Anesthesiologist Salary in Richmond, VA: $433,108 (2026)
Quick Answer:A full-time anesthesiologist in Richmond, VA earns a median $433,108/year (≈ $208.23/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Richmond's price level (3% above national, BEA RPP 103.2), that paycheck buys what $419,678 would nationally. Nominal pay sits 2.6% above the Virginia state average.
Based on BLS state-level estimates · View source
In Richmond, Virginia, anesthesiologists can expect to earn a median annual salary of $433,108, a figure that is approximately 5.87% higher than the national median of $409,107. The salary range for this profession is quite broad, with figures spanning from $251,202 at the lower end (P10) to $626,764 at the upper end (P90). These projections for 2026 reflect estimates derived from 2025 BLS state-level data and adjustments for regional cost factors. The considerable salary spread can largely be attributed to varying call burdens, case volumes, and individual practice settings. As Richmond's healthcare market continues evolving, anesthesiologists should consider these dynamics to fully leverage their compensation potential.
About the Richmond Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $251,202 | $120.77 |
| Lower Range (P25) | $311,837 | $149.93 |
| Median (P50)(typical) | $433,108 | $208.23 |
| Upper Range (P75) | $546,087 | $262.55 |
| Top Earners (P90) | $626,764 | $301.33 |
Median Salary Position
5.87% above the national average
2026 Salary Percentile Distribution in Richmond
In Richmond, VA, the anesthesiologist salary spread from the 10th to 90th percentile is $375,562 (2026 est.). At $433,108, the local median is 5.87% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Richmond: You'd be in the lower-middle range
How Richmond Anesthesiologist Pay Compares
Richmond median: $433,108/year (2026)
| Compared To | Median Salary | Richmond Pays |
|---|---|---|
| Virginia Average | $422,132 | +2.60% more |
| National Average | $409,107 | +5.87% more |
Anesthesiologists in Richmond, VA earn a median of $433,108 per year (2026 est.), which is 5.87% higher than the national median of $409,107 and 2.60% above the Virginia state average of $422,132.
Cost-of-Living Adjusted Salary
Richmond has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Richmond, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $433,108 is competitive, the higher cost of living reduces purchasing power to an effective $419,678 — a 3.1% reduction.
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2019 BLS Actual
$199,890
2025 BLS Actual
$414,457
2026 Current Est.
$433,108
2019–2027 Growth
+126.4%
Salary Trajectory for Anesthesiologists in Richmond (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $199,890 | Actual |
| 2020 | $201,580 | Actual |
| 2021 | $347,548 | Actual |
| 2022 | $363,187 | Actual |
| 2023 | $379,531 | Actual |
| 2024 | $402,293 | Actual |
| 2025 | $414,457 | Actual |
| 2026(current) | $433,108 | Estimated |
| 2027 | $452,597 | Projected |
Based on 7 years of BLS OEWS data for the Richmond metropolitan area, the median anesthesiologist salary grew 107.3% from $199,890 (2019) to $414,457 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $452,597 by 2027 — a total increase of $252,707 (126.42%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Richmond 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) | $251,202 – $311,837 |
| 3-5 years (Mid Career) | $311,837 – $433,108 |
| 5+ years (Experienced) | $433,108 – $546,087 |
| 10+ years (Top Earner) | $546,087 – $626,764 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Richmond
With 33 anesthesiologists currently employed in Richmond, the local job market shows a steady demand. The cost of living index stands at 103.2, indicating a slight premium compared to the national average, which may impact the disposable income for professionals in the area. Predominantly, hospital systems tend to offer the highest salaries, particularly for W-2 employed anesthesiologists, although private anesthesia group practices can provide lucrative partnership tracks that offer equity and higher earning potentials depending on case volume. Factors driving the salary variations include the call rotation system, subspecialty fellowships, and whether practitioners operate under W-2 or 1099 arrangements. For those seeking to maximize their anesthesiologist pay in Richmond VA, building expertise in high-demand subspecialties and actively engaging in negotiating compensation packages can prove advantageous in this competitive market.
More salary data for Richmond, VA:
Frequently Asked Questions
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Can anesthesiologists make $100K in Richmond?
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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 $414,457 for anesthesiologistsin the Richmond 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 Richmond 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