Sioux Falls vs Spearfish: Nurse Anesthetist Salary (2026)
Compare nurse anesthetist salaries between Sioux Falls, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sioux Falls, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $256,225▲ | $221,466 |
| Hourly Rate | $123.19▲ | $106.47 |
| Entry Level (P10) | $204,298▲ | $146,716 |
| 25th Percentile | $204,298 | $205,856▲ |
| 75th Percentile | $283,493▲ | $263,811 |
| Top Earner (P90) | $381,497▲ | $291,818 |
| Total Employed | 230▲ | 5 |
Verdict
Sioux Falls, SD offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Spearfish.
The salary gap between Sioux Falls and Spearfish is $34,759 (15.69%). Sioux Falls's median is +2.95% compared to the US national median of $248,893.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sioux Falls spans $177,199,Spearfish spans $145,102. Sioux Falls has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Sioux Falls ($282,712 effective) pays 18.46% more than Spearfish ($238,649 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Sioux Falls if…
- ✓Higher median salary ($256,225/year)
- ✓Better top-earner potential ($381,497)
- ✓Larger job market (230 employed)
- ✓Better purchasing power (CoL-adjusted: $282,712)
- ✓You prefer the South Dakota area and lifestyle
Choose Spearfish if…
- ✓You prefer the South Dakota area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Sioux Falls grew 27.9% from 2019 to 2025, compared to 8.5% growth in Spearfish over the same period.
Sioux Falls, SD
$190,460 (2019) → $243,560 (2025)
Spearfish, SD
$193,977 (2024) → $210,519 (2025)
View Full Salary Data
Sioux Falls, SD
Spearfish, SD
Frequently Asked Questions
Which city pays nurse anesthetists more: Sioux Falls or Spearfish?
What is the hourly rate difference between Sioux Falls and Spearfish?
Should I relocate from Sioux Falls to Spearfish as a nurse anesthetist?
What do entry-level nurse anesthetists earn in Sioux Falls vs Spearfish?
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.
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