Anesthesiologist Salary in Rapid City, SD: $411,213 (2026)
Quick Answer:A full-time anesthesiologist in Rapid City, SD earns a median $411,213/year (≈ $197.70/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Rapid City's price level (7% below national, BEA RPP 92.8), that paycheck buys what $443,117 would nationally. Nominal pay sits 1.2% above the South Dakota state average.
Based on BLS state-level estimates · View source
Anesthesiologists in Rapid City, SD, are projected to earn a median annual salary of $411,213 in 2026, slightly above the national median of $409,107. This competitive pay reflects a salary range between $238,503 at the 10th percentile and $587,993 at the 90th percentile, highlighting the potential for significant earnings depending on factors such as employment structure. Locally-derived estimates from the Bureau of Labor Statistics indicate that these figures have been adjusted to account for the region's cost of living, providing a clearer picture of the job market. Given the distinct employment settings in Rapid City, notably W-2 hospital positions versus private anesthesia group partnerships, compensation strategies here can vary widely and influence overall earning potential.
About the Rapid City Market
Salary estimated from South Dakota average ($355,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $238,503 | $114.67 |
| Lower Range (P25) | $296,074 | $142.34 |
| Median (P50)(typical) | $411,213 | $197.70 |
| Upper Range (P75) | $518,736 | $249.39 |
| Top Earners (P90) | $587,993 | $282.69 |
Median Salary Position
0.51% above the national average
2026 Salary Percentile Distribution in Rapid City
In Rapid City, SD, the anesthesiologist salary spread from the 10th to 90th percentile is $349,490 (2026 est.). At $411,213, the local median is 0.51% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Rapid City: You'd be in the lower-middle range
How Rapid City Anesthesiologist Pay Compares
Rapid City median: $411,213/year (2026)
| Compared To | Median Salary | Rapid City Pays |
|---|---|---|
| South Dakota Average | $406,337 | +1.20% more |
| National Average | $409,107 | +0.51% more |
Anesthesiologists in Rapid City, SD earn a median of $411,213 per year (2026 est.), which is 0.51% higher than the national median of $409,107 and 1.20% above the South Dakota state average of $406,337.
Cost-of-Living Adjusted Salary
Rapid City has a cost of living 7.20% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rapid City, SD has a cost-of-living index of 92.8 (below the national average of 100). A anesthesiologist earning $411,213 nominally has purchasing power equivalent to $443,117 in an average-cost city — an effective 7.76% boost.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2019 BLS Actual
$302,171
2025 BLS Actual
$393,505
2026 Current Est.
$411,213
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Rapid City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $302,171 | Actual |
| 2020 | $315,768 | Actual |
| 2021 | $329,978 | Actual |
| 2022 | $344,827 | Actual |
| 2023 | $360,344 | Actual |
| 2024 | $333,256 | Actual |
| 2025 | $393,505 | Actual |
| 2026(current) | $411,213 | Estimated |
| 2027 | $429,717 | Projected |
Based on 7 years of BLS OEWS data for the Rapid City metropolitan area, the median anesthesiologist salary grew 30.2% from $302,171 (2019) to $393,505 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $429,717 by 2027 — a total increase of $127,546 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rapid City 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) | $238,503 – $296,074 |
| 3-5 years (Mid Career) | $296,074 – $411,213 |
| 5+ years (Experienced) | $411,213 – $518,736 |
| 10+ years (Top Earner) | $518,736 – $587,993 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Rapid City
In Rapid City, the job market has 16 anesthesiologists employed, with a cost-of-living index of 92.8, indicating that while salaries are competitive, the purchasing power may be slightly above average compared to national standards. Employers within the area include hospital systems, private practices, and potentially the VA or military health system, each offering varying compensation models. Factors such as case volume, the burden of calls, partnership equity, and subspecialty training all contribute to the wide salary disparities observed. Those seeking to maximize their anesthesiologist pay in Rapid City SD should consider partnerships in private groups, which often lead to higher earnings through equity and RVU bonuses. Additionally, pursuing fellowship training and maximizing procedural volume can enhance both pay and job satisfaction, making this market uniquely advantageous for proactive anesthesiologists.
More salary data for Rapid City, SD:
Frequently Asked Questions
How much do anesthesiologists make in Rapid City, SD in 2026?
Is Rapid City, SD a good place to work as a anesthesiologist?
Can anesthesiologists make $100K in Rapid City?
What is the cost-of-living adjusted anesthesiologist salary in Rapid City?
How much does a anesthesiologist make per hour in Rapid City?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in South Dakota
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 $393,505 for anesthesiologistsin the Rapid City 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 Rapid City 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