Anesthesiologist Salary in Fresno, CA: $498,936 (2026)
Quick Answer:A full-time anesthesiologist in Fresno, CA earns a median $498,936/year (≈ $239.87/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Fresno's price level (13% above national, BEA RPP 113.1), that paycheck buys what $441,146 would nationally. Nominal pay sits 7.8% above the California state average.
Based on BLS state-level estimates · View source
Anesthesiologists in Fresno, California, can expect a median annual salary of $498,936 in 2026, significantly surpassing the national median of $409,107 by nearly 22%. The salary range for anesthesiologists in this area varies widely, from $289,383 at the 10th percentile to $757,903 at the 90th percentile, showcasing the potential for substantial earnings depending on practice structure and case volume. These figures are derived from 2025 BLS data, adjusted for regional economic factors, reflecting the unique market dynamics in Fresno. The choice between W-2 hospital employment and private group partnerships is pivotal, influencing job satisfaction and effective compensation, especially in a market where physician-owned groups may afford more flexibility and higher earning potential.
About the Fresno Market
Salary estimated from California average ($450,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $289,383 | $139.13 |
| Lower Range (P25) | $359,234 | $172.71 |
| Median (P50)(typical) | $498,936 | $239.87 |
| Upper Range (P75) | $638,638 | $307.04 |
| Top Earners (P90) | $757,903 | $364.38 |
Median Salary Position
21.96% above the national average
2026 Salary Percentile Distribution in Fresno
In Fresno, CA, the anesthesiologist salary spread from the 10th to 90th percentile is $468,520 (2026 est.). At $498,936, the local median is 21.96% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Fresno: You'd be in the lower-middle range
How Fresno Anesthesiologist Pay Compares
Fresno median: $498,936/year (2026)
| Compared To | Median Salary | Fresno Pays |
|---|---|---|
| California Average | $462,835 | +7.80% more |
| National Average | $409,107 | +21.96% more |
Anesthesiologists in Fresno, CA earn a median of $498,936 per year (2026 est.), which is 21.96% higher than the national median of $409,107 and 7.80% above the California state average of $462,835.
Cost-of-Living Adjusted Salary
Fresno has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fresno, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $498,936 is competitive, the higher cost of living reduces purchasing power to an effective $441,146 — a 11.58% reduction.
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2019 BLS Actual
$366,633
2025 BLS Actual
$477,451
2026 Current Est.
$498,936
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Fresno (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $366,633 | Actual |
| 2020 | $383,131 | Actual |
| 2021 | $400,372 | Actual |
| 2022 | $418,389 | Actual |
| 2023 | $437,216 | Actual |
| 2024 | $548,809 | Actual |
| 2025 | $477,451 | Actual |
| 2026(current) | $498,936 | Estimated |
| 2027 | $521,388 | Projected |
Based on 7 years of BLS OEWS data for the Fresno metropolitan area, the median anesthesiologist salary grew 30.2% from $366,633 (2019) to $477,451 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $521,388 by 2027 — a total increase of $154,755 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fresno 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $289,383 – $359,234 |
| 3-5 years (Mid Career) | $359,234 – $498,936 |
| 5+ years (Experienced) | $498,936 – $638,638 |
| 10+ years (Top Earner) | $638,638 – $757,903 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Fresno
Fresno's job market features approximately 84 anesthesiologists, with the cost of living index sitting at 113.1, indicating that while salaries are competitive, purchasing power remains crucial. Institutions such as academic medical centers and large hospital systems often offer higher pay, particularly to their employed staff, while private anesthesia groups can provide lucrative partnership tracks. Factors like call burden distribution—where a Q3 rotation may entail less demand than Q5—alongside subspecialty fellowships and RVU-based bonuses significantly affect compensation variability. For anesthesiologists looking to maximize pay in Fresno, targeting high-volume surgical practices and exploring variable compensation structures within both hospital and private settings offers the best strategies for financial growth in this competitive environment.
More salary data for Fresno, 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
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. The BLS reported a median annual salary of $477,451 for anesthesiologistsin the Fresno metropolitan area. A 4.50% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Fresno 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