Anesthesiologist Salary in Houston, TX: $219,690 (2026)
Quick Answer:A full-time anesthesiologist in Houston, TX earns a median $219,690/year (≈ $105.62/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Houston's price level (1% below national, BEA RPP 98.6), that paycheck buys what $222,744 would nationally. Nominal pay sits 44.1% below the Texas state average.
Official BLS data · View source
With a projected median annual salary of $219,690, anesthesiologist pay in Houston, TX, reflects the impact of structural choices between W-2 hospital employment and private group partnerships. The salary range spans a wide spectrum from $87,696 at the lower end (P10) to an impressive $510,660 (P90) at the higher end, indicating significant disparity influenced by practice type and individual achievement. These insights draw from the official Bureau of Labor Statistics (BLS) OEWS data based on 2025 figures, projected to 2026. For anesthesiologists in Houston, the decision between being hospital-employed or joining a private group greatly shapes compensation, particularly in the context of the ongoing evolution in healthcare delivery models and the competitive marketplace for top talent.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $87,696 | $42.17 |
| Lower Range (P25) | $219,690 | $105.62 |
| Median (P50)(typical) | $219,690 | $105.62 |
| Upper Range (P75) | $221,070 | $106.29 |
| Top Earners (P90) | $510,660 | $245.51 |
Median Salary Position
46.3% below the national average
2026 Salary Percentile Distribution in Houston
In Houston, TX, the anesthesiologist salary spread from the 10th to 90th percentile is $422,964 (2026 est.). At $219,690, the local median is 46.3% below the national median of $409,107.
Salary Calculator
At 40 hours/week in Houston: You'd be in the lower-middle range
How Houston Anesthesiologist Pay Compares
Houston median: $219,690/year (2026)
| Compared To | Median Salary | Houston Pays |
|---|---|---|
| Texas Average | $393,006 | -44.10% less |
| National Average | $409,107 | -46.30% less |
Anesthesiologists in Houston, TX earn a median of $219,690 per year (2026 est.), which is 46.30% lower than the national median of $409,107 and 44.10% below the Texas state average of $393,006.
Cost-of-Living Adjusted Salary
Houston has a cost of living 1.37% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Houston, TX has a cost-of-living index of 98.629 (below the national average of 100). A anesthesiologist earning $219,690 nominally has purchasing power equivalent to $222,744 in an average-cost city — an effective 1.39% boost.
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2019 BLS Actual
$161,435
2025 BLS Actual
$210,230
2026 Current Est.
$219,690
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Houston (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $161,435 | Actual |
| 2020 | $168,699 | Actual |
| 2021 | $190,180 | Actual |
| 2022 | $184,224 | Actual |
| 2023 | $171,150 | Actual |
| 2024 | $202,830 | Actual |
| 2025 | $210,230 | Actual |
| 2026(current) | $219,690 | Estimated |
| 2027 | $229,576 | Projected |
Based on 7 years of BLS OEWS data for the Houston metropolitan area, the median anesthesiologist salary grew 30.2% from $161,435 (2019) to $210,230 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $229,576 by 2027 — a total increase of $68,141 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Houston 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) | $87,696 – $219,690 |
| 3-5 years (Mid Career) | $219,690 – $219,690 |
| 5+ years (Experienced) | $219,690 – $221,070 |
| 10+ years (Top Earner) | $221,070 – $510,660 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Houston
As of 2026, the employment landscape for anesthesiologists in Houston features about 1,160 professionals, navigating a local job market characterized by a lower cost-of-living index of 98.629. This index suggests that take-home pay can stretch further compared to more expensive regions, enhancing overall purchasing power. Among the highest-paying employers are large hospital systems offering W-2 positions, which typically include comprehensive benefits, and private group practices where income is often tied to case volumes and potential equity in the practice. The compensation variances can be attributed to several factors: the volume of anesthesia cases, subspecialty capabilities, burden from on-call shifts, and the fundamental difference in revenue structures between salaried and partnership-track positions. For those looking to maximize their anesthesiologist salary in Houston, strategic considerations like pursuing a fellowship for specialized skills or seeking positions that offer RVU bonuses can further enhance earning potential.
More salary data for Houston, TX:
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 $210,230 for anesthesiologistsin the Houston 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
Source: BLS, OEWS, 4-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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