Anesthesiologist Pay

Roanoke vs Virginia Beach: Anesthesiologist Salary (2026)

Compare anesthesiologist salaries between Roanoke, VA and Virginia Beach, VA. All figures are 2026 estimates projected from BLS 2025 data.

Roanoke, VA
$510,284
$245.33/hr
Virginia Beach, VA
$523,535
$251.70/hr

Side-by-Side Comparison

MetricRoanoke, VAVirginia Beach, VA
Median Salary$510,284$523,535
Hourly Rate$245.33$251.70
Entry Level (P10)$40,389$41,967
25th Percentile$502,990$215,970
75th Percentile$510,294$530,338
Top Earner (P90)$510,294$530,338
Total EmployedN/AN/A
Side-by-side bar chart comparing Roanoke ($510,284) and Virginia Beach ($523,535) anesthesiologist salaries.RoanokeVirginia BeachMedian Salary$510,284$523,535Entry Level (P10)$40,389$41,967Top Earner (P90)$510,294$530,338US Median $409,107

Verdict

Virginia Beach, VA offers better overall compensation for anesthesiologists, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Roanoke and Virginia Beach is $13,251 (2.60%). Virginia Beach's median is +27.97% compared to the US national median of $409,107.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $469,905,Virginia Beach spans $488,371. Virginia Beach has a wider pay range, suggesting more variation in pay between entry-level and experienced anesthesiologists.

Roanoke
P10 (Entry)$40,389
P25$502,990
Median$510,284
P75$510,294
P90 (Top)$510,294
Virginia Beach
P10 (Entry)$41,967
P25$215,970
Median$523,535
P75$530,338
P90 (Top)$530,338

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($545,070 effective) pays 1.97% more than Virginia Beach ($534,541 effective).

Roanoke
Nominal: $510,284
CoL Index: 93.618
Adjusted: $545,070
Virginia Beach
Nominal: $523,535
CoL Index: 97.941
Adjusted: $534,541

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Roanoke if…

  • Better purchasing power (CoL-adjusted: $545,070)
  • You prefer the Virginia area and lifestyle

Choose Virginia Beach if…

  • Higher median salary ($523,535/year)
  • Better top-earner potential ($530,338)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, anesthesiologist salaries in Roanoke grew 25.6% from 2024 to 2025, compared to 159.4% growth in Virginia Beach over the same period.

Roanoke, VA

+25.6%

$388,810 (2024) → $488,310 (2025)

Virginia Beach, VA

+159.4%

$193,160 (2019) → $500,990 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays anesthesiologists more: Roanoke or Virginia Beach?

Virginia Beach has a higher median anesthesiologist salary at $523,535/year, compared to Roanoke at $510,284/year — a difference of $13,251 (2.60%).

What is the hourly rate difference between Roanoke and Virginia Beach?

Roanoke anesthesiologists earn $245.33/hr while Virginia Beach hygienists earn $251.70/hr (2026 est.).

Should I relocate from Roanoke to Virginia Beach as a anesthesiologist?

Consider more than just salary when comparing Roanoke and Virginia Beach. Factor in cost of living (CoL-adjusted: Roanoke = $545,070, Virginia Beach = $534,541), commute, and career growth potential.

What do entry-level anesthesiologists earn in Roanoke vs Virginia Beach?

Entry-level (10th percentile) anesthesiologists earn $40,389 in Roanoke and $41,967 in Virginia Beach. The Virginia Beach area offers higher starting salaries.
MC

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.

Clinically reviewed by Dr. Raj Patel, MDData verified by Dr. Amina Khan, MD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov