Anesthesiologist Salary in Madison, AL: $378,508 (2026)
Quick Answer:A full-time anesthesiologist in Madison, AL earns a median $378,508/year (≈ $181.98/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Madison's price level (12% below national, BEA RPP 87.9), that paycheck buys what $430,612 would nationally. Nominal pay sits 2.5% below the Alabama state average.
Based on BLS state-level estimates · View source

In 2026, anesthesiologists in Madison, Alabama, are projected to earn a median annual salary of $378,508, which reflects the competitive nature of the specialized field. This range highlights significant earning potential, with figures spanning from $219,535 at the 10th percentile to $537,293 at the 90th percentile. Such compensation data is derived from 2025 BLS OEWS data and adjusted for the local cost of living, underscoring the relevance of subspecialty fellowships like interventional pain management or pediatric anesthesiology, which can substantially enhance earning capacity in this market. As advanced training becomes increasingly sought after, anesthesiologists in Madison benefit from a career landscape that offers diverse avenues for professional growth and financial success.
About the Madison Market
Salary estimated from Alabama average ($340,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $219,535 | $105.54 |
| Lower Range (P25) | $272,526 | $131.02 |
| Median (P50)(typical) | $378,508 | $181.98 |
| Upper Range (P75) | $475,119 | $228.43 |
| Top Earners (P90) | $537,293 | $258.31 |
Median Salary Position
7.48% below the national average
2026 Salary Percentile Distribution in Madison
In Madison, AL, the anesthesiologist salary spread from the 10th to 90th percentile is $317,758 (2026 est.). At $378,508, the local median is 7.48% below the national median of $409,107.
Salary Calculator
At 40 hours/week in Madison: You'd be above the median
How Madison Anesthesiologist Pay Compares
Madison median: $378,508/year (2026)
| Compared To | Median Salary | Madison Pays |
|---|---|---|
| Alabama Average | $388,214 | -2.50% less |
| National Average | $409,107 | -7.48% less |
Anesthesiologists in Madison, AL earn a median of $378,508 per year (2026 est.), which is 7.48% lower than the national median of $409,107 and 2.50% below the Alabama state average of $388,214.
Cost-of-Living Adjusted Salary
Madison has a cost of living 12.10% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Madison, AL has a cost-of-living index of 87.9 (below the national average of 100). A anesthesiologist earning $378,508 nominally has purchasing power equivalent to $430,612 in an average-cost city — an effective 13.77% boost.
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2019 BLS Actual
$278,139
2025 BLS Actual
$362,209
2026 Current Est.
$378,508
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Madison (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $278,139 | Actual |
| 2020 | $290,655 | Actual |
| 2021 | $303,734 | Actual |
| 2022 | $317,403 | Actual |
| 2023 | $331,686 | Actual |
| 2024 | $291,386 | Actual |
| 2025 | $362,209 | Actual |
| 2026(current) | $378,508 | Estimated |
| 2027 | $395,541 | Projected |
Based on 7 years of BLS OEWS data for the Madison metropolitan area, the median anesthesiologist salary grew 30.2% from $278,139 (2019) to $362,209 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $395,541 by 2027 — a total increase of $117,402 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madison 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) | $219,535 – $272,526 |
| 3-5 years (Mid Career) | $272,526 – $378,508 |
| 5+ years (Experienced) | $378,508 – $475,119 |
| 10+ years (Top Earner) | $475,119 – $537,293 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Madison
Analyzing the local job market reveals that there are currently nine anesthesiologists employed in Madison, AL, demonstrating a modest yet stable demand for their expertise. With a cost-of-living index of 87.9, professionals in this area find that their purchasing power is relatively comfortable compared to many urban centers. The best-paying opportunities tend to exist within local hospital systems and larger private anesthesia group practices, where compensation may be influenced by factors like case volume, partnership equity, and call burdens. An anesthesiologist in Madison can maximize their pay by pursuing high-demand subspecialties, negotiating RVU bonuses for hospital employment, and considering W-2 employment versus 1099 contract structures for greater financial stability. Engaging with local networks and the ASA can also provide insights into effectively navigating the nuances of compensation in this specific market.
More salary data for Madison, AL:
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 $362,209 for anesthesiologistsin the Madison 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 Madison 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