Anesthesiologist Salary in Honolulu, HI: $580,440 (2026)
Quick Answer:A full-time anesthesiologist in Honolulu, HI earns a median $580,440/year (≈ $279.06/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Honolulu's price level (19% above national, BEA RPP 119.3), that paycheck buys what $486,538 would nationally. Nominal pay sits 6.4% above the Hawaii state average.
Based on BLS state-level estimates · View source
Anesthesiologists in Honolulu, HI, command a median annual salary of $580,440, which is significantly higher than the national median of $409,107. The salary range for this specialty in the area extends from $336,655 at the 10th percentile to $838,998 at the 90th percentile. These estimates, derived from 2025 BLS data and adjusted for regional price parities, reveal the stark contrast in compensation typically seen between W-2 hospital employment models and private group practices. As healthcare delivery continues to evolve, anesthesiologists who carefully assess their employment structure—whether hospital-based or in private partnerships—are likely to find varying compensation opportunities that align with their professional goals, influencing their potential earnings in this vibrant market.
About the Honolulu Market
Salary estimated from Hawaii average ($360,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $336,655 | $161.85 |
| Lower Range (P25) | $417,916 | $200.92 |
| Median (P50)(typical) | $580,440 | $279.06 |
| Upper Range (P75) | $742,964 | $357.19 |
| Top Earners (P90) | $838,998 | $403.36 |
Median Salary Position
41.88% above the national average
2026 Salary Percentile Distribution in Honolulu
In Honolulu, HI, the anesthesiologist salary spread from the 10th to 90th percentile is $502,343 (2026 est.). At $580,440, the local median is 41.88% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Honolulu: You'd be in the lower-middle range
How Honolulu Anesthesiologist Pay Compares
Honolulu median: $580,440/year (2026)
| Compared To | Median Salary | Honolulu Pays |
|---|---|---|
| Hawaii Average | $545,526 | +6.40% more |
| National Average | $409,107 | +41.88% more |
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.
Cost-of-Living Adjusted Salary
Honolulu has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Honolulu, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $580,440 is competitive, the higher cost of living reduces purchasing power to an effective $486,538 — a 16.18% reduction.
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2019 BLS Actual
$426,524
2025 BLS Actual
$555,445
2026 Current Est.
$580,440
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $426,524 | Actual |
| 2020 | $445,717 | Actual |
| 2021 | $465,775 | Actual |
| 2022 | $486,735 | Actual |
| 2023 | $508,638 | Actual |
| 2024 | $456,997 | Actual |
| 2025 | $555,445 | Actual |
| 2026(current) | $580,440 | Estimated |
| 2027 | $606,560 | Projected |
Based on 7 years of BLS OEWS data for the Honolulu metropolitan area, the median anesthesiologist salary grew 30.2% from $426,524 (2019) to $555,445 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $606,560 by 2027 — a total increase of $180,036 (42.21%) from 2019.
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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $336,655 – $417,916 |
| 3-5 years (Mid Career) | $417,916 – $580,440 |
| 5+ years (Experienced) | $580,440 – $742,964 |
| 10+ years (Top Earner) | $742,964 – $838,998 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Honolulu
With 68 anesthesiologists currently employed in Honolulu, the local job market exhibits both stability and competitive opportunities. However, it's essential to consider the cost of living, which stands at a CoL index of 119.3, indicating higher than average living expenses in the area. This reality affects take-home income and purchasing power, making salary negotiations crucial. Among potential employers, hospital systems tend to offer substantial benefits and steady incomes, while private anesthesia groups may provide higher variable compensation depending on case volume and partnership equity. Factors such as call burden, subspecialty training, and RVU bonus structures also significantly impact earnings variability. Anesthesiologists seeking to maximize their pay in Honolulu should consider pathways to fellowship training and negotiate for favorable contract terms that factor in local living costs alongside compensation.
More salary data for Honolulu, HI:
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 $555,445 for anesthesiologistsin the Honolulu 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 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