Nurse Anesthetist Salary in Middletown, DE: $210,922 (2026)
Quick Answer:A full-time nurse anesthetist in Middletown, DE earns a median $210,922/year (≈ $101.40/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Middletown's price level (2% above national, BEA RPP 101.7), that paycheck buys what $207,396 would nationally. Nominal pay sits 7.6% below the Delaware state average.
Based on BLS state-level estimates · View source
In 2026, nurse anesthetists in Middletown, Delaware, can expect a median annual salary of $210,922, which is significantly lower than the projected national median of $248,893. The salary range for this profession locally varies considerably, with entry-level positions starting around $144,354 and extending to $283,032 for those at the top of the pay scale. These estimates are grounded in data from the Bureau of Labor Statistics (BLS) from 2025, adjusted for local economic factors. The wide disparity in compensation reflects the unique employment landscape in Middletown, where factors like on-call coverage, work-life balance, and the type of facility can significantly affect earnings potential.
About the Middletown Market
Salary estimated from Delaware average ($218,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $144,354 | $69.40 |
| Lower Range (P25) | $186,364 | $89.60 |
| Median (P50)(typical) | $210,922 | $101.40 |
| Upper Range (P75) | $254,411 | $122.32 |
| Top Earners (P90) | $283,032 | $136.08 |
Median Salary Position
15.26% below the national average
2026 Salary Percentile Distribution in Middletown
In Middletown, DE, the nurse anesthetist salary spread from the 10th to 90th percentile is $138,678 (2026 est.). At $210,922, the local median is 15.26% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Middletown: You'd be in the lower-middle range
How Middletown Nurse Anesthetist Pay Compares
Middletown median: $210,922/year (2026)
| Compared To | Median Salary | Middletown Pays |
|---|---|---|
| Delaware Average | $228,270 | -7.60% less |
| National Average | $248,893 | -15.26% less |
Nurse Anesthetists in Middletown, DE earn a median of $210,922 per year (2026 est.), which is 15.26% lower than the national median of $248,893 and 7.60% below the Delaware state average of $228,270.
Cost-of-Living Adjusted Salary
Middletown has a cost of living 1.70% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Middletown, DE has a cost-of-living index of 101.7 (above the national average of 100). While the nominal salary of $210,922 is competitive, the higher cost of living reduces purchasing power to an effective $207,396 — a 1.67% reduction.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2019 BLS Actual
$148,124
2025 BLS Actual
$200,496
2026 Current Est.
$210,922
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Middletown (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $148,124 | Actual |
| 2020 | $155,573 | Actual |
| 2021 | $165,768 | Actual |
| 2022 | $172,107 | Actual |
| 2023 | $180,208 | Actual |
| 2024 | $204,844 | Actual |
| 2025 | $200,496 | Actual |
| 2026(current) | $210,922 | Estimated |
| 2027 | $221,890 | Projected |
Based on 7 years of BLS OEWS data for the Middletown metropolitan area, the median nurse anesthetist salary grew 35.4% from $148,124 (2019) to $200,496 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $221,890 by 2027 — a total increase of $73,766 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Middletown 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) | $144,354 – $186,364 |
| 3-5 years (Mid Career) | $186,364 – $210,922 |
| 5+ years (Experienced) | $210,922 – $254,411 |
| 10+ years (Top Earner) | $254,411 – $283,032 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Middletown
Currently, there are six nurse anesthetists employed in Middletown, highlighting a relatively limited but focused job market for this specialty. The area's cost of living index stands at 101.7, which indicates a moderately higher cost of living compared to the national average and suggests it might stretch take-home pay for local practitioners. Typically, hospital systems offer the most stable employment for nurse anesthetists, yet those who choose to work in ambulatory surgery centers or seek opportunities with CRNA-owned practices might see varied pay structures, particularly with regards to call rotations and holiday differentials. The disparities in earnings can also arise from productivity bonuses and shifts in tax structures between W-2 and 1099 roles, where self-employed individuals may earn significantly more while managing their expenses. Therefore, for a career in nurse anesthetist pay in Middletown, DE, those seeking higher compensation should consider group practice partnerships or roles that involve less call burden to optimize their earnings.
More salary data for Middletown, DE:
Frequently Asked Questions
How much do nurse anesthetists make in Middletown, DE in 2026?
Is Middletown, DE a good place to work as a nurse anesthetist?
Can nurse anesthetists make $100K in Middletown?
What is the cost-of-living adjusted nurse anesthetist salary in Middletown?
How much does a nurse anesthetist make per hour in Middletown?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Delaware
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 $200,496 for nurse anesthetistsin the Middletown 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 Middletown 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