Senior Anesthesiologist Salary in Marshalltown, IA: $482,103 (2026)
Quick Answer:The top tier of anesthesiologists working in Marshalltown, IA — those at or above the 90th percentile — pull in $482,103/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1211. Strip back Marshalltown's price premium (BEA RPP 90.4, 10% below national) and that top-decile pay carries the same buying power as $533,300 in average-cost America. The 37% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

In 2026, achieving top-tier compensation as a senior anesthesiologist in Marshalltown, Iowa, can translate into significant earnings, particularly for those who reach the 90th percentile, where pay is projected to be as high as $482,103. This top anesthesiologist salary in Marshalltown stands in contrast to the national figures, where the upper echelon sees annually around $409,107. The difference between the median annual salary of $352,237 and the peak earnings exemplifies the experience premium baked into the field. To capitalize on this potential, experienced professionals should focus on developing specialized skills and pursuing advanced fellowships that enhance their value in this competitive market.
About the Marshalltown Market
Salary estimated from Iowa average ($360,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Marshalltown
Experienced anesthesiologists at the top of the pay scale in Marshalltown earn between $434,760 and $482,103 per year (2026 est.). This $277,805 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Marshalltown median of $352,237 sits 13.9% below the US median.
Top ANES Salary Comparison
| Level | Marshalltown | National |
|---|---|---|
| Median (P50) | $352,237 | $409,107 |
| 75th Percentile | $434,760 | $512,604 |
| 90th Percentile (Top 10%) | $482,103 | $582,201 |
In Marshalltown, experienced anesthesiologists (P90) earn 36.87% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Anesthesiologist Pay in Marshalltown
Advanced Certifications in Iowa
IA anesthesiologists with additional specialty certifications within the anesthesiology field earn significantly above the $352,237 median. Expanded-scope credentials are increasingly valued by Marshalltown employers.
Specialty Focus
Anesthesiologists focusing on high-acuity or specialty areas within the anesthesiology field in Marshalltown command premium compensation, often reaching the $434,760–$482,103 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Marshalltown metro area often pay above-market rates for experienced anesthesiologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured anesthesiologists in Marshalltown with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Anesthesiologists in Iowa who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Anesthesiologist Career & Wage Growth Path in Marshalltown
Clinical Anesthesiologist
0-5 yearsSenior/Lead Anesthesiologist
5-10 yearsAnesthesiologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedMarshalltown ranks #16 of 26 Iowa cities for top earner anesthesiologist salary (90th percentile: $482,103).
Top 10% anesthesiologist compensation in Marshalltown ($482,103) is 5.27% below the Iowa average P90 ($508,924).
2019 BLS Actual
$354,263
2025 BLS Actual
$461,343
2026 Current Est.
$482,103
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Marshalltown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $354,263 | Actual |
| 2020 | $370,205 | Actual |
| 2021 | $386,864 | Actual |
| 2022 | $404,273 | Actual |
| 2023 | $422,466 | Actual |
| 2024 | $379,286 | Actual |
| 2025 | $461,343 | Actual |
| 2026(current) | $482,103 | Estimated |
| 2027 | $503,798 | Projected |
Top-earning anesthesiologists (90th percentile) in Marshalltown saw their compensation grow 30.2% from $354,263 in 2019 to $461,343 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 4.50% annual growth rate, senior-level pay is projected to reach $503,798 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Marshalltown 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.
Maximizing Your Anesthesiologist Earnings in Marshalltown
Compensation for experienced anesthesiologists in Marshalltown can vary widely depending on practice type and subspecialty. Areas such as cardiac anesthesia, neuroanesthesia, and critical care medicine are particularly lucrative, often providing higher pay due to increased skill requirements and patient complexity. Additionally, compensation structures can differ markedly between hospital employment, private anesthesia groups, and academic institutions. Those in private practices may aspire for partnership roles with profit-sharing opportunities, whereas hospital-employed anesthesiologists often receive RVU bonuses based on case volume. Advancing to leadership positions, like department chair or chief of perioperative services, can further enhance earnings, making additional credentials vital, including ABA board certification and specialized fellowships. Meanwhile, non-salary aspects like call burden and overall work-life balance continue to play substantial roles in overall job satisfaction and earnings potential in this critical field.
More salary data for Marshalltown, IA:
Frequently Asked Questions
How much do experienced anesthesiologists make in Marshalltown in 2026?
What drives higher anesthesiologist pay in Marshalltown?
What certifications boost anesthesiologist salary in Marshalltown?
Can experienced anesthesiologists make six figures in Marshalltown?
How much does anesthesiologist salary increase over time in Marshalltown?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $461,343 for anesthesiologists in the Marshalltown metro area. A 4.50% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Marshalltown 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