Anesthesiologist Salary in Apex, NC: $423,978 (2026)
Quick Answer:A full-time anesthesiologist in Apex, NC earns a median $423,978/year (≈ $203.84/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Apex's price level (6% below national, BEA RPP 93.6), that paycheck buys what $452,968 would nationally. Nominal pay sits 0.7% above the North Carolina state average.
Based on BLS state-level estimates · View source

With a projected median annual salary of $423,978 in 2026, anesthesiologists practicing in Apex, North Carolina, enjoy compensation that is roughly 3.63% higher than the national median of $409,107 for the same year. This figure reflects a wide salary range from $245,907 at the 10th percentile to $586,643 at the 90th, illustrating the significant variations in compensation based on practice models and case volume. Local estimates derived from 2025 BLS data and adjusted for regional economic factors highlight a strong earning potential for those in the field. In Apex, the choice between W-2 hospital employment and private group partnerships significantly impacts compensation structures, influencing everything from base salary to bonuses tied to performance and call burdens.
About the Apex Market
Salary estimated from North Carolina average ($370,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $245,907 | $118.22 |
| Lower Range (P25) | $305,264 | $146.76 |
| Median (P50)(typical) | $423,978 | $203.84 |
| Upper Range (P75) | $523,077 | $251.48 |
| Top Earners (P90) | $586,643 | $282.04 |
Median Salary Position
3.63% above the national average
2026 Salary Percentile Distribution in Apex
In Apex, NC, the anesthesiologist salary spread from the 10th to 90th percentile is $340,736 (2026 est.). At $423,978, the local median is 3.63% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Apex: You'd be above the median
How Apex Anesthesiologist Pay Compares
Apex median: $423,978/year (2026)
| Compared To | Median Salary | Apex Pays |
|---|---|---|
| North Carolina Average | $421,031 | +0.70% more |
| National Average | $409,107 | +3.63% more |
Anesthesiologists in Apex, NC earn a median of $423,978 per year (2026 est.), which is 3.63% higher than the national median of $409,107 and 0.70% above the North Carolina state average of $421,031.
Cost-of-Living Adjusted Salary
Apex has a cost of living 6.40% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Apex, NC has a cost-of-living index of 93.6 (below the national average of 100). A anesthesiologist earning $423,978 nominally has purchasing power equivalent to $452,968 in an average-cost city — an effective 6.84% boost.
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2019 BLS Actual
$311,551
2025 BLS Actual
$405,721
2026 Current Est.
$423,978
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Apex (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $311,551 | Actual |
| 2020 | $325,571 | Actual |
| 2021 | $340,222 | Actual |
| 2022 | $355,532 | Actual |
| 2023 | $371,531 | Actual |
| 2024 | $348,658 | Actual |
| 2025 | $405,721 | Actual |
| 2026(current) | $423,978 | Estimated |
| 2027 | $443,057 | Projected |
Based on 7 years of BLS OEWS data for the Apex metropolitan area, the median anesthesiologist salary grew 30.2% from $311,551 (2019) to $405,721 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $443,057 by 2027 — a total increase of $131,506 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Apex 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) | $245,907 – $305,264 |
| 3-5 years (Mid Career) | $305,264 – $423,978 |
| 5+ years (Experienced) | $423,978 – $523,077 |
| 10+ years (Top Earner) | $523,077 – $586,643 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Apex
Apex hosts 16 anesthesiologists, indicating a stable yet competitive job market for this specialty. The cost of living index sits at 93.6, which provides anesthesiologists in the area with a relatively favorable purchasing power relative to their earnings. Employers in the region, including hospital systems and private anesthesia groups, vary in their compensation packages, with private practices often offering partnership tracks that can enhance overall income. Compensation disparities in Apex are shaped by various factors, including case volume, the nature of hospital employment (W-2) versus independent practice (1099), and additional benefits tied to subspecialty fellowships or RVU-based bonuses. For anesthesiologists seeking to maximize their pay, understanding these dynamics and pursuing ongoing certification through organizations like the ASA can be vital strategies in a market where compensation continues to grow at a rate of 4.50%.
More salary data for Apex, NC:
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 $405,721 for anesthesiologistsin the Apex 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 Apex 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