Nurse Anesthetists (CRNA) Salary

San Francisco vs San Rafael: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between San Francisco, CA and San Rafael, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$306,024
$147.12/hr
San Rafael, CA
$285,604
$137.31/hr

Side-by-Side Comparison

MetricSan Francisco, CASan Rafael, CA
Median Salary$306,024$285,604
Hourly Rate$147.12$137.31
Entry Level (P10)$183,733$188,089
25th Percentile$252,943$248,146
75th Percentile$391,710$352,657
Top Earner (P90)$473,097$402,180
Total Employed14211
Side-by-side bar chart comparing San Francisco ($306,024) and San Rafael ($285,604) nurse anesthetist salaries.San FranciscoSan RafaelMedian Salary$306,024$285,604Entry Level (P10)$183,733$188,089Top Earner (P90)$473,097$402,180US Median $248,893

Verdict

San Francisco, CA offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to San Rafael.

The salary gap between San Francisco and San Rafael is $20,420 (7.15%). San Francisco's median is +22.95% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $289,364,San Rafael spans $214,091. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$183,733
P25$252,943
Median$306,024
P75$391,710
P90 (Top)$473,097
San Rafael
P10 (Entry)$188,089
P25$248,146
Median$285,604
P75$352,657
P90 (Top)$402,180

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($270,578 effective) pays 7.15% more than San Rafael ($252,523 effective).

San Francisco
Nominal: $306,024
CoL Index: 113.1
Adjusted: $270,578
San Rafael
Nominal: $285,604
CoL Index: 113.1
Adjusted: $252,523

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

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($306,024/year)
  • Better top-earner potential ($473,097)
  • Larger job market (142 employed)
  • Better purchasing power (CoL-adjusted: $270,578)
  • You prefer the California area and lifestyle

Choose San Rafael if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in San Francisco grew 23.7% from 2022 to 2025, compared to -9.0% growth in San Rafael over the same period.

San Francisco, CA

+23.7%

$235,120 (2022) → $290,897 (2025)

San Rafael, CA

+-9.0%

$298,351 (2024) → $271,487 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: San Francisco or San Rafael?

San Francisco has a higher median nurse anesthetist salary at $306,024/year, compared to San Rafael at $285,604/year — a difference of $20,420 (7.15%).

What is the hourly rate difference between San Francisco and San Rafael?

San Francisco nurse anesthetists earn $147.12/hr while San Rafael hygienists earn $137.31/hr (2026 est.).

Should I relocate from San Francisco to San Rafael as a nurse anesthetist?

Consider more than just salary when comparing San Francisco and San Rafael. Factor in cost of living (CoL-adjusted: San Francisco = $270,578, San Rafael = $252,523), job availability (142 vs 11 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in San Francisco vs San Rafael?

Entry-level (10th percentile) nurse anesthetists earn $183,733 in San Francisco and $188,089 in San Rafael. The San Rafael area offers higher starting salaries.

Related Comparisons

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