Nurse Anesthetist Salary in Sacramento, CA: $300,065 (2026)
Quick Answer:A full-time nurse anesthetist in Sacramento, CA earns a median $300,065/year (≈ $144.26/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Sacramento's price level (13% above national, BEA RPP 113.1), that paycheck buys what $265,309 would nationally. Nominal pay sits 6.6% above the California state average.
Based on BLS state-level estimates · View source
In Sacramento, California, the projected nurse anesthetist salary in 2026 is expected to reach $300,065, a notable figure that surpasses the national median of $248,893 by 20.56%. This local pay scale exhibits a range from $194,055 at the 10th percentile to $452,341 at the 90th percentile, indicating a healthy variability in compensation among these professionals. These estimates, derived from 2025 BLS Occupational Employment Statistics data and adjusted for regional price parities, reflect the city's unique cost-of-living context and the demand for skilled anesthesia providers. With the shift in regulatory frameworks, Sacramento presents opportunities for CRNAs, particularly in hospital systems and independent practices, which can bolster earning potential.
About the Sacramento Market
Salary estimated from California average ($260,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $194,055 | $93.29 |
| Lower Range (P25) | $252,291 | $121.30 |
| Median (P50)(typical) | $300,065 | $144.26 |
| Upper Range (P75) | $384,032 | $184.63 |
| Top Earners (P90) | $452,341 | $217.47 |
Median Salary Position
20.56% above the national average
2026 Salary Percentile Distribution in Sacramento
In Sacramento, CA, the nurse anesthetist salary spread from the 10th to 90th percentile is $258,286 (2026 est.). At $300,065, the local median is 20.56% above the national median of $248,893.
Salary Calculator
At 40 hours/week in Sacramento: You'd be in the lower-middle range
How Sacramento Nurse Anesthetist Pay Compares
Sacramento median: $300,065/year (2026)
| Compared To | Median Salary | Sacramento Pays |
|---|---|---|
| California Average | $281,487 | +6.60% more |
| National Average | $248,893 | +20.56% more |
Nurse Anesthetists in Sacramento, CA earn a median of $300,065 per year (2026 est.), which is 20.56% higher than the national median of $248,893 and 6.60% above the California state average of $281,487.
Cost-of-Living Adjusted Salary
Sacramento has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Sacramento, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $300,065 is competitive, the higher cost of living reduces purchasing power to an effective $265,309 — a 11.58% reduction.
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2019 BLS Actual
$210,727
2025 BLS Actual
$285,233
2026 Current Est.
$300,065
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Sacramento (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $210,727 | Actual |
| 2020 | $221,324 | Actual |
| 2021 | $235,827 | Actual |
| 2022 | $244,845 | Actual |
| 2023 | $256,371 | Actual |
| 2024 | $313,456 | Actual |
| 2025 | $285,233 | Actual |
| 2026(current) | $300,065 | Estimated |
| 2027 | $315,669 | Projected |
Based on 7 years of BLS OEWS data for the Sacramento metropolitan area, the median nurse anesthetist salary grew 35.4% from $210,727 (2019) to $285,233 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $315,669 by 2027 — a total increase of $104,942 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Sacramento 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $194,055 – $252,291 |
| 3-5 years (Mid Career) | $252,291 – $300,065 |
| 5+ years (Experienced) | $300,065 – $384,032 |
| 10+ years (Top Earner) | $384,032 – $452,341 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Sacramento
The job market for nurse anesthetists in Sacramento is robust, with around 94 professionals currently employed in the area. However, the realities of the cost of living—including a cost-of-living index at 113.1—significantly impact take-home pay and purchasing power. Employers such as hospital systems and CRNA-owned anesthesia groups typically offer the highest salaries, with economic factors like call coverage rotations and performance-based bonuses contributing to the pay spectrum. Differences in payment structures between W-2 positions and 1099 contracts further illustrate this economic landscape, as 1099 roles may offer greater flexibility and potential earnings but come with tax implications. For those looking to maximize their earnings in Sacramento, strategies may include seeking partnership opportunities in group practices, negotiating for higher compensation based on experience, or considering roles with differential pay for weekends and holidays.
More salary data for Sacramento, CA:
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
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 BLS reported a median annual salary of $285,233 for nurse anesthetistsin the Sacramento metropolitan area. A 5.20% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Sacramento 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