Anesthesiologist Salary in Billings, MT: $481,117 (2026)
Quick Answer:A full-time anesthesiologist in Billings, MT earns a median $481,117/year (≈ $231.31/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Billings's price level (4% below national, BEA RPP 96.2), that paycheck buys what $500,122 would nationally. Nominal pay sits 3.1% above the Montana state average.
Based on BLS state-level estimates · View source
In 2026, anesthesiologists in Billings, Montana, are projected to earn a median annual salary of $481,117, indicating a significant premium compared to the national median of $409,107. The salary range for anesthesiologists in this area spans from $279,047 at the 10th percentile to $681,687 at the 90th percentile, reflecting the value of subspecialty fellowship training. Fellowships in pain management and critical care can substantially enhance earning potential, allowing practitioners to command higher salaries. These figures are grounded in estimates derived from 2025 BLS data, adjusted for regional price variances, suggesting a thriving job market for anesthesiologists in Billings, especially as the healthcare sector continues to evolve in this growing city.
About the Billings Market
Salary estimated from Montana average ($345,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $279,047 | $134.16 |
| Lower Range (P25) | $346,404 | $166.54 |
| Median (P50)(typical) | $481,117 | $231.31 |
| Upper Range (P75) | $602,555 | $289.69 |
| Top Earners (P90) | $681,687 | $327.73 |
Median Salary Position
17.60% above the national average
2026 Salary Percentile Distribution in Billings
In Billings, MT, the anesthesiologist salary spread from the 10th to 90th percentile is $402,640 (2026 est.). At $481,117, the local median is 17.6% above the national median of $409,107.
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At 40 hours/week in Billings: You'd be above the median
How Billings Anesthesiologist Pay Compares
Billings median: $481,117/year (2026)
| Compared To | Median Salary | Billings Pays |
|---|---|---|
| Montana Average | $466,651 | +3.10% more |
| National Average | $409,107 | +17.60% more |
Anesthesiologists in Billings, MT earn a median of $481,117 per year (2026 est.), which is 17.60% higher than the national median of $409,107 and 3.10% above the Montana state average of $466,651.
Cost-of-Living Adjusted Salary
Billings has a cost of living 3.80% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Billings, MT has a cost-of-living index of 96.2 (below the national average of 100). A anesthesiologist earning $481,117 nominally has purchasing power equivalent to $500,122 in an average-cost city — an effective 3.95% boost.
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2019 BLS Actual
$353,538
2025 BLS Actual
$460,399
2026 Current Est.
$481,117
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Billings (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $353,538 | Actual |
| 2020 | $369,448 | Actual |
| 2021 | $386,073 | Actual |
| 2022 | $403,446 | Actual |
| 2023 | $421,601 | Actual |
| 2024 | $342,221 | Actual |
| 2025 | $460,399 | Actual |
| 2026(current) | $481,117 | Estimated |
| 2027 | $502,767 | Projected |
Based on 7 years of BLS OEWS data for the Billings metropolitan area, the median anesthesiologist salary grew 30.2% from $353,538 (2019) to $460,399 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $502,767 by 2027 — a total increase of $149,229 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Billings 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) | $279,047 – $346,404 |
| 3-5 years (Mid Career) | $346,404 – $481,117 |
| 5+ years (Experienced) | $481,117 – $602,555 |
| 10+ years (Top Earner) | $602,555 – $681,687 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Billings
With only 26 anesthesiologists employed in the local market, competition remains manageable while the cost of living index at 96.2 indicates that purchasing power is slightly above the national average. Practitioners targeting higher salaries may find more lucrative opportunities in hospital systems and private anesthesia group practices, with factors like case volume and partnership equity playing significant roles in compensation discrepancies. The spread in pay is also influenced by aspects such as hours on call, RVU bonus structures for employed positions, and the increased financial stakes of private practice. To maximize earning potential in Billings, anesthesiologists should consider joining groups that emphasize partnership pathways and seek cases in high-demand areas, as well as exploring locum tenens work which also presents opportunities for enhanced compensation.
More salary data for Billings, MT:
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 $460,399 for anesthesiologistsin the Billings 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 Billings 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