| Lower Range (P25) | $170.73 | $1365.86 |
| Median (P50) | $237.12 | $1896.97 |
| Upper Range (P75) | $303.52 | $2428.16 |
| Top Earners (P90) | $354.51 | $2836.05 |
Estimated Annual Income by Work Schedule in Sacramento
Based on $237.12/hr median hourly rate · 2026 est.
At $237.12/hr, a anesthesiologist working full-time (40 hr/wk) in Sacramento, CA can expect to earn approximately $493,212 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $284,545. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in Sacramento.
Hourly Rate Calculator
Schedule Comparison in Sacramento
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $9,484.84 | $41,101 | $493,212 |
| Part-Time (24 hrs) | $5,690.90 | $24,661 | $295,927 |
| Per Diem (16 hrs) | $3,793.94 | $16,440 | $197,285 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Sacramento) | $237.12 |
| Surgeon, All Other (National Avg) | $168.27 |
| Radiologist (National Avg) | $168.27 |
| Nurse Anesthetist (National Avg) | $106.73 |
| Physician Assistant (National Avg) | $64.13 |
Anesthesiologists in Sacramento, CA earn a median of $493,219 per year (2026 est.), which is 20.56% higher than the national median of $409,107 and 6.60% above the California state average of $462,682.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $237.12/hr = $295,927/year (purchasing power: $261,651).
Working 40h/week (full-time) = $493,212/year (purchasing power: $436,085).
CoL index: 113.1 (100 = national average).
2019 BLS Actual
$174.24/hr
2025 BLS Actual
$226.91/hr
2026 Current Est.
$237.12/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Sacramento (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $174.24/hr | Actual |
| 2020 | $182.08/hr | Actual |
| 2021 | $190.28/hr | Actual |
| 2022 | $198.84/hr | Actual |
| 2023 | $207.79/hr | Actual |
| 2024 | $260.83/hr | Actual |
| 2025 | $226.91/hr | Actual |
| 2026(current) | $237.12/hr | Estimated |
| 2027 | $247.79/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Sacramento grew 30.2% from $174.24/hr (2019) to $226.91/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $247.79/hr by 2027. Part-time and per-diem anesthesiologists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Sacramento 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.
Working as an Hourly Anesthesiologist in Sacramento
Part-time anesthesiologists working three days a week for a total of 24 hours can significantly enhance their take-home income. For instance, those opting for a 24-hour weekly schedule would earn over $290,470 annually, substantially higher than average earners in other regions. Per diem anesthesiologists, particularly in Sacramento, can generate daily earnings of $1,800 to $3,000, particularly in more specialized fields, such as pediatric care. This flexibility attracts many professionals who prefer to work with locum tenens agencies, which often cover lodging, malpractice insurance, and travel expenses. Hourly rates can differ based on employer type, such as W-2 roles in hospital systems or private anesthesia groups structured for partnership, compelling some anesthesiologists to balance between higher pay and the benefits tied to employment. When negotiating pay, being informed about local market rates can empower anesthesiologists to advocate for better compensation while considering the implications of job security and benefits.
More salary data for Sacramento, CA:
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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for anesthesiologists in Sacramento. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Sacramento 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