Anesthesiologist Hourly Pay in Spearfish, SD: $187.39 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Spearfish, SD runs $187.39 at the median for 2026 — annualizing to $389,772 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Spearfish's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $201.93 nationally would. A 24-hour part-time schedule grosses $233,862 per year.
Based on BLS state-level estimates · View source

An anesthesiologist hourly pay in Spearfish, South Dakota, is projected to be $187.39 in 2026, which is slightly lower than the national hourly median of $196.69. For those considering part-time work, such as a 3-day workweek, this rate can provide a solid income when factored into fewer overall hours. Per-diem anesthesiologists earning in Spearfish can expect to work in various settings including main operating rooms, ambulatory surgery centers, and intensive care units, with compensation based on their experience and the complexity of procedures. The hourly wage range varies significantly, with entry-level positions starting at approximately $108.69 per hour while top-earning anesthesiologists can reach around $244.82 per hour, underscoring the potential for lucrative compensation in this specialty.
About the Spearfish 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) | $108.69 | $869.52 |
| Lower Range (P25) | $134.92 | $1079.36 |
| Median (P50) | $187.39 | $1499.12 |
| Upper Range (P75) | $224.83 | $1798.65 |
| Top Earners (P90) | $244.82 | $1958.58 |
Estimated Annual Income by Work Schedule in Spearfish
Based on $187.39/hr median hourly rate · 2026 est.
At $187.39/hr, a anesthesiologist working full-time (40 hr/wk) in Spearfish, SD can expect to earn approximately $389,770 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $224,867. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Spearfish.
Hourly Rate Calculator
Schedule Comparison in Spearfish
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $7,495.58 | $32,481 | $389,770 |
| Part-Time (24 hrs) | $4,497.35 | $19,488 | $233,862 |
| Per Diem (16 hrs) | $2,998.23 | $12,992 | $155,908 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Spearfish) | $187.39 |
| 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 Spearfish, SD earn a median of $389,772 per year (2026 est.), which is 4.73% lower than the national median of $409,107 and 4.10% below the South Dakota state average of $406,436.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $187.39/hr = $233,862/year (purchasing power: $252,006).
Working 40h/week (full-time) = $389,770/year (purchasing power: $420,011).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$137.70/hr
2025 BLS Actual
$179.32/hr
2026 Current Est.
$187.39/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Spearfish (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $137.70/hr | Actual |
| 2020 | $143.90/hr | Actual |
| 2021 | $150.37/hr | Actual |
| 2022 | $157.14/hr | Actual |
| 2023 | $164.21/hr | Actual |
| 2024 | $151.86/hr | Actual |
| 2025 | $179.32/hr | Actual |
| 2026(current) | $187.39/hr | Estimated |
| 2027 | $195.82/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Spearfish grew 30.2% from $137.70/hr (2019) to $179.32/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $195.82/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 Spearfish 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 Spearfish
Evaluating the earning potential of anesthesiologists in Spearfish reveals interesting dynamics particularly for those working part-time versus full-time. A professional working three days a week—covering 24 hours—could earn an annual gross income of about $234,534, providing a comfortable living compared to local standards. Additionally, the rise of locum tenens anesthesia positions offers flexibility and higher daily pay, ranging from $1,800 to $3,000. Hospital employment, private practice, and academic positions further diversify the landscape of anesthesiologist hourly rates in SD, with significant differences noted between W-2 structures and private equity or partnership opportunities. Many anesthesiologists weigh the trade-offs between higher hourly pay without benefits versus a lower rate with comprehensive health coverage. For those considering negotiations, understanding the local market nuances in Spearfish can enhance leverage, especially amidst changing facility structures and hiring needs in the healthcare sector.
More salary data for Spearfish, SD:
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 Spearfish. 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 Spearfish 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