Entry-Level Nurse Anesthetist Salary in Sioux Falls, SD: $204,298 (2026)
Quick Answer:New nurse anesthetists entering the Sioux Falls, SD job market in 2026 can expect a starting salary around $204,298 (BLS 10th-percentile benchmark for SOC 29-1151, projected from 2025 OEWS data). Stripping out Sioux Falls's local price level (BEA RPP 90.6 — 9% below national), a first-year paycheck buys what $225,417 would in average-cost America. Most reach the city median ($256,225) within a few years of clinical practice.
Official BLS data · View source

For new graduates entering the field of nurse anesthesia in Sioux Falls, SD, the starting pay for an entry-level nurse anesthetist position is projected to be $204,298 in 2026. This figure is significantly lower than the overall city median salary of $256,225, indicating a gap that early-career professionals should consider in their financial planning. However, there is a clear growth trajectory as one advances in their career, moving from the entry-level pay through the 25th percentile at $204,298 and eventually reaching the median salary within the first three to five years. Sioux Falls currently presents a favorable market for new graduates, not only due to its promising salary structure but also because of the strong demand for anesthesia services in various healthcare settings.
Career Earnings Timeline in Sioux Falls
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Sioux Falls
Entry-level nurse anesthetists in Sioux Falls, SD typically start between $204,298 and $204,298 per year (2026 est.). The full salary range spans $177,199 from the 10th to 90th percentile, with the local median at $256,225 — 2.95% above the national median.
Return on Investment
The average nursing program cost in South Dakota of $90,000 represents just 44.05% of the starting nurse anesthetist pay ($204,298/year) in Sioux Falls. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on COA-accredited (Council on Accreditation of Nurse Anesthesia Educational Programs) DNP/DNAP program data and AANA member tuition surveys. Tuition-only averages; actual costs vary significantly by institution type (public vs. private university) and residency status. Most programs require 1+ years ICU RN experience before admission.
CRNA Salary Negotiation Tips for New Graduates in Sioux Falls
- 1Research the Sioux Falls market: entry-level nurse anesthetist pay ranges from $204,298 to $204,298, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the nursing field — employers in SD often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Sioux Falls, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Sioux Falls for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Sioux Falls's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Nurse Anesthetist Compensation Range
The nurse anesthetist wage spread in Sioux Falls is $177,199 ( 86.74%) between entry-level and top earners. Starting at $204,298, experienced hygienists can earn up to $381,497.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$151,200
2025 BLS Actual
$194,200
2026 Current Est.
$204,298
2019–2027 Growth
+42.1%
Salary Trajectory for Nurse Anesthetists in Sioux Falls (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $151,200 | Actual |
| 2020 | $158,200 | Actual |
| 2021 | $164,860 | Actual |
| 2022 | $180,010 | Actual |
| 2023 | $183,460 | Actual |
| 2024 | $186,800 | Actual |
| 2025 | $194,200 | Actual |
| 2026(current) | $204,298 | Estimated |
| 2027 | $214,922 | Projected |
Entry-level nurse anesthetist compensation (10th percentile) in Sioux Falls, SD grew 28.4% over 7 years based on actual BLS metropolitan area surveys, rising from $151,200 in 2019 to $194,200 in 2025. By 2027, starting salaries are projected to reach $214,922. New graduates entering the Sioux Falls job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Sioux Falls metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.20% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your nursing Career in Sioux Falls
Several key employers in the Sioux Falls area are known for hiring newly minted graduates in the nurse anesthesia profession. Academic medical centers often provide the most diverse case mix, which is ideal for new grads seeking comprehensive clinical exposure. Large hospital systems may offer formal CRNA transition-to-practice programs, facilitating smoother entry into practice. For those seeking a better work-life balance, outpatient surgery centers are appealing options with fewer on-call obligations. To enhance their starting salary and job marketability in South Dakota, newly graduated CRNAs should focus on maintaining their licensure through the state board of nursing and obtaining NBCRNA certification. Continuing education can further elevate earning potential, especially for those who pursue specialized fellowships or superior degrees like DNP or DNAP. In the first three years, salary growth is realistic as CRNAs, especially in opt-out states, benefit from practice autonomy, allowing their wages to reflect their increased responsibilities and expertise.
More salary data for Sioux Falls, SD:
Frequently Asked Questions
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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
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new nursing graduates. A 5.20% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Sioux Falls. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.20%, derived from historical BLS wage trends for nurse anesthetists (SOC 29-1151).
Compiled and verified by Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov