Anesthesiologist Hourly Pay in Rapid City, SD: $197.70 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Rapid City, SD runs $197.70 at the median for 2026 — annualizing to $411,213 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Rapid City's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $213.04 nationally would. A 24-hour part-time schedule grosses $246,734 per year.
Based on BLS state-level estimates · View source

In Rapid City, South Dakota, anesthesiologists can expect a median hourly pay of $197.70, which surpasses the national median hourly figure of $196.69. This competitive hourly rate creates lucrative opportunities for both part-time physicians working three days a week in various settings such as operating rooms, cardiac catheterization labs, and ambulatory surgery centers, as well as those seeking per diem roles. The pay range for anesthesiologists in the area reflects experience and specialization, spanning from $114.67 at the entry-level to $282.69 for top earners. It’s crucial to consider that these hourly estimates are derived from 2026 projected annual salaries based on data provided by the 2025 BLS, offering a solid foundation for future earnings expectations in this vital healthcare role.
About the Rapid City Market
Salary estimated from South Dakota average ($355,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $114.67 | $917.34 |
| Lower Range (P25) | $142.34 | $1138.72 |
| Median (P50) | $197.70 | $1581.63 |
| Upper Range (P75) | $249.39 | $1995.11 |
| Top Earners (P90) | $282.69 | $2261.55 |
Estimated Annual Income by Work Schedule in Rapid City
Based on $197.70/hr median hourly rate · 2026 est.
At $197.70/hr, a anesthesiologist working full-time (40 hr/wk) in Rapid City, SD can expect to earn approximately $411,223 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $237,244. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Rapid City.
Hourly Rate Calculator
Schedule Comparison in Rapid City
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $7,908.14 | $34,269 | $411,223 |
| Part-Time (24 hrs) | $4,744.89 | $20,561 | $246,734 |
| Per Diem (16 hrs) | $3,163.26 | $13,707 | $164,489 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Rapid City) | $197.70 |
| 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 Rapid City, SD earn a median of $411,213 per year (2026 est.), which is 0.51% higher than the national median of $409,107 and 1.20% above the South Dakota state average of $406,337.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $197.70/hr = $246,734/year (purchasing power: $265,877).
Working 40h/week (full-time) = $411,223/year (purchasing power: $443,129).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$145.28/hr
2025 BLS Actual
$189.19/hr
2026 Current Est.
$197.70/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Rapid City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $145.28/hr | Actual |
| 2020 | $151.82/hr | Actual |
| 2021 | $158.65/hr | Actual |
| 2022 | $165.79/hr | Actual |
| 2023 | $173.25/hr | Actual |
| 2024 | $160.22/hr | Actual |
| 2025 | $189.19/hr | Actual |
| 2026(current) | $197.70/hr | Estimated |
| 2027 | $206.60/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Rapid City grew 30.2% from $145.28/hr (2019) to $189.19/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $206.60/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 Rapid City 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 Rapid City
Analyzing the earning potential in Rapid City further highlights the financial dynamics at play for different employment types. An anesthesiologist working three days a week for 24 hours might earn significantly less annually than their full-time counterparts, yet still reap substantial benefits from a more flexible schedule. Meanwhile, per diem anesthesiologists can command daily rates ranging from $1,800 to $3,000, especially for high-demand specialties. This flexibility attracts many towards agency or locum tenens positions, where agencies often cover additional costs like lodging and malpractice insurance. Hourly compensation varies widely across employer types, with hospital systems generally offering stable W-2 employment, while private practices may present partnership opportunities with performance bonuses. Those opting for higher hourly rates in private practices should evaluate trade-offs like lack of benefits. It’s advisable for anesthesiologists to negotiate effectively based on their skills and market demands, especially in a growing city like Rapid City.
More salary data for Rapid City, SD:
Frequently Asked Questions
What is the hourly rate for anesthesiologists in Rapid City in 2026?
How much do part-time anesthesiologists make in Rapid City?
Are anesthesiologists in Rapid City paid hourly or salary?
How much does a full-time anesthesiologist make per year in Rapid City?
Do anesthesiologists earn more per hour working part-time in Rapid City?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in South Dakota
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 Rapid City. 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 Rapid City 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