Anesthesiologist Salary
in Sacramento
2026 · Official labour data · 8 comparison cities
Last updated: July 2026 · Source: BLS OES Survey · 1.1M employer sample
Typical range: $391,698 – $563,660
How much does a Anesthesiologist make in Sacramento, CA?
A Anesthesiologist in Sacramento earns a median of $469,877/year (about $226/hour). Most earn between $391,698 (25th percentile) and $563,660 (75th percentile); top earners (90th percentile) make $664,218 or more — 20% above the US average. Figures are from BLS employer payroll data, not self-reports.
Understanding these Anesthesiologist salary numbers
We report percentiles, not a single average, because pay isn't evenly spread — a handful of very high earners would drag an average upward and mislead you. Here's exactly what each figure means.
Median (P50) — $469,877
Half of Anesthesiologists in Sacramento earn more than this and half earn less. It's the most honest "typical" salary — better than an average, which gets skewed by a few top earners.
25th percentile (P25) — $391,698
The lower end of the typical range: 75% of Anesthesiologists earn more than this. It's common for early-career roles or lower-cost employers. Earning below it is grounds to negotiate.
75th percentile (P75) — $563,660
Your negotiation target: only 25% of Anesthesiologists earn above it. Reaching P75 usually means seniority, in-demand specialisations, or simply negotiating from data. See how to negotiate.
90th percentile (P90) — $664,218
Top earners: only 10% of Anesthesiologists make this or more — typically senior, highly specialised, or at the best-paying employers.
Gross vs after-tax pay
These figures are gross (before tax). What actually reaches your account depends on your country, state, and deductions. Estimate your net with the take-home calculator.
National vs Sacramento pay
City figures apply the local market premium to BLS data, so Sacramento differs from the US average by +20%. A higher number isn't always better once cost of living is counted.
Hourly rate — $226/hr
The hourly figure is the annual median divided by 2,080 (40 hours × 52 weeks). If you regularly work more than 40 hours, your real hourly rate is lower than this. Convert any salary with the salary calculator.
Why this differs from Glassdoor or Payscale
Those sites publish what people say they earn (self-reports), which skew high because higher earners report more often. Our figures come from mandatory employer payroll records (BLS OEWS), so they reflect the whole market — not just a vocal subset.
How current and reliable is this number?
This page carries a confidence score of 100/100, based on the data source and coverage. US figures track the latest BLS release and refresh automatically; international figures use OECD/ILO data. See the changelog for live data freshness.
What counts as a "good" Anesthesiologist salary in Sacramento?
Around the median ($469,877) is solid and $563,660+ is strong — but "good" really depends on local costs. Check what the number is actually worth with the good-salary breakdown for Sacramento.
Still curious how we get these numbers? Every figure is traceable to a primary source — see the full methodology and data sources.
Anesthesiologist salary in Sacramento, CA: median $469,877 (P75 $563,660), per BLS OEWS via Official Salary, 2026.
Free JSON: /api/salary?job=anesthesiologist&city=sacramento — no key. API & widgets →
Key insights for Anesthesiologists in Sacramento
- ›Anesthesiologists in Sacramento earn about 20% more than the national median for the role ($470K vs $391K).
- ›Cost of living in Sacramento runs about 18% above the US average, so $470K is worth roughly $398K at national prices.
- ›After a simplified take-home estimate, $470K nets about $296K/yr — roughly $256K/yr left after typical single-person living costs here.
- ›Pay climbs with seniority: a senior/staff Anesthesiologist reaches about $601K — a +28% step from mid-level.
Anesthesiologists in Sacramento typically earn $392K–$564K a year.
The market median is $470K — half earn above, half earn below.
Top earners (top 10%) make $664K or more.
Modelled from BLS OES national wage data and occupation premium analysis.
Anesthesiologist Salary Analysis — Sacramento
Anesthesiologists in Sacramento earn a median salary of $470K, which is 20% above the national median of $391K. Strong regional demand for anesthesiologists contributes to above-average wages here.
Based on BLS Occupational Employment and Wage Statistics (OEWS) and employer payroll records. Figures represent the median (P50) across all experience levels in Sacramento.
Cost of Living Adjustment
Sacramento's cost of living is 18% above the US average. Your $470K salary has the equivalent purchasing power of approximately $398K in a city with average US living costs.
Salary Distribution — Sacramento
5-band distribution from employer payroll records
New graduates, 0–1 yr exp
1–3 years experience
3–7 years, typical professional
Senior / high-performer — target
Staff / principal / lead
Are You Being Underpaid?
Enter your current salary to see your exact market percentile in Sacramento
Am I Underpaid?
Enter your current salary to see where you stand
Your salary is never stored or transmitted. Calculation runs locally in your browser.
Official Salary Fair Pay Score™
Is $470K a good salary for Anesthesiologist in Sacramento?
Based on BLS data for 469,877 comparable professionals in this role
You're earning above the median — in the top half of this role's salary range.
Why This Salary?
How we arrived at $470K for Anesthesiologists in Sacramento
Source: BLS OES. All figures reflect 2026 market conditions.
Anesthesiologist Salary by Experience Level in Sacramento
How compensation grows from entry-level through staff / lead
| Experience Level | Years | Percentile | Annual Salary | Monthly | Hourly |
|---|---|---|---|---|---|
| Entry | 0 | 0 yrs | $328,914 | $27,410 | $158 |
| Junior | 2 | 2 yrs | $404,094 | $33,675 | $194 |
| Mid-LevelTypical | 4 | 4 yrs | $447,949 | $37,329 | $215 |
| Senior | 6 | 6 yrs | $496,190 | $41,349 | $239 |
| Staff | 10 | 10 yrs | $601,443 | $50,120 | $289 |
| Principal | 14 | 14 yrs | $691,659 | $57,638 | $333 |
| Distinguished | 18 | 18 yrs | $714,213 | $59,518 | $343 |
Based on BLS OEWS percentile distribution. Actual salary depends on employer, skills, and negotiation.
Skills That Earn More — Anesthesiologist
Estimated premium above the Sacramento median based on market demand
Estimates based on job-posting salary premiums for verified high-demand skills.
Anesthesiologist Intelligence Report
Career metrics and full compensation breakdown — from BLS demand data
Career Opportunity Score
Composite: demand growth × 1.4 + (100 − AI risk) × 0.4
Total Compensation — Anesthesiologist
Beyond base salary: bonus, equity, and benefits
Bonus, equity, and benefits are modelled estimates from category norms (not scraped from any single employer); base is BLS. Actual total comp varies by employer, level, and negotiation.
Typical Benefits for Anesthesiologists
— show
Often adds 20–35% to your effective pay
Compare Anesthesiologist Salaries by City
How Sacramento, CA stacks up against other major markets
| City | Median | P75 | vs US avg |
|---|---|---|---|
| Sacramento, CA (current) | $469,877 | $563,660+ | +20% |
| New York, NY | $482,857 | $579,231+ | +23% |
| San Francisco, CA | $569,698 | $683,404+ | +46% |
| Seattle, WA | $565,019 | $677,791+ | +44% |
| Austin, TX | $427,231 | $512,502+ | +9% |
| Boston, MA | $526,637 | $631,749+ | +35% |
| Chicago, IL | $413,113 | $495,566+ | +6% |
| Los Angeles, CA | $426,402 | $511,508+ | +9% |
| Denver, CO | $470,067 | $563,888+ | +20% |
Official Salary Career GPS™
What should I do next as a Anesthesiologist?
Higher-paying roles in the same field
Other Healthcare Jobs in Sacramento
Same industry, same city
Frequently Asked Questions
What is the average Anesthesiologist salary in Sacramento, CA?
The median Anesthesiologist salary in Sacramento, CA is $470K per year (2026), based on BLS OEWS employer payroll data from 1.1 million employers. The top 25% earn $564K+ per year.
What is a good Anesthesiologist salary in Sacramento, CA?
The 75th percentile ($564K/yr) is the professional benchmark — what the top quarter already earns. It's a documented, negotiable target backed by BLS payroll data. Anything above the median ($470K) is above-average for this role in Sacramento, CA.
How much does a Anesthesiologist earn per hour in Sacramento, CA?
Based on the median annual salary of $470K, a Anesthesiologist in Sacramento, CA earns approximately $226/hr (2,080-hour work year). The P75 rate is ~$271/hr.
Is Sacramento, CA a good market for Anesthesiologists?
Sacramento, CA pays 20% above the US national average for this role. Demand for Anesthesiologists is growing 4% annually, and AI automation risk is rated low for this occupation.
How do I negotiate a higher Anesthesiologist salary in Sacramento, CA?
Cite the BLS P75 figure ($564K) — it is verifiable public data from government payroll records. Request the full compensation package: base + equity/bonus + benefits. Timing matters: negotiate at the offer stage, not after acceptance. Counter with a specific number, not a range.
What is the entry-level Anesthesiologist salary in Sacramento, CA?
Entry-level Anesthesiologists in Sacramento, CA (10th–25th percentile) earn roughly $332K–$392K per year, rising toward the $470K median with experience and in-demand skills.
What does a senior Anesthesiologist earn in Sacramento, CA?
Senior Anesthesiologists in Sacramento, CA — the top quartile up to the 90th percentile — earn about $564K–$664K per year, with the top 10% making $664K+.
How Is This Salary Calculated?
Every number is derived from a transparent, reproducible methodology — no estimates, no black boxes.
Where does the salary data come from?
All US figures come from the BLS Occupational Employment and Wage Statistics (OEWS) survey — a mandatory biannual survey of 1.1 million US employers who report actual payroll data.
How is the Sacramento figure calculated?
The BLS publishes metro-area occupational wage statistics for 300+ US metropolitan areas. For Sacramento, Official Salary uses the BLS metro premium ratio (metro median ÷ national median) and applies it to the national baseline.
What do P10, P25, P50, P75, and P90 mean?
These are salary percentiles from employer payroll records. P50 (median) means 50% of workers earn less. P75 means 75% earn less — this is the recommended negotiation anchor. P10 and P90 represent the bottom 10% and top 10% respectively.
How is take-home pay estimated?
Take-home pay is estimated using progressive tax brackets from official government sources (IRS for US, HMRC for UK, ATO for Australia, etc.). Social contributions (National Insurance, FICA, etc.) are added. These are estimates — actual take-home depends on deductions, filing status, and location.
How often is data updated?
US BLS salary data refreshes every 24 hours via the BLS public API. OECD international wages refresh monthly. ECB currency rates refresh every 4 hours.
Full formulas and source citations on the methodology page.
What a Anesthesiologist salary really means in Sacramento
Take-home pay, rent affordability, and remote benchmarking — on the $469,877 median.
Estimated take-home
≈ $25,351/month net
- Gross median
- $469,877
- Income tax
- −$129,722
- Social / FICA
- −$35,946
- Effective rate
- 35%
Federal income tax only (FICA included). State income tax varies. Single-filer estimate — not tax advice.
Rent affordability
of take-home on a typical 1-bed (~$1,386/mo)
The 30% rule says housing should stay under 30% of take-home. Here it's comfortably within that line. After all living costs (~$3,300/mo), roughly $22,051/mo is left to save or invest.
Cost-of-living estimate for Sacramento; rent ≈ 42% of budget.
Remote vs onsite
typical fully-remote benchmark range
Onsite Anesthesiologists in Sacramento earn the local median of $469,877. Fully-remote roles are usually benchmarked between the US median ($391,490) and the local rate — employers increasingly set remote pay by national or regional bands, not your city.
Compare all Anesthesiologist markets →How to reach the top 25% as a Anesthesiologist in Sacramento
The gap between a typical Anesthesiologist and the top quartile in Sacramento is $93,783/year — about $7,815/month more than the median. Reaching the 75th percentile ($563,660) usually comes down to seniority, in-demand specialisations, and negotiating from real data instead of hoping for a raise.
Anesthesiologist Salary Trend (2019–2024)
BLS OES historical national medians
Source: BLS OEWS 2019–2024. City-level data uses national trend × metro premium.
Education Premium — Anesthesiologist
How degree level affects salary · ACS Census data
Source: US Census Bureau ACS PUMS · BLS OES wage data.
Negotiation Deep-Dive
Get your data-backed negotiation opening ask and walking-away floor.
Negotiation Calculator
Enter your current salary to see your market position and opening ask
California Salary Transparency Law
Effective Jan 1, 2023Employers with 15+ employees must include pay range in all job postings
As a job seeker in California, you have the legal right to request salary ranges in job postings.
Anesthesiologist in Other Cities
Top Healthcare Jobs in Sacramento
Data Source & Attribution
Salary data sourced from the U.S. Bureau of Labor Statistics OEWS survey (1.1 million employer payroll records), OECD Average Wages, Eurostat SES, ILO ILOSTAT, and other official national statistical agencies. Data is updated via ISR and reflects the most recent release cycle.