Nurse Anesthetist Hourly Pay in San Antonio, TX: $141.32 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in San Antonio, TX runs $141.32 at the median for 2026 — annualizing to $293,939 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against San Antonio's regional price level (BEA RPP 94.7, 5% below national), each hour of work buys what $149.20 nationally would. A 24-hour part-time schedule grosses $176,361 per year.
Official BLS data · View source

In 2026, the median nurse anesthetist hourly pay in San Antonio, Texas, is projected at $141.32, showing a notable increase when compared to the national median hourly rate of $119.66. This premium reflects not only the local job market demand but also the cost of living in the area, which is slightly below the national average. Nurse anesthetists in San Antonio typically find employment in various settings, including main operating rooms, ambulatory surgery centers, and even military facilities. Entry-level positions in this field may start around $83.10 per hour, while top earners can see hourly rates soar to $158.03. For those considering part-time work or seeking per diem positions, this hourly structure affords flexibility, allowing nurse anesthetists to tailor their workweeks around personal commitments while still earning substantial hourly compensation.
Nurse Anesthetist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $83.10 | $664.78 |
| Lower Range (P25) | $104.54 | $836.30 |
| Median (P50) | $141.32 | $1130.52 |
| Upper Range (P75) | $152.37 | $1218.97 |
| Top Earners (P90) | $158.03 | $1264.25 |
Estimated Annual Income by Work Schedule in San Antonio
Based on $141.32/hr median hourly rate · 2026 est.
At $141.32/hr, a nurse anesthetist working full-time (40 hr/wk) in San Antonio, TX can expect to earn approximately $293,936 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $169,578. With a cost-of-living index of 94.72 (below the national average), these earnings stretch further in San Antonio.
Hourly Rate Calculator
Schedule Comparison in San Antonio
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $5,652.61 | $24,495 | $293,936 |
| Part-Time (24 hrs) | $3,391.56 | $14,697 | $176,361 |
| Per Diem (16 hrs) | $2,261.04 | $9,798 | $117,574 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (San Antonio) | $141.32 |
| 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 Antonio, TX earn a median of $293,939 per year (2026 est.), which is 18.10% higher than the national median of $248,893 and 20.50% above the Texas state average of $243,933.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $141.32/hr = $176,361/year (purchasing power: $186,200).
Working 40h/week (full-time) = $293,936/year (purchasing power: $310,334).
CoL index: 94.716 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$99.24/hr
2025 BLS Actual
$134.33/hr
2026 Current Est.
$141.32/hr
2019–2027 Growth
+49.8%
Hourly Rate Trajectory for Nurse Anesthetists in San Antonio (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $99.24/hr | Actual |
| 2020 | $104.23/hr | Actual |
| 2021 | $111.06/hr | Actual |
| 2022 | $106.62/hr | Actual |
| 2023 | $102.98/hr | Actual |
| 2024 | $109.61/hr | Actual |
| 2025 | $134.33/hr | Actual |
| 2026(current) | $141.32/hr | Estimated |
| 2027 | $148.66/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in San Antonio grew 35.4% from $99.24/hr (2019) to $134.33/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $148.66/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 Antonio 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 Antonio
Diving deeper into the financial aspects, a nurse anesthetist working three days a week would have a different earning scenario than their full-time counterparts, potentially generating an annual income that still reflects the robust pay structure associated with this profession. Per diem nurse anesthetists in San Antonio often capitalize on lucrative opportunities where they can command higher rates, particularly when working through locum tenens agencies that might have pay rates ranging from $200 to $350 per hour, especially in premium markets. Different employer types also influence hourly compensation; for instance, those employed by large hospital systems as W-2 employees might enjoy competitive benefits, while independent practitioners or those with agency roles often might opt for higher hourly pay without the associated benefits. Negotiating for the best pay involves understanding the trade-offs between commonly provided health insurance and the flexibility of higher per-hour rates without additional employee benefits, a critical consideration for CRNAs in Texas who may also consider various practice models, including CRNA-owned anesthesia groups.
More salary data for San Antonio, TX:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in San Antonio in 2026?
How much do part-time nurse anesthetists make in San Antonio?
Are nurse anesthetists in San Antonio paid hourly or salary?
How much does a full-time nurse anesthetist make per year in San Antonio?
Do nurse anesthetists earn more per hour working part-time in San Antonio?
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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 Antonio. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 4-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