Anesthesiologist Salary in Rockville, MD: $435,936 (2026)
Quick Answer:A full-time anesthesiologist in Rockville, MD earns a median $435,936/year (≈ $209.59/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Rockville's price level (9% above national, BEA RPP 109.3), that paycheck buys what $398,844 would nationally. Nominal pay sits 2.5% below the Maryland state average.
Based on BLS state-level estimates · View source
Anesthesiologists operating in Rockville, Maryland, can expect a median annual salary of $435,936 in 2026, reflecting the impact of wage differences due to structural choices in their practice environment. The salary range spans from $252,843 at the 10th percentile to $617,626 at the 90th percentile, indicating significant variability linked to whether they are employed by hospitals as W-2 workers or are part of private group partnerships. These figures are projections based on 2025 BLS data, adjusted for local cost factors as reflected in the Rockville market. As anesthesiology increasingly bifurcates between hospital employment and private group practices, the compensation dynamics within Rockville are particularly influenced by case volume, patient acuity, and the operational formats of various employment models.
About the Rockville Market
Salary estimated from Maryland average ($395,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $252,843 | $121.55 |
| Lower Range (P25) | $313,874 | $150.90 |
| Median (P50)(typical) | $435,936 | $209.59 |
| Upper Range (P75) | $547,832 | $263.38 |
| Top Earners (P90) | $617,626 | $296.94 |
Median Salary Position
6.56% above the national average
2026 Salary Percentile Distribution in Rockville
In Rockville, MD, the anesthesiologist salary spread from the 10th to 90th percentile is $364,783 (2026 est.). At $435,936, the local median is 6.56% above the national median of $409,107.
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At 40 hours/week in Rockville: You'd be above the median
How Rockville Anesthesiologist Pay Compares
Rockville median: $435,936/year (2026)
| Compared To | Median Salary | Rockville Pays |
|---|---|---|
| Maryland Average | $447,114 | -2.50% less |
| National Average | $409,107 | +6.56% more |
Anesthesiologists in Rockville, MD earn a median of $435,936 per year (2026 est.), which is 6.56% higher than the national median of $409,107 and 2.50% below the Maryland state average of $447,114.
Cost-of-Living Adjusted Salary
Rockville has a cost of living 9.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rockville, MD has a cost-of-living index of 109.3 (above the national average of 100). While the nominal salary of $435,936 is competitive, the higher cost of living reduces purchasing power to an effective $398,844 — a 8.51% reduction.
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2019 BLS Actual
$320,338
2025 BLS Actual
$417,164
2026 Current Est.
$435,936
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Rockville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $320,338 | Actual |
| 2020 | $334,754 | Actual |
| 2021 | $349,818 | Actual |
| 2022 | $365,559 | Actual |
| 2023 | $382,010 | Actual |
| 2024 | $420,904 | Actual |
| 2025 | $417,164 | Actual |
| 2026(current) | $435,936 | Estimated |
| 2027 | $455,554 | Projected |
Based on 7 years of BLS OEWS data for the Rockville metropolitan area, the median anesthesiologist salary grew 30.2% from $320,338 (2019) to $417,164 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $455,554 by 2027 — a total increase of $135,216 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rockville 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) | $252,843 – $313,874 |
| 3-5 years (Mid Career) | $313,874 – $435,936 |
| 5+ years (Experienced) | $435,936 – $547,832 |
| 10+ years (Top Earner) | $547,832 – $617,626 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Rockville
Currently, Rockville employs around 15 anesthesiologists, which presents a competitive environment for talent amid a growing healthcare demand. The cost of living in the area is indexed at 109.3, slightly above the national average, affecting the purchasing power of anesthesiologists' salaries. Compensation can be significantly affected by the type of employer, with academic medical centers and large hospital systems often providing robust benefits, while private practices may offer higher base salaries and partnership opportunities. Factors driving pay disparity include the volume of procedures, variations in call responsibilities, subspecialty expertise, and potential bonuses linked to productivity metrics. For anesthesiologists in Rockville MD looking to maximize their earning potential, engaging in fellowship training, exploring both W-2 and 1099 options, and understanding the nuances of each employment model are all crucial strategies to consider in an evolving healthcare landscape.
More salary data for Rockville, MD:
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 $417,164 for anesthesiologistsin the Rockville 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 Rockville 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