Nurse Anesthetist Hourly Pay in Billings, MT: $114.42 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in Billings, MT runs $114.42 at the median for 2026 — annualizing to $237,994 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against Billings's regional price level (BEA RPP 96.2, 4% below national), each hour of work buys what $118.94 nationally would. A 24-hour part-time schedule grosses $142,791 per year.
Based on BLS state-level estimates · View source

In Billings, Montana, the nurse anesthetist hourly pay is projected to be $114.42 in 2026. This rate is slightly lower than the national median of $119.66, indicating a minor regional adjustment for local cost of living and demand. For those working part-time, such as three days per week, this translates into a considerable income that is appealing for CRNAs seeking a work-life balance. Typically employed in main operating rooms, ambulatory surgery centers, and various specialized clinics, the hourly pay for nurse anesthetists ranges dramatically—from an estimated entry-level rate of $73.28 to as high as $163.50 for seasoned professionals. These figures, derived from annual salary estimates, reflect the diverse roles nurse anesthetists undertake, including positions within military and VA facilities, highlighting the flexibility and earning potential in this field.
About the Billings Market
Salary estimated from Montana average ($218,000) adjusted for local cost of living.
Nurse Anesthetist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $73.28 | $586.26 |
| Lower Range (P25) | $97.90 | $783.19 |
| Median (P50) | $114.42 | $915.32 |
| Upper Range (P75) | $142.28 | $1138.26 |
| Top Earners (P90) | $163.50 | $1308.01 |
Estimated Annual Income by Work Schedule in Billings
Based on $114.42/hr median hourly rate · 2026 est.
At $114.42/hr, a nurse anesthetist working full-time (40 hr/wk) in Billings, MT can expect to earn approximately $237,984 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $137,299. With a cost-of-living index of 96.20 (below the national average), these earnings stretch further in Billings.
Hourly Rate Calculator
Schedule Comparison in Billings
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $4,576.62 | $19,832 | $237,984 |
| Part-Time (24 hrs) | $2,745.97 | $11,899 | $142,791 |
| Per Diem (16 hrs) | $1,830.65 | $7,933 | $95,194 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (Billings) | $114.42 |
| 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 Billings, MT earn a median of $237,994 per year (2026 est.), which is 4.38% lower than the national median of $248,893 and 3.10% above the Montana state average of $230,838.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $114.42/hr = $142,791/year (purchasing power: $148,431).
Working 40h/week (full-time) = $237,984/year (purchasing power: $247,385).
CoL index: 96.2 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$80.35/hr
2025 BLS Actual
$108.76/hr
2026 Current Est.
$114.42/hr
2019–2027 Growth
+49.8%
Hourly Rate Trajectory for Nurse Anesthetists in Billings (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $80.35/hr | Actual |
| 2020 | $84.39/hr | Actual |
| 2021 | $89.92/hr | Actual |
| 2022 | $93.36/hr | Actual |
| 2023 | $97.75/hr | Actual |
| 2024 | $103.96/hr | Actual |
| 2025 | $108.76/hr | Actual |
| 2026(current) | $114.42/hr | Estimated |
| 2027 | $120.37/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in Billings grew 35.4% from $80.35/hr (2019) to $108.76/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $120.37/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 Billings 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 Billings
In terms of part-time and per diem arrangements, a nurse anesthetist who opts for a schedule of three days a week (approximately 24 hours) can earn a substantial income without the demands of full-time commitment. At the projected hourly rate, this could result in an annual income significantly lower than a full-time counterpart, but still competitive within the local market. For per diem nurse anesthetist pay in Billings, opportunities abound, especially with locum tenens roles where CRNAs often command hourly rates ranging from $200 to $350, in certain markets significantly higher than the local average. Variations in pay can also be seen across different employment types; nurse anesthetists working in hospital systems typically have W-2 employment, while those in ambulatory surgery centers may work as 1099 contractors. Some choose to accept lower rates in exchange for benefits like health insurance, while others prioritize higher pay available through agency positions, which often include coverage for travel and lodging. Practical negotiation strategies for local CRNAs involve emphasizing unique skills and procedural specialties that align with facility needs, ensuring they can secure favorable arrangements regardless of the hourly structure.
More salary data for Billings, MT:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in Billings in 2026?
How much do part-time nurse anesthetists make in Billings?
Are nurse anesthetists in Billings paid hourly or salary?
How much does a full-time nurse anesthetist make per year in Billings?
Do nurse anesthetists earn more per hour working part-time in Billings?
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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 Billings. 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 Billings 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