Anesthesiologist Salary in San Mateo, CA: $467,607 (2026)
Quick Answer:A full-time anesthesiologist in San Mateo, CA earns a median $467,607/year (≈ $224.81/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in San Mateo's price level (13% above national, BEA RPP 113.1), that paycheck buys what $413,446 would nationally. Nominal pay sits 1.1% above the California state average.
Based on BLS state-level estimates · View source
In 2026, anesthesiologists in San Mateo, California, are projected to earn a median annual salary of $467,607, which notably exceeds the national median of $409,107 by 14.30%. With a salary range from $271,212 at the 10th percentile to an impressive $690,857 at the 90th percentile, the compensation reflects the varying demands of the role, especially regarding call burden levels and case volume. These figures, derived from 2025 BLS OEWS data projected to 2026, highlight local economic conditions and the cost of living in San Mateo, which is indexed at 113.1, suggesting a higher cost environment that influences compensation dynamics. Additionally, the region's job market accommodates 21 anesthesiologists, creating a competitive landscape for specialty practices.
About the San Mateo Market
Salary estimated from California average ($450,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $271,212 | $130.40 |
| Lower Range (P25) | $336,677 | $161.86 |
| Median (P50)(typical) | $467,607 | $224.81 |
| Upper Range (P75) | $584,094 | $280.81 |
| Top Earners (P90) | $690,857 | $332.14 |
Median Salary Position
14.30% above the national average
2026 Salary Percentile Distribution in San Mateo
In San Mateo, CA, the anesthesiologist salary spread from the 10th to 90th percentile is $419,645 (2026 est.). At $467,607, the local median is 14.3% above the national median of $409,107.
Salary Calculator
At 40 hours/week in San Mateo: You'd be in the lower-middle range
How San Mateo Anesthesiologist Pay Compares
San Mateo median: $467,607/year (2026)
| Compared To | Median Salary | San Mateo Pays |
|---|---|---|
| California Average | $462,519 | +1.10% more |
| National Average | $409,107 | +14.30% more |
Anesthesiologists in San Mateo, CA earn a median of $467,607 per year (2026 est.), which is 14.30% higher than the national median of $409,107 and 1.10% above the California state average of $462,519.
Cost-of-Living Adjusted Salary
San Mateo has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
San Mateo, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $467,607 is competitive, the higher cost of living reduces purchasing power to an effective $413,446 — a 11.58% reduction.
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2019 BLS Actual
$343,611
2025 BLS Actual
$447,471
2026 Current Est.
$467,607
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in San Mateo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $343,611 | Actual |
| 2020 | $359,074 | Actual |
| 2021 | $375,232 | Actual |
| 2022 | $392,117 | Actual |
| 2023 | $409,763 | Actual |
| 2024 | $514,348 | Actual |
| 2025 | $447,471 | Actual |
| 2026(current) | $467,607 | Estimated |
| 2027 | $488,650 | Projected |
Based on 7 years of BLS OEWS data for the San Mateo metropolitan area, the median anesthesiologist salary grew 30.2% from $343,611 (2019) to $447,471 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $488,650 by 2027 — a total increase of $145,039 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the San Mateo 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) | $271,212 – $336,677 |
| 3-5 years (Mid Career) | $336,677 – $467,607 |
| 5+ years (Experienced) | $467,607 – $584,094 |
| 10+ years (Top Earner) | $584,094 – $690,857 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in San Mateo
In analyzing the opportunities for anesthesiologists in San Mateo, the local job market reveals that employers range from hospital systems to private anesthesia groups and academic medical centers. Despite the overall robust compensation, the local cost of living index indicates that purchasing power may be affected, a key consideration when evaluating take-home pay. Those employed by large hospital systems often lean towards W-2 structures, while private practices may offer partnership opportunities but vary widely in earnings based on call burdens and subspecialty training. The spread between lower and higher salaries is influenced by factors such as case volume, RVU bonuses for hospital-employed anesthesiologists, and additional compensation from locum tenens roles. For anesthesiologists aiming to maximize their pay in San Mateo, strategy may involve seeking positions with higher case loads, exploring subspecialty fellowships, and understanding the partnership structures that impact earnings differentials.
More salary data for San Mateo, 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 $447,471 for anesthesiologistsin the San Mateo 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 San Mateo 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