Anesthesiologist Salary in Portsmouth, VA: $408,530 (2026)
Quick Answer:A full-time anesthesiologist in Portsmouth, VA earns a median $408,530/year (≈ $196.41/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Portsmouth's price level (3% above national, BEA RPP 103.2), that paycheck buys what $395,862 would nationally. Nominal pay sits 3.2% below the Virginia state average.
Based on BLS state-level estimates · View source

Anesthesiologists in Portsmouth, VA, can expect a median annual salary of $408,530 in 2026, closely aligned with the projected national median of $409,107, reflecting a mere 0.14% difference. Local salaries range significantly, from $236,947 at the 10th percentile to $572,523 at the 90th percentile. These estimates are derived from 2025 BLS data, adjusted according to regional price parity, which highlights the market dynamics within Portsmouth. Subspecialty fellowships, particularly in areas like pain management or critical care, can significantly enhance earning potential and influence employability in this competitive environment. Understanding the nuances of compensation models—such as W-2 employment versus private practice—can lead candidates to lucrative opportunities in the local job market.
About the Portsmouth Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $236,947 | $113.92 |
| Lower Range (P25) | $294,141 | $141.41 |
| Median (P50)(typical) | $408,530 | $196.41 |
| Upper Range (P75) | $509,312 | $244.86 |
| Top Earners (P90) | $572,523 | $275.25 |
Median Salary Position
0.14% below the national average
2026 Salary Percentile Distribution in Portsmouth
In Portsmouth, VA, the anesthesiologist salary spread from the 10th to 90th percentile is $335,576 (2026 est.). At $408,530, the local median is 0.14% below the national median of $409,107.
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At 40 hours/week in Portsmouth: You'd be above the median
How Portsmouth Anesthesiologist Pay Compares
Portsmouth median: $408,530/year (2026)
| Compared To | Median Salary | Portsmouth Pays |
|---|---|---|
| Virginia Average | $422,035 | -3.20% less |
| National Average | $409,107 | -0.14% less |
Anesthesiologists in Portsmouth, VA earn a median of $408,530 per year (2026 est.), which is 0.14% lower than the national median of $409,107 and 3.20% below the Virginia state average of $422,035.
Cost-of-Living Adjusted Salary
Portsmouth has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Portsmouth, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $408,530 is competitive, the higher cost of living reduces purchasing power to an effective $395,862 — a 3.1% reduction.
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2019 BLS Actual
$300,200
2025 BLS Actual
$390,938
2026 Current Est.
$408,530
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Portsmouth (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $300,200 | Actual |
| 2020 | $313,709 | Actual |
| 2021 | $327,825 | Actual |
| 2022 | $342,578 | Actual |
| 2023 | $357,994 | Actual |
| 2024 | $379,464 | Actual |
| 2025 | $390,938 | Actual |
| 2026(current) | $408,530 | Estimated |
| 2027 | $426,914 | Projected |
Based on 7 years of BLS OEWS data for the Portsmouth metropolitan area, the median anesthesiologist salary grew 30.2% from $300,200 (2019) to $390,938 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $426,914 by 2027 — a total increase of $126,714 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Portsmouth 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) | $236,947 – $294,141 |
| 3-5 years (Mid Career) | $294,141 – $408,530 |
| 5+ years (Experienced) | $408,530 – $509,312 |
| 10+ years (Top Earner) | $509,312 – $572,523 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Portsmouth
In Portsmouth, 17 anesthesiologists are currently employed, indicative of a specialized but limited job market. The cost of living index sits at 103.2, which means that while salaries are competitive, take-home purchasing power is impacted due to higher living expenses compared to the national average. Institutions such as local hospital systems and private anesthesia groups are primary employers that differ in pay scales based on factors like case volume and operational efficiency. Anesthesiologists seeking to maximize their compensation should consider roles within hospital systems that offer RVU bonuses or those institutions that allow for an equity stake in a private practice. Additionally, those with subspecialties may negotiate for higher salaries, benefiting from the demand for specific expertise in the Portsmouth area. Understanding these dynamics and aligning them with personal career goals can lead to more favorable financial outcomes.
More salary data for Portsmouth, VA:
Frequently Asked Questions
How much do anesthesiologists make in Portsmouth, VA in 2026?
Is Portsmouth, VA a good place to work as a anesthesiologist?
Can anesthesiologists make $100K in Portsmouth?
What is the cost-of-living adjusted anesthesiologist salary in Portsmouth?
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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 $390,938 for anesthesiologistsin the Portsmouth 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 Portsmouth 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