Anesthesiologist Salary in Spearfish, SD: $389,772 (2026)
Quick Answer:A full-time anesthesiologist in Spearfish, SD earns a median $389,772/year (≈ $187.39/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Spearfish's price level (7% below national, BEA RPP 92.8), that paycheck buys what $420,013 would nationally. Nominal pay sits 4.1% below the South Dakota state average.
Based on BLS state-level estimates · View source
In 2026, anesthesiologists in Spearfish, South Dakota, are projected to earn a median annual salary of $389,772. This figure represents a slight dip compared to the national median of $409,107, highlighting the unique dynamics of the local market. The salary range for anesthesiologists in Spearfish can vary significantly, from $226,068 at the 10th percentile to $509,241 at the 90th percentile. Such a wide span in earnings reflects the influence of factors like call burden and practice settings. With local estimates derived from BLS state-level data and adjusted for regional cost differences, understanding how these conditions affect compensation is vital for current and aspiring anesthesiologists in the area.
About the Spearfish Market
Salary estimated from South Dakota average ($355,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $226,068 | $108.69 |
| Lower Range (P25) | $280,636 | $134.92 |
| Median (P50)(typical) | $389,772 | $187.39 |
| Upper Range (P75) | $467,641 | $224.83 |
| Top Earners (P90) | $509,241 | $244.82 |
Median Salary Position
4.73% below the national average
2026 Salary Percentile Distribution in Spearfish
In Spearfish, SD, the anesthesiologist salary spread from the 10th to 90th percentile is $283,173 (2026 est.). At $389,772, the local median is 4.73% below the national median of $409,107.
Salary Calculator
At 40 hours/week in Spearfish: You'd be above the median
How Spearfish Anesthesiologist Pay Compares
Spearfish median: $389,772/year (2026)
| Compared To | Median Salary | Spearfish Pays |
|---|---|---|
| South Dakota Average | $406,436 | -4.10% less |
| National Average | $409,107 | -4.73% less |
Anesthesiologists in Spearfish, SD earn a median of $389,772 per year (2026 est.), which is 4.73% lower than the national median of $409,107 and 4.10% below the South Dakota state average of $406,436.
Cost-of-Living Adjusted Salary
Spearfish 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.
Spearfish, SD has a cost-of-living index of 92.8 (below the national average of 100). A anesthesiologist earning $389,772 nominally has purchasing power equivalent to $420,013 in an average-cost city — an effective 7.76% boost.
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2019 BLS Actual
$286,416
2025 BLS Actual
$372,988
2026 Current Est.
$389,772
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Spearfish (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $286,416 | Actual |
| 2020 | $299,305 | Actual |
| 2021 | $312,773 | Actual |
| 2022 | $326,848 | Actual |
| 2023 | $341,556 | Actual |
| 2024 | $315,879 | Actual |
| 2025 | $372,988 | Actual |
| 2026(current) | $389,772 | Estimated |
| 2027 | $407,312 | Projected |
Based on 7 years of BLS OEWS data for the Spearfish metropolitan area, the median anesthesiologist salary grew 30.2% from $286,416 (2019) to $372,988 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $407,312 by 2027 — a total increase of $120,896 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Spearfish 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) | $226,068 – $280,636 |
| 3-5 years (Mid Career) | $280,636 – $389,772 |
| 5+ years (Experienced) | $389,772 – $467,641 |
| 10+ years (Top Earner) | $467,641 – $509,241 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Spearfish
With only five anesthesiologists currently employed in Spearfish, the job market remains relatively small but stable. The cost-of-living index in the area stands at 92.8, indicating a lower pricing structure compared to the national average, which contributes positively to the purchasing power of salaries. Hospital systems typically offer competitive salaries, and those working in private anesthesia group practices may find additional incentives through partnership models. The variance in pay can be attributed to factors like case volume, call responsibilities, and the potential for hospital-employed RVU bonuses. Therefore, maximizing compensation might involve pursuing opportunities in higher-volume facilities, seeking academic affiliations, or considering subspecialty fellowships. This strategic approach could enhance earnings potential for anesthesiologists aiming to thrive in Spearfish’s evolving healthcare landscape.
More salary data for Spearfish, SD:
Frequently Asked Questions
How much do anesthesiologists make in Spearfish, SD in 2026?
Is Spearfish, SD a good place to work as a anesthesiologist?
Can anesthesiologists make $100K in Spearfish?
What is the cost-of-living adjusted anesthesiologist salary in Spearfish?
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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 $372,988 for anesthesiologistsin the Spearfish 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 Spearfish 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