Anesthesiologist Hourly Pay in Honolulu, HI: $279.06 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Honolulu, HI runs $279.06 at the median for 2026 — annualizing to $580,440 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $233.91 nationally would. A 24-hour part-time schedule grosses $348,263 per year.
Based on BLS state-level estimates · View source
In Honolulu, the anesthesiologist hourly pay stands at an impressive $279.06, significantly surpassing the national hourly median of $196.69. This high rate is particularly advantageous for those considering part-time work or per-diem options, which is common for anesthesiologists operating in main operating rooms, ICU consult services, or ambulatory surgery centers. For part-time anesthesiologists working three days a week, this hourly rate translates into a flexible, lucrative arrangement, while the broader hourly range from $161.85 for entry-level positions to $403.36 for top earners allows for considerable upward mobility within the profession. These estimates are derived from annual salary data, showcasing the potential for significant earning power in the role across various clinical settings in Hawaii.
About the Honolulu Market
Salary estimated from Hawaii average ($360,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $161.85 | $1294.80 |
| Lower Range (P25) | $200.92 | $1607.38 |
| Median (P50) | $279.06 | $2232.45 |
| Upper Range (P75) | $357.19 | $2857.53 |
| Top Earners (P90) | $403.36 | $3226.88 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $279.06/hr median hourly rate · 2026 est.
At $279.06/hr, a anesthesiologist working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $580,438 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $334,868. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $11,162.27 | $48,370 | $580,438 |
| Part-Time (24 hrs) | $6,697.36 | $29,022 | $348,263 |
| Per Diem (16 hrs) | $4,464.91 | $19,348 | $232,175 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Honolulu) | $279.06 |
| Surgeon, All Other (National Avg) | $168.27 |
| Radiologist (National Avg) | $168.27 |
| Nurse Anesthetist (National Avg) | $106.73 |
| Physician Assistant (National Avg) | $64.13 |
Anesthesiologists in Honolulu, HI earn a median of $580,440 per year (2026 est.), which is 41.88% higher than the national median of $409,107 and 6.40% above the Hawaii state average of $545,526.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $279.06/hr = $348,263/year (purchasing power: $291,922).
Working 40h/week (full-time) = $580,438/year (purchasing power: $486,537).
CoL index: 119.3 (100 = national average).
2019 BLS Actual
$205.06/hr
2025 BLS Actual
$267.04/hr
2026 Current Est.
$279.06/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $205.06/hr | Actual |
| 2020 | $214.29/hr | Actual |
| 2021 | $223.93/hr | Actual |
| 2022 | $234.01/hr | Actual |
| 2023 | $244.54/hr | Actual |
| 2024 | $219.71/hr | Actual |
| 2025 | $267.04/hr | Actual |
| 2026(current) | $279.06/hr | Estimated |
| 2027 | $291.61/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Honolulu grew 30.2% from $205.06/hr (2019) to $267.04/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $291.61/hr by 2027. Part-time and per-diem anesthesiologists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Honolulu 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.
Working as an Hourly Anesthesiologist in Honolulu
The earning potential for anesthesiologists on a part-time basis in Honolulu is substantial, with a three-day workweek yielding approximately $217,775 annually, a marked difference compared to full-time colleagues. Moreover, per-diem anesthesiologist pay in Honolulu frequently ranges from $1,800 to $3,000 per day, particularly for specialized cases such as cardiac or pediatric anesthesia, where necessary expertise can command higher rates. Hourly earnings can differ significantly based on the type of employer; for instance, anesthesiologists working for major hospital systems may receive more stable W-2 employed packages, while those in private practices or locum tenens arrangements often see variations linked to the demands of their positions. Additionally, the decision to accept lower hourly rates for more comprehensive benefits like health insurance becomes a critical consideration in contract negotiations, compelling some professionals to balance immediate pay against long-term security. When negotiating terms, focusing on the unique dynamics of the Honolulu job market and the nuances of employment scales can empower anesthesiologists to secure favorable compensation arrangements tailored to their professional goals.
More salary data for Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for anesthesiologists in Honolulu in 2026?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for anesthesiologists in Honolulu. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Honolulu 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