Anesthesiologist Hourly Pay in Alexandria, VA: $197.87 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Alexandria, VA runs $197.87 at the median for 2026 — annualizing to $411,582 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Alexandria's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $191.74 nationally would. A 24-hour part-time schedule grosses $246,943 per year.
Based on BLS state-level estimates · View source

In Alexandria, Virginia, the anesthesiologist hourly pay is projected to reach a median rate of $197.87 in 2026, which is slightly above the national average of $196.69 per hour. This rate offers substantial earning potential for anesthesiologists working part-time, such as those on a typical 3-day workweek schedule, enabling them to earn a competitive income while maintaining a balanced lifestyle. Per-diem anesthesiologists also find this hourly rate favorable, particularly in environments like main operating rooms, pain procedure rooms, and ambulatory surgery centers. The hourly pay for anesthesiologists in Alexandria varies widely based on experience and the setting, with entry-level practitioners earning at the lower end of the scale starting around $114.77, while the highest earners can make as much as $288.70 per hour.
About the Alexandria Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $114.77 | $918.18 |
| Lower Range (P25) | $142.48 | $1139.80 |
| Median (P50) | $197.87 | $1582.97 |
| Upper Range (P75) | $252.62 | $2020.95 |
| Top Earners (P90) | $288.70 | $2309.62 |
Estimated Annual Income by Work Schedule in Alexandria
Based on $197.87/hr median hourly rate · 2026 est.
At $197.87/hr, a anesthesiologist working full-time (40 hr/wk) in Alexandria, VA can expect to earn approximately $411,571 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $237,445. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Alexandria.
Hourly Rate Calculator
Schedule Comparison in Alexandria
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $7,914.83 | $34,298 | $411,571 |
| Part-Time (24 hrs) | $4,748.90 | $20,579 | $246,943 |
| Per Diem (16 hrs) | $3,165.93 | $13,719 | $164,628 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Alexandria) | $197.87 |
| 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 Alexandria, VA earn a median of $411,582 per year (2026 est.), which is 0.60% higher than the national median of $409,107 and 2.50% below the Virginia state average of $422,135.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $197.87/hr = $246,943/year (purchasing power: $239,286).
Working 40h/week (full-time) = $411,571/year (purchasing power: $398,809).
CoL index: 103.2 (100 = national average).
2019 BLS Actual
$145.40/hr
2025 BLS Actual
$189.35/hr
2026 Current Est.
$197.87/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Alexandria (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $145.40/hr | Actual |
| 2020 | $151.94/hr | Actual |
| 2021 | $158.78/hr | Actual |
| 2022 | $165.93/hr | Actual |
| 2023 | $173.39/hr | Actual |
| 2024 | $188.82/hr | Actual |
| 2025 | $189.35/hr | Actual |
| 2026(current) | $197.87/hr | Estimated |
| 2027 | $206.77/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Alexandria grew 30.2% from $145.40/hr (2019) to $189.35/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $206.77/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 Alexandria 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 Alexandria
When evaluating the financial dynamics for anesthesiologists, part-time workers committing to a 24-hour week could expect an annual income significantly lower than their full-time counterparts, reflecting the trade-offs associated with decreased working hours. Locum tenens positions show potential for higher earnings, with many anesthesiologists billing between $1,800 and $3,000 daily, depending on the complexity of the assignments, such as cardiac or pediatric cases. In Alexandria, compensation also varies considerably between job types; W-2 employed positions in hospital systems may offer steadier hours and benefits, whereas partnerships in private anesthesia groups might yield higher hourly rates, albeit with greater financial uncertainty. Physicians should consider their individual needs regarding health insurance versus hourly pay, making sure to negotiate effectively based on their specific employment context to maximize their anesthesiologist hourly pay in VA.
More salary data for Alexandria, VA:
Frequently Asked Questions
What is the hourly rate for anesthesiologists in Alexandria in 2026?
How much do part-time anesthesiologists make in Alexandria?
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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 Alexandria. 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 Alexandria 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