Anesthesiologist Salary in Roanoke, VA: $510,284 (2026)
Quick Answer:A full-time anesthesiologist in Roanoke, VA earns a median $510,284/year (≈ $245.33/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Roanoke's price level (6% below national, BEA RPP 93.6), that paycheck buys what $545,070 would nationally. Nominal pay sits 20.9% above the Virginia state average.
Official BLS data · View source
With a projected median annual salary of $510,284 by 2026, anesthesiologists in Roanoke, Virginia, command a significantly higher earning potential than the national median of $409,107. This represents a 24.73% premium, reflecting the region's unique healthcare environment. Salary ranges vary substantially, spanning from $40,389 at the 10th percentile to $510,294 at the 90th percentile, underscoring differences based on subspecialty training and work setting. Fellowships in areas such as pain management and critical care medicine often correlate with enhanced compensation prospects in this market. Based on 2025 BLS OEWS data, projected to 2026, these figures highlight the competitive financial landscape for anesthesiologists in Roanoke, shaped by a blend of local demand and physician employment structures.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $40,389 | $19.42 |
| Lower Range (P25) | $502,990 | $241.82 |
| Median (P50)(typical) | $510,284 | $245.33 |
| Upper Range (P75) | $510,294 | $245.33 |
| Top Earners (P90) | $510,294 | $245.33 |
Median Salary Position
24.73% above the national average
2026 Salary Percentile Distribution in Roanoke
In Roanoke, VA, the anesthesiologist salary spread from the 10th to 90th percentile is $469,905 (2026 est.). At $510,284, the local median is 24.73% above the national median of $409,107.
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At 40 hours/week in Roanoke: You'd be in the top 10% of earners
How Roanoke Anesthesiologist Pay Compares
Roanoke median: $510,284/year (2026)
| Compared To | Median Salary | Roanoke Pays |
|---|---|---|
| Virginia Average | $422,071 | +20.90% more |
| National Average | $409,107 | +24.73% more |
Anesthesiologists in Roanoke, VA earn a median of $510,284 per year (2026 est.), which is 24.73% higher than the national median of $409,107 and 20.90% above the Virginia state average of $422,071.
Cost-of-Living Adjusted Salary
Roanoke has a cost of living 6.38% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Roanoke, VA has a cost-of-living index of 93.618 (below the national average of 100). A anesthesiologist earning $510,284 nominally has purchasing power equivalent to $545,070 in an average-cost city — an effective 6.82% boost.
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2019 BLS Actual
$374,971
2025 BLS Actual
$488,310
2026 Current Est.
$510,284
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Roanoke (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $374,971 | Actual |
| 2020 | $391,845 | Actual |
| 2021 | $409,478 | Actual |
| 2022 | $427,904 | Actual |
| 2023 | $447,160 | Actual |
| 2024 | $388,810 | Actual |
| 2025 | $488,310 | Actual |
| 2026(current) | $510,284 | Estimated |
| 2027 | $533,247 | Projected |
Based on 7 years of BLS OEWS data for the Roanoke metropolitan area, the median anesthesiologist salary grew 30.2% from $374,971 (2019) to $488,310 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $533,247 by 2027 — a total increase of $158,276 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Roanoke 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) | $40,389 – $502,990 |
| 3-5 years (Mid Career) | $502,990 – $510,284 |
| 5+ years (Experienced) | $510,284 – $510,294 |
| 10+ years (Top Earner) | $510,294 – $510,294 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Roanoke
The demand for anesthesiologists in Roanoke is largely driven by local healthcare facilities and the availability of case volume, impacting overall compensation. With a cost of living index sitting at 93.618, which is below the national average, physicians can enjoy a higher take-home purchasing power. Among the highest-paying employers are hospital systems, which often provide W-2 employed positions, as well as private anesthesia group practices that offer attractive partnership tracks. The disparity in earnings also stems from factors such as case complexity, call burdens, and the presence of RVU bonuses typically associated with hospital employment. Those interested in optimizing their anesthesiologist pay in Roanoke should consider pursuing fellowships that align with market demands and explore diverse employment models to maximize their overall financial outcome in this evolving healthcare landscape.
More salary data for Roanoke, VA:
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 $488,310 for anesthesiologistsin the Roanoke 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
Source: BLS, OEWS, 2-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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