Nurse Anesthetist Salary in Hawaii: $226,392 (2026)
Quick Answer:Across Hawaii's 9 metropolitan areas, the average median nurse anesthetist pay sits at $226,392/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1151. Because Hawaii sits at BEA RPP 119.3 (19% above the U.S. baseline), that statewide median translates to roughly $189,767 in nationally-comparable purchasing power. Highest-paying metros: Honolulu ($223,668), Kaneohe ($208,877), Mililani Town ($208,502).
In Hawaii, the average median salary for nurse anesthetists in 2026 is projected to be $226,393, which is approximately 9.0% lower than the national median of $248,893. The highest salaries are found in Honolulu, where the average is $235,299, compared to Hilo, which has the lowest at $209,837, creating a salary gap of $25,462. This difference is primarily driven by variations in the cost of living, demand for healthcare services, and the availability of healthcare facilities across the islands. In terms of state-specific factors, Hawaii requires nurse anesthetists to hold a valid advanced practice registered nurse (APRN) license and adhere to state laws governing the scope of practice. The demand for nurse anesthetists is projected to grow at an annual rate of 5.20% due to an increasing population and the expansion of surgical services within the state. Currently, there are 125 employed nurse anesthetists in Hawaii, indicating a stable job market. Major urban areas such as Kaneohe ($219,739), Mililani Town ($219,344), Kailua ($219,207), and East Honolulu ($216,770) also offer competitive salaries, contributing to a varied employment landscape in the state.
Hawaii Nurse Anesthetist Salary Range
Overall salary range in Hawaii: $136,455 (lowest entry-level) to $343,046 (highest top earner)
Hawaii vs National Average
Hawaii nurse anesthetists earn 9.04% less than the national median ($-22,501/year difference).
Hawaii Nurse Anesthetist Salary Distribution (2026)
Nurse Anesthetist salaries in Hawaii range from $143,521 (entry-level, 10th percentile) to $325,276 (top earners, 90th percentile), with a median of $226,392. The Hawaii median is $22,501 below the US national median of $248,893. The average hourly rate is $108.84/hr. Approximately 125 nurse anesthetists are employed across 9 cities.
2019 BLS Actual
$193,280
2025 BLS Actual
$215,202
2026 Current Est.
$226,392
2019–2027 Growth
+23.2%
Salary Trajectory for Nurse Anesthetists in Hawaii (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $193,280 | Actual |
| 2020 | $197,180 | Actual |
| 2021 | $177,927 | Actual |
| 2022 | $184,730 | Actual |
| 2023 | $193,426 | Actual |
| 2024 | $256,491 | Actual |
| 2025 | $215,202 | Actual |
| 2026(current) | $226,392 | Estimated |
| 2027 | $238,165 | Projected |
Based on 7 years of BLS OEWS data for the Hawaii metropolitan area, the median nurse anesthetist salary grew 11.3% from $193,280 (2019) to $215,202 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $238,165 by 2027 — a total increase of $44,885 (23.22%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Hawaii 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.
Top 5 Highest Paying Cities in Hawaii
Lowest Paying Cities in Hawaii
| City | Median Salary |
|---|---|
| Hilo | $209,837 |
| Kahului | $210,163 |
| Pearl City | $214,625 |
| Waipahu | $216,685 |
| East Honolulu | $216,770 |
Best Value Cities for Nurse Anesthetists in Hawaii
When adjusted for local cost of living, these Hawaii cities offer the most purchasing power for nurse anesthetists.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Honolulu | $235,299 | 119.3 | $197,233 |
| Kaneohe | $219,739 | 119.3 | $184,190 |
| Mililani Town | $219,344 | 119.3 | $183,859 |
| Kailua | $219,207 | 119.3 | $183,744 |
| East Honolulu | $216,770 | 119.3 | $181,702 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in Hawaii
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $143,521 |
| Mid Career (3-7 years) | $226,392 |
| Experienced (7+ years) | $325,276 |
Estimates based on BLS percentile data averaged across Hawaii metro areas. Individual pay varies by employer, certifications, and specialization.
All 9 Cities in Hawaii
| # | City | Median Salary |
|---|---|---|
| 1 | Honolulu | $235,299 |
| 2 | Kaneohe | $219,739 |
| 3 | Mililani Town | $219,344 |
| 4 | Kailua | $219,207 |
| 5 | East Honolulu | $216,770 |
| 6 | Waipahu | $216,685 |
| 7 | Pearl City | $214,625 |
| 8 | Kahului | $210,163 |
| 9 | Hilo | $209,837 |
More Hawaii Salary Data
Hourly Rates
Explore nurse anesthetist hourly pay in Hawaii cities.
Senior / Experienced
Top earner salaries for experienced nurse anesthetists.
Explore More Nurse Anesthetist Salary Data
Frequently Asked Questions
How much do nurse anesthetists make in Hawaii in 2026?
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How does Hawaii nurse anesthetist pay compare to the national average?
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How many nurse anesthetists are employed in Hawaii?
Which Hawaii city offers the best value for nurse anesthetists?
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
Statewide 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. A 5.20% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to each metro area's reported salary to estimate current 2026 nurse anesthetist compensation across Hawaii. State averages are employment-weighted across 9 metro areas — larger metro areas with more nurse anesthetistscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.
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