Anesthesiologist Salary in Alexandria, VA: $411,582 (2026)
Quick Answer:A full-time anesthesiologist in Alexandria, VA earns a median $411,582/year (≈ $197.87/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Alexandria's price level (3% above national, BEA RPP 103.2), that paycheck buys what $398,820 would nationally. Nominal pay sits 2.5% below the Virginia state average.
Based on BLS state-level estimates · View source
In Alexandria, Virginia, the compensation landscape for anesthesiologists reflects both local healthcare dynamics and broader trends in the medical field. With a projected median annual salary of $411,582 for 2026, anesthesiologists in this city are achieving a wage that slightly exceeds the national average of $409,107. The salary range is notably wide, stretching from $238,718 at the 10th percentile to as high as $600,494 at the 90th percentile. Local estimates, based on 2025 BLS data, indicate that effective pay is significantly influenced by whether one practices within a W-2 hospital setting or partners in private group practices, especially as anesthesiology compensation structures have evolved following the consolidation of healthcare systems over the last decade. No matter the path chosen, the strong demand for anesthesia services in Alexandria fuels competitive compensation.
About the Alexandria Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $238,718 | $114.77 |
| Lower Range (P25) | $296,339 | $142.48 |
| Median (P50)(typical) | $411,582 | $197.87 |
| Upper Range (P75) | $525,445 | $252.62 |
| Top Earners (P90) | $600,494 | $288.70 |
Median Salary Position
0.60% above the national average
2026 Salary Percentile Distribution in Alexandria
In Alexandria, VA, the anesthesiologist salary spread from the 10th to 90th percentile is $361,776 (2026 est.). At $411,582, the local median is 0.6% above the national median of $409,107.
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At 40 hours/week in Alexandria: You'd be in the lower-middle range
How Alexandria Anesthesiologist Pay Compares
Alexandria median: $411,582/year (2026)
| Compared To | Median Salary | Alexandria Pays |
|---|---|---|
| Virginia Average | $422,135 | -2.50% less |
| National Average | $409,107 | +0.60% more |
Anesthesiologists in Alexandria, VA earn a median of $411,582 per year (2026 est.), which is 0.60% higher than the national median of $409,107 and 2.50% below the Virginia state average of $422,135.
Cost-of-Living Adjusted Salary
Alexandria has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Alexandria, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $411,582 is competitive, the higher cost of living reduces purchasing power to an effective $398,820 — a 3.1% reduction.
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2019 BLS Actual
$302,442
2025 BLS Actual
$393,858
2026 Current Est.
$411,582
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Alexandria (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $302,442 | Actual |
| 2020 | $316,052 | Actual |
| 2021 | $330,274 | Actual |
| 2022 | $345,136 | Actual |
| 2023 | $360,668 | Actual |
| 2024 | $392,739 | Actual |
| 2025 | $393,858 | Actual |
| 2026(current) | $411,582 | Estimated |
| 2027 | $430,103 | Projected |
Based on 7 years of BLS OEWS data for the Alexandria metropolitan area, the median anesthesiologist salary grew 30.2% from $302,442 (2019) to $393,858 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $430,103 by 2027 — a total increase of $127,661 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Alexandria 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) | $238,718 – $296,339 |
| 3-5 years (Mid Career) | $296,339 – $411,582 |
| 5+ years (Experienced) | $411,582 – $525,445 |
| 10+ years (Top Earner) | $525,445 – $600,494 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Alexandria
The local job market for anesthesiologists is vibrant, with approximately 26 practitioners active in the area, which enhances job security and appeal. Alexandria's cost of living index stands at 103.2, slightly above the national average, which underscores the importance of take-home pay in maintaining an adequate quality of life. Within the city, employers such as hospital systems and private anesthesia group practices tend to offer varying levels of remuneration. Key factors that drive the spread between lower and higher salaries include case volume, equity in partnership distributions, and the nature of work schedules, particularly the differences between 1099 independent contracts and W-2 hospital employment. For those aiming to maximize anesthesiologist pay in Alexandria, pursuing subspecialty fellowships, negotiating favorable call responsibilities, and exploring various practice models can lead to improved compensation outcomes.
More salary data for Alexandria, VA:
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 $393,858 for anesthesiologistsin the Alexandria 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 Alexandria 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