Anesthesiologist Salary in Waco, TX: $394,845 (2026)
Quick Answer:A full-time anesthesiologist in Waco, TX earns a median $394,845/year (≈ $189.82/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Waco's price level (4% below national, BEA RPP 96.0), that paycheck buys what $411,297 would nationally. Nominal pay sits 0.5% above the Texas state average.
Based on BLS state-level estimates · View source

With a projected median annual salary of $394,845, the anesthesiologist salary in Waco, TX, ranks slightly below the national median of $409,107 for 2026. The local pay range extends from $229,010 at the 10th percentile to $579,167 at the 90th percentile, reflecting both the demand for specific subspecialty fellowships and the variability inherent in the local job market. Notably, anesthesiologists with fellowships in pain management or critical care may see compensation exceed these figures due to their advanced skills, making them more competitive in Waco's healthcare landscape. These salary estimates are derived from 2025 BLS OEWS data and adjusted for regional cost factors, providing a comprehensive view of what professionals can expect within this sector.
About the Waco Market
Salary estimated from Texas average ($420,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $229,010 | $110.10 |
| Lower Range (P25) | $284,288 | $136.68 |
| Median (P50)(typical) | $394,845 | $189.82 |
| Upper Range (P75) | $505,402 | $242.98 |
| Top Earners (P90) | $579,167 | $278.45 |
Median Salary Position
3.49% below the national average
2026 Salary Percentile Distribution in Waco
In Waco, TX, the anesthesiologist salary spread from the 10th to 90th percentile is $350,157 (2026 est.). At $394,845, the local median is 3.49% below the national median of $409,107.
Salary Calculator
At 40 hours/week in Waco: You'd be in the lower-middle range
How Waco Anesthesiologist Pay Compares
Waco median: $394,845/year (2026)
| Compared To | Median Salary | Waco Pays |
|---|---|---|
| Texas Average | $392,880 | +0.50% more |
| National Average | $409,107 | -3.49% less |
Anesthesiologists in Waco, TX earn a median of $394,845 per year (2026 est.), which is 3.49% lower than the national median of $409,107 and 0.50% above the Texas state average of $392,880.
Cost-of-Living Adjusted Salary
Waco has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Waco, TX has a cost-of-living index of 96 (below the national average of 100). A anesthesiologist earning $394,845 nominally has purchasing power equivalent to $411,297 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$290,143
2025 BLS Actual
$377,842
2026 Current Est.
$394,845
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Waco (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $290,143 | Actual |
| 2020 | $303,200 | Actual |
| 2021 | $316,844 | Actual |
| 2022 | $331,102 | Actual |
| 2023 | $346,001 | Actual |
| 2024 | $405,359 | Actual |
| 2025 | $377,842 | Actual |
| 2026(current) | $394,845 | Estimated |
| 2027 | $412,613 | Projected |
Based on 7 years of BLS OEWS data for the Waco metropolitan area, the median anesthesiologist salary grew 30.2% from $290,143 (2019) to $377,842 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $412,613 by 2027 — a total increase of $122,470 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Waco 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) | $229,010 – $284,288 |
| 3-5 years (Mid Career) | $284,288 – $394,845 |
| 5+ years (Experienced) | $394,845 – $505,402 |
| 10+ years (Top Earner) | $505,402 – $579,167 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Waco
Employment opportunities for anesthesiologists in Waco are moderate, with 22 anesthesiologists currently practicing in the area. The local cost of living index is 96, which suggests that while salaries may be slightly below national averages, purchasing power remains relatively high. Factors influencing anesthesiologist pay in Waco TX include the type of employer—whether it is a hospital system, private anesthesia practice, or academic center—as well as case volume, partnership equity, and the variations in work-life balance associated with different employment structures. Notably, hospital-employed anesthesiologists often receive RVU bonuses, whereas those in private equity-backed practices might feel the competitive pressure to increase their case load. For those seeking to maximize their anesthesiologist pay in Waco, pursuing additional board certifications and considering fellowship training in high-demand areas will likely enhance earning potential in this evolving market.
More salary data for Waco, 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 $377,842 for anesthesiologistsin the Waco 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 Waco 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