Nurse Anesthetists (CRNA) Salary

Council Bluffs vs Des Moines: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between Council Bluffs, IA and Des Moines, IA. All figures are 2026 estimates projected from BLS 2025 data.

Council Bluffs, IA
$217,286
$104.46/hr
Des Moines, IA
$250,029
$120.20/hr

Side-by-Side Comparison

MetricCouncil Bluffs, IADes Moines, IA
Median Salary$217,286$250,029
Hourly Rate$104.46$120.20
Entry Level (P10)$142,652$237,500
25th Percentile$188,955$237,500
75th Percentile$273,139$295,728
Top Earner (P90)$306,950$337,724
Total Employed1280
Side-by-side bar chart comparing Council Bluffs ($217,286) and Des Moines ($250,029) nurse anesthetist salaries.Council BluffsDes MoinesMedian Salary$217,286$250,029Entry Level (P10)$142,652$237,500Top Earner (P90)$306,950$337,724US Median $248,893

Verdict

Des Moines, IA offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Council Bluffs.

The salary gap between Council Bluffs and Des Moines is $32,743 (15.07%). Des Moines's median is +0.46% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Council Bluffs spans $164,298,Des Moines spans $100,224. Council Bluffs has a wider pay range, meaning more potential for high earners but also more variation.

Council Bluffs
P10 (Entry)$142,652
P25$188,955
Median$217,286
P75$273,139
P90 (Top)$306,950
Des Moines
P10 (Entry)$237,500
P25$237,500
Median$250,029
P75$295,728
P90 (Top)$337,724

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($272,657 effective) pays 13.44% more than Council Bluffs ($240,361 effective).

Council Bluffs
Nominal: $217,286
CoL Index: 90.4
Adjusted: $240,361
Des Moines
Nominal: $250,029
CoL Index: 91.701
Adjusted: $272,657

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

Which City Is Right for You?

Choose Council Bluffs if…

  • You prefer the Iowa area and lifestyle

Choose Des Moines if…

  • Higher median salary ($250,029/year)
  • Better top-earner potential ($337,724)
  • Larger job market (80 employed)
  • Better purchasing power (CoL-adjusted: $272,657)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Council Bluffs grew 9.5% from 2024 to 2025, compared to 25.0% growth in Des Moines over the same period.

Council Bluffs, IA

+9.5%

$188,571 (2024) → $206,546 (2025)

Des Moines, IA

+25.0%

$190,210 (2019) → $237,670 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Council Bluffs or Des Moines?

Des Moines has a higher median nurse anesthetist salary at $250,029/year, compared to Council Bluffs at $217,286/year — a difference of $32,743 (15.07%).

What is the hourly rate difference between Council Bluffs and Des Moines?

Council Bluffs nurse anesthetists earn $104.46/hr while Des Moines hygienists earn $120.20/hr (2026 est.).

Should I relocate from Council Bluffs to Des Moines as a nurse anesthetist?

Consider more than just salary when comparing Council Bluffs and Des Moines. Factor in cost of living (CoL-adjusted: Council Bluffs = $240,361, Des Moines = $272,657), job availability (12 vs 80 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Council Bluffs vs Des Moines?

Entry-level (10th percentile) nurse anesthetists earn $142,652 in Council Bluffs and $237,500 in Des Moines. The Des Moines 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