Anesthesiologist Salary in Sacramento, CA: $493,219 (2026)
Quick Answer:A full-time anesthesiologist in Sacramento, CA earns a median $493,219/year (≈ $237.12/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Sacramento's price level (13% above national, BEA RPP 113.1), that paycheck buys what $436,091 would nationally. Nominal pay sits 6.6% above the California state average.
Based on BLS state-level estimates · View source
In 2026, the anesthesiologist salary in Sacramento, CA, reaches a noteworthy median of $493,219, which is substantially higher than the national median of $409,107. Salaries for anesthesiologists in the area show a broad range, from $286,067 at the 10th percentile to $737,369 at the 90th percentile, reflecting significant diversity in pay structures across different practice models. This disparity is influenced by the choice between W-2 hospital employment versus private group partnerships. Those who pursue hospital-based positions may find stability in benefits and predictable salaries, while those in private practices often have potential for higher earnings due to varied compensation models, case volume, and partnership equity opportunities. As the Sacramento job market indicates, the number of employed anesthesiologists stands at 94, positioning the city as a notable player in the field.
About the Sacramento Market
Salary estimated from California average ($450,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $286,067 | $137.53 |
| Lower Range (P25) | $355,118 | $170.73 |
| Median (P50)(typical) | $493,219 | $237.12 |
| Upper Range (P75) | $631,320 | $303.52 |
| Top Earners (P90) | $737,369 | $354.51 |
Median Salary Position
20.56% above the national average
2026 Salary Percentile Distribution in Sacramento
In Sacramento, CA, the anesthesiologist salary spread from the 10th to 90th percentile is $451,302 (2026 est.). At $493,219, the local median is 20.56% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Sacramento: You'd be in the lower-middle range
How Sacramento Anesthesiologist Pay Compares
Sacramento median: $493,219/year (2026)
| Compared To | Median Salary | Sacramento Pays |
|---|---|---|
| California Average | $462,682 | +6.60% more |
| National Average | $409,107 | +20.56% more |
Anesthesiologists in Sacramento, CA earn a median of $493,219 per year (2026 est.), which is 20.56% higher than the national median of $409,107 and 6.60% above the California state average of $462,682.
Cost-of-Living Adjusted Salary
Sacramento has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Sacramento, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $493,219 is competitive, the higher cost of living reduces purchasing power to an effective $436,091 — a 11.58% reduction.
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2019 BLS Actual
$362,431
2025 BLS Actual
$471,980
2026 Current Est.
$493,219
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Sacramento (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $362,431 | Actual |
| 2020 | $378,741 | Actual |
| 2021 | $395,784 | Actual |
| 2022 | $413,594 | Actual |
| 2023 | $432,206 | Actual |
| 2024 | $542,520 | Actual |
| 2025 | $471,980 | Actual |
| 2026(current) | $493,219 | Estimated |
| 2027 | $515,414 | Projected |
Based on 7 years of BLS OEWS data for the Sacramento metropolitan area, the median anesthesiologist salary grew 30.2% from $362,431 (2019) to $471,980 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $515,414 by 2027 — a total increase of $152,983 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Sacramento 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) | $286,067 – $355,118 |
| 3-5 years (Mid Career) | $355,118 – $493,219 |
| 5+ years (Experienced) | $493,219 – $631,320 |
| 10+ years (Top Earner) | $631,320 – $737,369 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Sacramento
The local compensation landscape remains competitive due to the cost of living index in Sacramento, which sits at 113.1, indicating a higher than average expense for residents. Anesthesiologist pay in Sacramento, CA, is substantially influenced by a few key employers, with hospital systems typically offering stable compensation structures while private anesthesia groups and academic medical centers may provide higher financial rewards based on performance metrics and call responsibilities. The variance between lower- and higher-paid positions can often be attributed to factors such as case volume, subspecialty fellowships, and individual practice models, such as W-2 versus 1099 agreements. For those aiming to maximize their anesthesiologist pay in Sacramento, strategic networking within the local medical community, considering locum tenens opportunities, and evaluating the potential for RVU bonuses are practical ways to enhance earning potential in this thriving market.
More salary data for Sacramento, 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 $471,980 for anesthesiologistsin the Sacramento 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 Sacramento 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