Nurse Anesthetist (CRNA) Salary: Pay and Take-Home by State
The typical (median) nurse anesthetist in the US earns $113.75 an hour, or $236,590 a year, according to Bureau of Labor Statistics estimates for 51,840 jobs (May 2025). The middle half earn between $206,730 and $294,350 a year, and the top 10% earn more than $339,500.
After federal income tax, Social Security and Medicare, the median salary leaves a single filer about $171,478 a year ($14,290 a month) in a state with no income tax. Using each state's own median pay for this job, take-home is highest in Alaska ($230,838 a year) and lowest in Oklahoma ($111,959).
Nurse Anesthetist (CRNA) pay range
| Pay level | Hourly | Yearly | Take-home a year* |
|---|---|---|---|
| Bottom 10% earn less than | $74.64 | $155,250 | $117,379 |
| 25th percentile | $99.39 | $206,730 | $152,566 |
| Median (half earn more) | $113.75 | $236,590 | $171,478 |
| 75th percentile | $141.51 | $294,350 | $205,675 |
| Top 10% earn more than | $163.22 | $339,500 | $231,569 |
The average (mean) is $248,320 a year ($119.38 an hour), above the median because a minority of high earners pull it up. *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 29-1151. Source
Nurse Anesthetist (CRNA) salary by state
The highest median pay for nurse anesthetists is in Alaska ($341,200), New York ($321,030), Massachusetts ($295,550), California ($292,410), Illinois ($286,830). The lowest is in Oklahoma ($156,830), Alabama ($190,300), Mississippi ($198,410).
The most nurse anesthetists work in Florida (4,600), Texas (4,060), North Carolina (3,340).
After each state's taxes, the most take-home at the local median is in Alaska ($230,838), New York ($196,923), New Hampshire ($195,134), Massachusetts ($191,577), Washington ($190,422). A state with no income tax can come out ahead of a state that pays more before tax.
Median pay in each state for this job (BLS, May 2025), and take-home at that pay. Take-home is after federal income tax, Social Security, Medicare and the state's income tax and payroll programs, for a single filer with a 2026 W-4 and no deductions. Local taxes are not included. *District of Columbia: federal taxes only (DC income tax is not modeled yet). Not shown, because BLS did not publish an estimate or it was flagged as unreliable: Arkansas, Colorado, Idaho, Indiana, Montana, New Jersey, New Mexico, Rhode Island, Utah.
| State | Median hourly | Median yearly | Take-home a year | Jobs |
|---|---|---|---|---|
| Alabama | $91.49 | $190,300 | $133,781 | 1,810 |
| Alaska | $164.04 | $341,200 | $230,838 | 90 |
| Arizona | $119.55 | $248,660 | $173,789 | 310 |
| California | $140.58 | $292,410 | $175,517 | 2,230 |
| Connecticut | $113.92 | $236,950 | $156,139 | 480 |
| Florida | $101.24 | $210,580 | $155,197 | 4,600 |
| Georgia | $108.00 | $224,640 | $153,805 | 1,170 |
| Illinois | $137.90 | $286,830 | $187,309 | 1,140 |
| Iowa | $131.29 | $273,080 | $183,634 | 380 |
| Kansas | $101.97 | $212,100 | $145,200 | 910 |
| Kentucky | $106.98 | $222,520 | $155,316 | 1,640 |
| Louisiana | $106.80 | $222,140 | $156,291 | 900 |
| Maine | $118.98 | $247,480 | $160,017 | 380 |
| Maryland | $107.28 | $223,140 | $145,460 | 840 |
| Massachusetts | $142.09 | $295,550 | $191,577 | 500 |
| Michigan | $118.76 | $247,020 | $167,525 | 2,300 |
| Minnesota | $127.98 | $266,200 | $168,114 | 2,130 |
| Mississippi | $95.39 | $198,410 | $139,677 | 480 |
| Missouri | $116.65 | $242,630 | $164,645 | 1,550 |
| Nebraska | $118.62 | $246,730 | $166,905 | 430 |
| New Hampshire | $132.68 | $275,970 | $195,134 | 490 |
| New York | $154.34 | $321,030 | $196,923 | 2,450 |
| North Carolina | $107.99 | $224,620 | $155,596 | 3,340 |
| North Dakota | $117.42 | $244,230 | $172,449 | 250 |
| Ohio | $111.45 | $231,820 | $161,512 | 2,300 |
| Oklahoma | $75.40 | $156,830 | $111,959 | 990 |
| Oregon | $130.93 | $272,330 | $166,225 | 370 |
| Pennsylvania | $106.50 | $221,520 | $155,428 | 2,500 |
| South Carolina | $127.64 | $265,490 | $174,396 | 1,010 |
| South Dakota | $126.89 | $263,930 | $187,978 | 400 |
| Tennessee | $101.66 | $211,450 | $155,792 | 1,690 |
| Texas | $117.78 | $244,980 | $176,542 | 4,060 |
| Vermont | $136.09 | $283,070 | $180,768 | 40 |
| Virginia | $121.21 | $252,120 | $167,168 | 700 |
| Washington | $131.92 | $274,390 | $190,422 | 760 |
| West Virginia | $133.91 | $278,530 | $184,735 | 740 |
| Wisconsin | $131.33 | $273,170 | $179,379 | 990 |
| Wyoming | $122.71 | $255,240 | $182,733 | 80 |
Overtime and pay rules for nurse anesthetists
Many nurse anesthetists 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 a nurse anesthetist's pay
On the median $236,590, federal income tax, Social Security and Medicare take about 27.5% of pay for a single filer: $47,013 of income tax and $18,099 of Social Security and Medicare a year.
Tax bracket. After the $16,100 standard deduction, taxable income is $220,490, so the top federal rate is 32%. Each extra dollar from a raise or extra shifts is taxed at about 34.35% before state tax: 32% 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% ($11,830 a year) into a traditional 401(k) lowers federal income tax by about $3,786, so it costs about $8,044 of take-home pay.
Self-employed or contract work
BLS pay figures cover employees only; self-employed nurse anesthetists 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 |
| Airline Pilot | $232,140 | — |
| Dentist | $170,950 | $82.19 |
| Air Traffic Controller | $148,080 | $71.19 |
Nurse Anesthetist (CRNA) salary questions
How much does a nurse anesthetist make?
The median pay is $113.75 an hour, or $236,590 a year (May 2025, Bureau of Labor Statistics). The bottom 10% earn less than $155,250 and the top 10% more than $339,500.
How much does a nurse anesthetist make after taxes?
About $171,478 a year, or $6,595 every two weeks, on the median salary for a single filer in a state with no income tax. In Oklahoma, at that state's own median pay, it is about $111,959.
How much does a nurse anesthetist make a month?
About $19,716 a month before taxes at the median salary, and roughly $14,290 after federal taxes in a state with no income tax.
Which state pays nurse anesthetists the most?
Alaska, with a median of $341,200 a year ($164.04 an hour). Next are New York ($321,030) and Massachusetts ($295,550). After state taxes, take-home at the local median is highest in Alaska.
How much does a nurse anesthetist make an hour?
The median is $113.75 an hour. The middle half earn $99.39 to $141.51, and the top 10% more than $163.22.
Do nurse anesthetists get paid overtime?
Many nurse anesthetists 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.