Anesthesiologist Salary and Take-Home Pay
The typical (median) anesthesiologist in the US earns $188.22 an hour, or $391,490 a year, according to Bureau of Labor Statistics estimates for 38,760 jobs (May 2025). The middle half earn between $207,000 and $490,530 a year, and the top 10% earn more than $557,130.
After federal income tax, Social Security and Medicare, the median salary leaves a single filer about $261,385 a year ($21,782 a month) in a state with no income tax.
Anesthesiologist pay range
| Pay level | Hourly | Yearly | Take-home a year* |
|---|---|---|---|
| Bottom 10% earn less than | $48.78 | $101,460 | $80,207 |
| 25th percentile | $99.52 | $207,000 | $152,751 |
| Median (half earn more) | $188.22 | $391,490 | $261,385 |
| 75th percentile | $235.83 | $490,530 | $318,185 |
| Top 10% earn more than | $267.85 | $557,130 | $356,380 |
The average (mean) is $360,570 a year ($173.35 an hour), below the median because a group of lower earners pull it down. *Take-home after federal income tax, Social Security and Medicare for a single filer in a state with no income tax (2026). Source: BLS Occupational Employment and Wage Statistics, May 2025, occupation 29-1211. Source
Anesthesiologist salary by state
BLS state estimates for anesthesiologists are too patchy to use: many states have no published figure or only a top-coded one, and some fall far below the national range. This page shows national figures only. Use the calculator for take-home pay in your state.
Overtime and pay rules for anesthesiologists
Many anesthesiologists are salaried and exempt from overtime as professional employees, which requires both professional duties and a salary of at least $684 a week (the federal standard salary level). An exempt employee is not owed overtime for extra hours, so there is no overtime to deduct. If you are paid by the hour, overtime rules apply. Source Source At this pay, a traditional 401(k), an HSA and other pre-tax benefits are usually the biggest tax savers.
How the exemptions work across jobs: who gets overtime pay.
Taxes on an anesthesiologist's pay
On the median $391,490, federal income tax, Social Security and Medicare take about 33.2% of pay for a single filer: $100,156 of income tax and $29,949 of Social Security and Medicare a year.
Tax bracket. After the $16,100 standard deduction, taxable income is $375,390, so the top federal rate is 35%. Each extra dollar from a raise or extra shifts is taxed at about 37.35% before state tax: 35% income tax plus 2.35% Medicare (pay above the $184,500 Social Security wage base has no Social Security tax; Additional Medicare applies above $200,000). Source
401(k). Putting 5% ($19,574 a year) into a traditional 401(k) lowers federal income tax by about $6,851, so it costs about $12,723 of take-home pay.
Self-employed or contract work
BLS pay figures cover employees only; self-employed anesthesiologists are not counted. If you work as a contractor (1099), you pay both halves of Social Security and Medicare (15.3% self-employment tax) and usually make quarterly estimated payments. Use the 1099 Tax Calculator to see what to set aside, and see 1099 vs W-2 take-home pay for how much more a contractor needs to earn.
Jobs with similar pay
| Job | Median yearly | Median hourly |
|---|---|---|
| Psychiatrist | $281,870 | $135.51 |
| Family Doctor | $244,180 | $117.39 |
| Nurse Anesthetist (CRNA) | $236,590 | $113.75 |
| Airline Pilot | $232,140 | — |
| Dentist | $170,950 | $82.19 |
Anesthesiologist salary questions
How much does an anesthesiologist make?
The median pay is $188.22 an hour, or $391,490 a year (May 2025, Bureau of Labor Statistics). The bottom 10% earn less than $101,460 and the top 10% more than $557,130.
How much does an anesthesiologist make after taxes?
About $261,385 a year, or $10,053 every two weeks, on the median salary for a single filer in a state with no income tax.
How much does an anesthesiologist make a month?
About $32,624 a month before taxes at the median salary, and roughly $21,782 after federal taxes in a state with no income tax.
How much does an anesthesiologist make an hour?
The median is $188.22 an hour. The middle half earn $99.52 to $235.83, and the top 10% more than $267.85.
Do anesthesiologists get paid overtime?
Many anesthesiologists are salaried and exempt from overtime as professional employees, which requires both professional duties and a salary of at least $684 a week (the federal standard salary level). An exempt employee is not owed overtime for extra hours, so there is no overtime to deduct. If you are paid by the hour, overtime rules apply. At this pay, a traditional 401(k), an HSA and other pre-tax benefits are usually the biggest tax savers.
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All jobs · Hourly to salary chart. BLS data published 2026, reference period May 2025; tax figures checked Oct 26, 2026.