Anesthesiologist Salary in Charleston, WV: $376,591 (2026)
Quick Answer:A full-time anesthesiologist in Charleston, WV earns a median $376,591/year (≈ $181.06/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Charleston's price level (13% below national, BEA RPP 86.5), that paycheck buys what $435,365 would nationally. Nominal pay sits 1.5% below the West Virginia state average.
Based on BLS state-level estimates · View source
With a projected median annual salary of $376,591 in 2026, Charleston, WV, reflects the realities facing anesthesiologists in this regional market. The local salary range extends from $218,423 at the 10th percentile to $517,423 at the 90th percentile, indicating a significant disparity based on experience, subspecialty, and practice setting. Anesthesiologists specializing in areas like pain management or cardiothoracic anesthesiology may find themselves at the higher end of the spectrum, navigating a competitive job market shaped by local demand and the prevalence of particular fellowship qualifications. Charleston's figures, derived from 2025 BLS data and regional cost estimates, reveal that while the market offers competitive pay, anesthesiologists could be earning approximately 7.95% less than their counterparts nationally.
About the Charleston Market
Salary estimated from West Virginia average ($330,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $218,423 | $105.01 |
| Lower Range (P25) | $271,145 | $130.35 |
| Median (P50)(typical) | $376,591 | $181.06 |
| Upper Range (P75) | $464,890 | $223.50 |
| Top Earners (P90) | $517,423 | $248.76 |
Median Salary Position
7.95% below the national average
2026 Salary Percentile Distribution in Charleston
In Charleston, WV, the anesthesiologist salary spread from the 10th to 90th percentile is $299,000 (2026 est.). At $376,591, the local median is 7.95% below the national median of $409,107.
Salary Calculator
At 40 hours/week in Charleston: You'd be above the median
How Charleston Anesthesiologist Pay Compares
Charleston median: $376,591/year (2026)
| Compared To | Median Salary | Charleston Pays |
|---|---|---|
| West Virginia Average | $382,326 | -1.50% less |
| National Average | $409,107 | -7.95% less |
Anesthesiologists in Charleston, WV earn a median of $376,591 per year (2026 est.), which is 7.95% lower than the national median of $409,107 and 1.50% below the West Virginia state average of $382,326.
Cost-of-Living Adjusted Salary
Charleston has a cost of living 13.50% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Charleston, WV has a cost-of-living index of 86.5 (below the national average of 100). A anesthesiologist earning $376,591 nominally has purchasing power equivalent to $435,365 in an average-cost city — an effective 15.61% boost.
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2019 BLS Actual
$276,730
2025 BLS Actual
$360,374
2026 Current Est.
$376,591
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Charleston (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $276,730 | Actual |
| 2020 | $289,182 | Actual |
| 2021 | $302,196 | Actual |
| 2022 | $315,795 | Actual |
| 2023 | $330,005 | Actual |
| 2024 | $281,062 | Actual |
| 2025 | $360,374 | Actual |
| 2026(current) | $376,591 | Estimated |
| 2027 | $393,537 | Projected |
Based on 7 years of BLS OEWS data for the Charleston metropolitan area, the median anesthesiologist salary grew 30.2% from $276,730 (2019) to $360,374 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $393,537 by 2027 — a total increase of $116,807 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Charleston 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) | $218,423 – $271,145 |
| 3-5 years (Mid Career) | $271,145 – $376,591 |
| 5+ years (Experienced) | $376,591 – $464,890 |
| 10+ years (Top Earner) | $464,890 – $517,423 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Charleston
Charleston’s job market includes around 10 anesthesiologists which contributes to a unique employment landscape. The cost-of-living index stands at 86.5, suggesting residents enjoy a more affordable lifestyle, which can positively affect take-home pay. In the local arena, the highest paid positions are typically seen within hospital systems, especially those integrating academic medical centers, which may offer additional resources and support for professional development. Factors contributing to the pay variance include case volume, partnership opportunities, and less demanding call rotations. Anesthesiologists looking to maximize earnings should consider subspecialty fellowship training and be strategic about their employment choices, whether pursuing W-2 positions with potential bonuses or engaging in partnership tracks with private practices, which could yield higher financial rewards over time. Understanding these dynamics is essential for those evaluating anesthesiologist pay in Charleston, WV.
More salary data for Charleston, WV:
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 $360,374 for anesthesiologistsin the Charleston 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 Charleston 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