Nurse Anesthetist Hourly Pay in San Mateo, CA: $136.77 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in San Mateo, CA runs $136.77 at the median for 2026 — annualizing to $284,483 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against San Mateo's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $120.93 nationally would. A 24-hour part-time schedule grosses $170,690 per year.
Based on BLS state-level estimates · View source

In San Mateo, California, the nurse anesthetist hourly pay is projected to be $136.77 in 2026, which significantly surpasses the national median hourly rate of $119.66. This competitive hourly compensation allows nurse anesthetists in the region to thrive, particularly in settings such as main operating rooms, ambulatory surgery centers, obstetric suites, and other specialty clinics. For those working part-time at three days a week, the flexible schedule can yield substantial earnings, especially for per-diem practitioners who can expect to earn within the broader hourly range of $83.11 to $203.72. These figures reflect both entry-level and top-level salaries, indicative of the evolving landscape of nurse anesthesia practice in CA, where varied experiences and employment types can influence earning potential.
About the San Mateo Market
Salary estimated from California average ($260,000) adjusted for local cost of living.
Nurse Anesthetist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $83.11 | $664.86 |
| Lower Range (P25) | $121.85 | $974.83 |
| Median (P50) | $136.77 | $1094.16 |
| Upper Range (P75) | $169.62 | $1357.00 |
| Top Earners (P90) | $203.72 | $1629.76 |
Estimated Annual Income by Work Schedule in San Mateo
Based on $136.77/hr median hourly rate · 2026 est.
At $136.77/hr, a nurse anesthetist working full-time (40 hr/wk) in San Mateo, CA can expect to earn approximately $284,483 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $164,125. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in San Mateo.
Hourly Rate Calculator
Schedule Comparison in San Mateo
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $5,470.82 | $23,707 | $284,483 |
| Part-Time (24 hrs) | $3,282.49 | $14,224 | $170,690 |
| Per Diem (16 hrs) | $2,188.33 | $9,483 | $113,793 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (San Mateo) | $136.77 |
| Nurse Practitioner (National Avg) | $60.12 |
| Physician Assistant (National Avg) | $60.58 |
| Nurse Midwife (National Avg) | $63.01 |
| Anesthesiologist (National Avg) | $174.04 |
Nurse Anesthetists in San Mateo, CA earn a median of $284,483 per year (2026 est.), which is 14.30% higher than the national median of $248,893 and 1.10% above the California state average of $281,388.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $136.77/hr = $170,690/year (purchasing power: $150,919).
Working 40h/week (full-time) = $284,483/year (purchasing power: $251,532).
CoL index: 113.1 (100 = national average).
2019 BLS Actual
$96.05/hr
2025 BLS Actual
$130.01/hr
2026 Current Est.
$136.77/hr
2019–2027 Growth
+49.8%
Hourly Rate Trajectory for Nurse Anesthetists in San Mateo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $96.05/hr | Actual |
| 2020 | $100.88/hr | Actual |
| 2021 | $107.49/hr | Actual |
| 2022 | $111.60/hr | Actual |
| 2023 | $116.85/hr | Actual |
| 2024 | $142.87/hr | Actual |
| 2025 | $130.01/hr | Actual |
| 2026(current) | $136.77/hr | Estimated |
| 2027 | $143.88/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in San Mateo grew 35.4% from $96.05/hr (2019) to $130.01/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $143.88/hr by 2027. Part-time and per-diem nurse anesthetists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the San Mateo 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.
Working as an Hourly Nurse Anesthetist in San Mateo
Focusing on the part-time potential for nurse anesthetists, those working 24 hours a week can still generate an annual income that is appealing compared to full-time positions. The per diem nurse anesthetist pay in San Mateo often exceeds that of standard salaries for full-time employees and could range from $200 to $350 per hour for locum tenens assignments. Moreover, these flexible roles allow practitioners to command premium rates and negotiate terms that include travel and lodging expenses. However, the rate of pay varies significantly by employer type; for example, hospital systems typically offer W-2 positions with benefits, whereas CRNA-owned practices may present lower hourly rates in exchange for profit-sharing opportunities. Nurse anesthetists must carefully consider the balance between the security of benefits and the lure of higher pay without insurance. Negotiation tactics should center on not just the hourly rate but also the packages offered, factoring in the overall value each employer presents in San Mateo’s market.
More salary data for San Mateo, CA:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in San Mateo in 2026?
How much do part-time nurse anesthetists make in San Mateo?
Are nurse anesthetists in San Mateo paid hourly or salary?
How much does a full-time nurse anesthetist make per year in San Mateo?
Do nurse anesthetists earn more per hour working part-time in San Mateo?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.20% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse anesthetists in San Mateo. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for San Mateo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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