Healthcare California (CA) Rank #2 of 50

Anesthesiologist Salary in California

The median anesthesiologist salary in California is $442,336 per year, which is 46.0% above the national median of $302,970.

Median Salary
$442,336
vs National
+$139,366
State Rank
#2 of 50
Cost of Living
138%

Anesthesiologist Salary Overview in California (2026)

California ranks #2 out of 50 states for anesthesiologist compensation. This places California in the top tier nationally, making it one of the best states for anesthesiologists seeking high pay. At $442,336 per year, anesthesiologists in California earn $139,366 more than the national median of $302,970.

It's worth noting that California's cost of living is 138% of the national average, which reduces the real purchasing power of the $442,336 salary. After adjusting for cost of living, the effective salary is closer to $320,533.

The salary spread in California is significant: anesthesiologists at the 10th percentile earn $211,700, while those at the 90th percentile bring home $657,000 — a $445,300 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in California for this role is San Francisco, where the median reaches $575,643.

Nationally, anesthesiologist employment is projected to grow 3% over the next decade (as fast as average). This steady growth indicates stable demand for anesthesiologists across the country.

Anesthesiologist Salary in California by Experience

In California, an entry-level anesthesiologist earns around $219,000, while experienced professionals earn up to $627,800 per year. The cost of living index in California is 138% of the national average.

Entry Level (0-2 yrs)
$219,000
+$69,000 vs national
Mid Level (3-7 yrs)
$445,300
+$140,300 vs national
Senior Level (8+ yrs)
$627,800
+$197,800 vs national

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Salary Percentiles in California

Percentile CA Salary
10th Percentile $211,700
25th Percentile $321,200
Median (50th) $442,336
75th Percentile $569,400
90th Percentile $657,000

Anesthesiologist Salary by City in California

The largest employment areas for anesthesiologists in California include Los Angeles, San Francisco, San Diego, and San Jose. Salaries vary by city based on local cost of living and demand.

How to Become a Anesthesiologist in California

Education

Most anesthesiologist positions require a doctoral degree. California has several accredited institutions offering relevant programs.

Key Skills

AnesthesiaPharmacologyPatient MonitoringCritical CarePain ManagementAirway Management

Job Outlook in California

Nationally, anesthesiologist employment is projected to grow 3% over the next decade (as fast as average). California's demand may vary based on local industry trends.

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Data shows Anesthesiologists who negotiate earn 7–15% more. A single negotiation could add $185,464 over your career trajectory.

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Frequently Asked Questions: Anesthesiologist Salary in California

How much does a Anesthesiologist make in California? ▼
The median anesthesiologist salary in California is $442,336 per year, which is 46.0% above the national median of $302,970. Salaries range from $211,700 (10th percentile) to $657,000 (90th percentile).
How much does a Anesthesiologist make per hour in California? ▼
Based on the median annual salary of $442,336, a anesthesiologist in California earns approximately $213 per hour assuming a standard 2,080-hour work year.
Is California a good state for anesthesiologists? ▼
California ranks #2 out of 50 states for anesthesiologist pay. The cost of living index is 138% of the national average. Entry-level anesthesiologists earn $219,000, while senior professionals earn $627,800.
How does California compare to other states for anesthesiologist salary? ▼
The highest paying state for anesthesiologists is Hawaii at $539,287. California's median of $442,336 ranks #2 nationally. Nearby-ranked states include Hawaii ($539,287) and Massachusetts ($433,247).
What is the entry-level anesthesiologist salary in California? ▼
An entry-level anesthesiologist in California earns approximately $219,000 per year. With 3-7 years of experience, pay increases to around $445,300. Senior-level professionals with 8+ years earn up to $627,800.
What city in California pays anesthesiologists the most? ▼
San Francisco is the highest paying city in California for anesthesiologists, with a median salary of $575,643. Other cities include Los Angeles and San Diego.