Nurse Anesthetists (CRNA) Salary

Billings vs Helena: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between Billings, MT and Helena, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$237,994
$114.42/hr
Helena, MT
$221,027
$106.26/hr

Side-by-Side Comparison

MetricBillings, MTHelena, MT
Median Salary$237,994$221,027
Hourly Rate$114.42$106.26
Entry Level (P10)$152,437$153,883
25th Percentile$203,635$198,325
75th Percentile$295,939$276,715
Top Earner (P90)$340,092$307,910
Total Employed267
Side-by-side bar chart comparing Billings ($237,994) and Helena ($221,027) nurse anesthetist salaries.BillingsHelenaMedian Salary$237,994$221,027Entry Level (P10)$152,437$153,883Top Earner (P90)$340,092$307,910US Median $248,893

Verdict

Billings, MT offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Helena.

The salary gap between Billings and Helena is $16,967 (7.68%). Billings's median is -4.38% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $187,655,Helena spans $154,027. Billings has a wider pay range, meaning more potential for high earners but also more variation.

Billings
P10 (Entry)$152,437
P25$203,635
Median$237,994
P75$295,939
P90 (Top)$340,092
Helena
P10 (Entry)$153,883
P25$198,325
Median$221,027
P75$276,715
P90 (Top)$307,910

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($247,395 effective) pays 7.68% more than Helena ($229,758 effective).

Billings
Nominal: $237,994
CoL Index: 96.2
Adjusted: $247,395
Helena
Nominal: $221,027
CoL Index: 96.2
Adjusted: $229,758

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Billings if…

  • Higher median salary ($237,994/year)
  • Better top-earner potential ($340,092)
  • Larger job market (26 employed)
  • Better purchasing power (CoL-adjusted: $247,395)
  • You prefer the Montana area and lifestyle

Choose Helena if…

  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Billings grew 4.6% from 2024 to 2025, compared to 4.6% growth in Helena over the same period.

Billings, MT

+4.6%

$216,244 (2024) → $226,230 (2025)

Helena, MT

+4.6%

$200,829 (2024) → $210,102 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Billings or Helena?

Billings has a higher median nurse anesthetist salary at $237,994/year, compared to Helena at $221,027/year — a difference of $16,967 (7.68%).

What is the hourly rate difference between Billings and Helena?

Billings nurse anesthetists earn $114.42/hr while Helena hygienists earn $106.26/hr (2026 est.).

Should I relocate from Billings to Helena as a nurse anesthetist?

Consider more than just salary when comparing Billings and Helena. Factor in cost of living (CoL-adjusted: Billings = $247,395, Helena = $229,758), job availability (26 vs 7 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Billings vs Helena?

Entry-level (10th percentile) nurse anesthetists earn $152,437 in Billings and $153,883 in Helena. The Helena area offers higher starting salaries.
AJ

Written by Alexandra Johnson, MSN, CRNA

Career Analyst

Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.

Clinically reviewed by Michael Lee, DNP, CRNAData verified by Fatima Ahmad, MSN, CRNA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.20% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov