Nurse Anesthetists (CRNA) Salary

Billings vs Missoula: Nurse Anesthetist Salary (2026)

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

Billings, MT
$237,994
$114.42/hr
Missoula, MT
$225,713
$108.51/hr

Side-by-Side Comparison

MetricBillings, MTMissoula, MT
Median Salary$237,994$225,713
Hourly Rate$114.42$108.51
Entry Level (P10)$152,437$153,558
25th Percentile$203,635$199,620
75th Percentile$295,939$282,129
Top Earner (P90)$340,092$324,416
Total Employed2616
Side-by-side bar chart comparing Billings ($237,994) and Missoula ($225,713) nurse anesthetist salaries.BillingsMissoulaMedian Salary$237,994$225,713Entry Level (P10)$152,437$153,558Top Earner (P90)$340,092$324,416US Median $248,893

Verdict

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

The salary gap between Billings and Missoula is $12,281 (5.44%). 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,Missoula spans $170,858. 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
Missoula
P10 (Entry)$153,558
P25$199,620
Median$225,713
P75$282,129
P90 (Top)$324,416

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($247,395 effective) pays 5.44% more than Missoula ($234,629 effective).

Billings
Nominal: $237,994
CoL Index: 96.2
Adjusted: $247,395
Missoula
Nominal: $225,713
CoL Index: 96.2
Adjusted: $234,629

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 Missoula 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 Missoula over the same period.

Billings, MT

+4.6%

$216,244 (2024) → $226,230 (2025)

Missoula, MT

+4.6%

$205,086 (2024) → $214,556 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Billings or Missoula?

Billings has a higher median nurse anesthetist salary at $237,994/year, compared to Missoula at $225,713/year — a difference of $12,281 (5.44%).

What is the hourly rate difference between Billings and Missoula?

Billings nurse anesthetists earn $114.42/hr while Missoula hygienists earn $108.51/hr (2026 est.).

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

Consider more than just salary when comparing Billings and Missoula. Factor in cost of living (CoL-adjusted: Billings = $247,395, Missoula = $234,629), job availability (26 vs 16 employed), commute, and career growth potential.

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

Entry-level (10th percentile) nurse anesthetists earn $152,437 in Billings and $153,558 in Missoula. The Missoula 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