Anesthesiologist Salary in Alabama: $391,963 (2026)
Quick Answer:Across Alabama's 24 metropolitan areas, the average median anesthesiologist pay sits at $391,963/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1211. Because Alabama sits at BEA RPP 87.9 (12% below the U.S. baseline), that statewide median translates to roughly $445,919 in nationally-comparable purchasing power. Highest-paying metros: Birmingham ($390,436), Huntsville ($389,119), Mobile ($383,935).

In 2026, anesthesiologists in Alabama are projected to earn an average median salary of $391,964, which is approximately 4.2% lower than the national median of $409,107. The highest-paying city in the state is Birmingham, where salaries reach $408,006, while Pelham offers the lowest salaries at $359,013. This gap of $48,993 can be attributed to differences in local demand for anesthesiology services, cost of living variations, and the presence of major medical centers in urban areas compared to smaller suburban or rural locations. Alabama has specific licensing requirements and scope of practice laws that may influence salary levels. The increasing demand for surgical services and the expansion of healthcare facilities are driving job opportunities, contributing to a projected annual growth rate of 4.50% for anesthesiologists in the state. Key metro areas with solid salary expectations include Huntsville at $406,629, Mobile at $401,212, Montgomery at $400,008, and Hoover at $391,976. Knowing these factors, aspiring anesthesiologists should weigh their options carefully, considering both the financial aspect and the lifestyle afforded by different regions within Alabama.
Alabama Anesthesiologist Salary Range
Overall salary range in Alabama: $208,228 (lowest entry-level) to $594,620 (highest top earner)
Alabama vs National Average
Alabama anesthesiologists earn 4.19% less than the national median ($-17,144/year difference).
Alabama Anesthesiologist Salary Distribution (2026)
Anesthesiologist salaries in Alabama range from $227,339 (entry-level, 10th percentile) to $557,335 (top earners, 90th percentile), with a median of $391,963. The Alabama median is $17,144 below the US national median of $409,107. The average hourly rate is $188.44/hr. Approximately 328 anesthesiologists are employed across 24 cities.
2019 BLS Actual
$288,026
2025 BLS Actual
$375,085
2026 Current Est.
$391,963
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Alabama (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $288,026 | Actual |
| 2020 | $300,987 | Actual |
| 2021 | $314,531 | Actual |
| 2022 | $328,685 | Actual |
| 2023 | $343,476 | Actual |
| 2024 | $301,744 | Actual |
| 2025 | $375,085 | Actual |
| 2026(current) | $391,963 | Estimated |
| 2027 | $409,602 | Projected |
Based on 7 years of BLS OEWS data for the Alabama metropolitan area, the median anesthesiologist salary grew 30.2% from $288,026 (2019) to $375,085 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $409,602 by 2027 — a total increase of $121,576 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Alabama 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.
Top 5 Highest Paying Cities in Alabama
Lowest Paying Cities in Alabama
| City | Median Salary |
|---|---|
| Pelham | $359,013 |
| Albertville | $371,858 |
| Vestavia Hills | $372,700 |
| Anniston | $373,522 |
| Opelika | $374,960 |
Best Value Cities for Anesthesiologists in Alabama
When adjusted for local cost of living, these Alabama cities offer the most purchasing power for anesthesiologists.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Birmingham | $408,006 | 87.9 | $464,171 |
| Huntsville | $406,629 | 87.9 | $462,604 |
| Mobile | $401,212 | 87.9 | $456,441 |
| Montgomery | $400,008 | 87.9 | $455,072 |
| Hoover | $391,976 | 87.9 | $445,934 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in Alabama
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $227,339 |
| Mid Career (3-7 years) | $391,963 |
| Experienced (7+ years) | $557,335 |
Estimates based on BLS percentile data averaged across Alabama metro areas. Individual pay varies by employer, certifications, and specialization.
All 24 Cities in Alabama
| # | City | Median Salary |
|---|---|---|
| 1 | Birmingham | $408,006 |
| 2 | Huntsville | $406,629 |
| 3 | Mobile | $401,212 |
| 4 | Montgomery | $400,008 |
| 5 | Hoover | $391,976 |
| 6 | Tuscaloosa | $388,963 |
| 7 | Decatur | $388,932 |
| 8 | Phenix City | $382,009 |
| 9 | Dothan | $380,107 |
| 10 | Prattville | $379,930 |
| 11 | Daphne | $379,659 |
| 12 | Auburn | $379,523 |
| 13 | Northport | $379,086 |
| 14 | Madison | $378,508 |
| 15 | Alabaster | $376,164 |
| 16 | Florence | $375,592 |
| 17 | Gadsden | $375,592 |
| 18 | Enterprise | $375,562 |
| 19 | Homewood | $375,080 |
| 20 | Opelika | $374,960 |
| 21 | Anniston | $373,522 |
| 22 | Vestavia Hills | $372,700 |
| 23 | Albertville | $371,858 |
| 24 | Pelham | $359,013 |
More Alabama Salary Data
Senior / Experienced
Top earner salaries for experienced anesthesiologists.
Explore More Anesthesiologist Salary Data
Frequently Asked Questions
How much do anesthesiologists make in Alabama in 2026?
What is the highest paying city for anesthesiologists in Alabama?
How does Alabama anesthesiologist pay compare to the national average?
What is the entry-level anesthesiologist salary in Alabama?
How many anesthesiologists are employed in Alabama?
Which Alabama city offers the best value for anesthesiologists?
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
Statewide 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. A 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 anesthesiologist compensation across Alabama. State averages are employment-weighted across 24 metro areas — larger metro areas with more anesthesiologistscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS, 2-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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