Anesthesiologist Hourly Pay in Pierre, SD: $183.62 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in Pierre, SD runs $183.62 at the median for 2026 — annualizing to $381,916 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against Pierre's regional price level (BEA RPP 92.8, 7% below national), each hour of work buys what $197.86 nationally would. A 24-hour part-time schedule grosses $229,154 per year.
Based on BLS state-level estimates · View source

In Pierre, South Dakota, anesthesiologists can expect to earn a median hourly rate of $183.62, which is slightly lower than the national hourly median of $196.69. This level of compensation allows for flexibility within the specialty, particularly for those opting to work part-time or on a per-diem basis. For instance, a part-time anesthesiologist working three days a week could find this hourly wage to be quite favorable. The estimated hourly range spans from $106.50 for entry-level positions up to $250.06 for highly experienced practitioners. These figures are derived from annual salary estimates, indicating a potential for lucrative earnings in settings such as operating rooms, cardiac catheterization labs, ambulatory surgery centers, and ICU consult services.
About the Pierre Market
Salary estimated from South Dakota average ($355,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $106.50 | $851.97 |
| Lower Range (P25) | $132.20 | $1057.62 |
| Median (P50) | $183.62 | $1468.94 |
| Upper Range (P75) | $226.59 | $1812.70 |
| Top Earners (P90) | $250.06 | $2000.46 |
Estimated Annual Income by Work Schedule in Pierre
Based on $183.62/hr median hourly rate · 2026 est.
At $183.62/hr, a anesthesiologist working full-time (40 hr/wk) in Pierre, SD can expect to earn approximately $381,923 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $220,340. With a cost-of-living index of 92.80 (below the national average), these earnings stretch further in Pierre.
Hourly Rate Calculator
Schedule Comparison in Pierre
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $7,344.68 | $31,827 | $381,923 |
| Part-Time (24 hrs) | $4,406.81 | $19,096 | $229,154 |
| Per Diem (16 hrs) | $2,937.87 | $12,731 | $152,769 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (Pierre) | $183.62 |
| 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 Pierre, SD earn a median of $381,916 per year (2026 est.), which is 6.65% lower than the national median of $409,107 and 6.00% below the South Dakota state average of $406,294.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $183.62/hr = $229,154/year (purchasing power: $246,933).
Working 40h/week (full-time) = $381,923/year (purchasing power: $411,555).
CoL index: 92.8 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$134.93/hr
2025 BLS Actual
$175.71/hr
2026 Current Est.
$183.62/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in Pierre (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $134.93/hr | Actual |
| 2020 | $141.00/hr | Actual |
| 2021 | $147.34/hr | Actual |
| 2022 | $153.97/hr | Actual |
| 2023 | $160.90/hr | Actual |
| 2024 | $148.80/hr | Actual |
| 2025 | $175.71/hr | Actual |
| 2026(current) | $183.62/hr | Estimated |
| 2027 | $191.88/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in Pierre grew 30.2% from $134.93/hr (2019) to $175.71/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $191.88/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 Pierre 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 Pierre
Analyzing the income potential for anesthesiologists in Pierre reveals important distinctions based on work arrangements. A part-time anesthesiologist who works 24 hours weekly could realize substantial annual earnings compared to a full-time commitment. For those seeking flexibility, per diem anesthesiologist pay in Pierre can be significant, with locum tenens professionals often billing between $1,800 and $3,000 daily, particularly for specialized assignments like cardiac cases. Variability in hourly rates can also stem from the type of employer—hospital systems typically offer W-2 employment with benefits, while private anesthesia groups may offer partnership tracks but lower hourly rates. Per diem roles often have less fringe benefits, making it vital for professionals to weigh the trade-off between higher hourly wages without insurance versus lower rates that provide healthcare coverage. As negotiation becomes a key aspect in this environment, focusing on specific hourly terms when engaging with potential employers can help anesthesiologists maximize their compensation.
More salary data for Pierre, SD:
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
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 Pierre. 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 Pierre 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