Nurse Anesthetist Salary in Richmond, KY: $218,844 (2026)
Quick Answer:A full-time nurse anesthetist in Richmond, KY earns a median $218,844/year (≈ $105.21/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Richmond's price level (11% below national, BEA RPP 89.3), that paycheck buys what $245,066 would nationally. Nominal pay sits 1.5% below the Kentucky state average.
Based on BLS state-level estimates · View source

In Richmond, Kentucky, the projected median annual salary for nurse anesthetists in 2026 is $218,844, positioning local compensation roughly 12.07% below the national median of $248,893. The salary range for this profession varies significantly, with entry-level positions earning approximately $144,365, while the most experienced practitioners can see earnings of up to $295,461. This data, derived from 2025 BLS estimates and adjusted for regional cost considerations, reflects the structural choices within the industry—nurse anesthetists in Richmond primarily choose between W-2 employment in hospitals or 1099 arrangements in group practices. This decision profoundly impacts overall earning potential, shaping not only the compensation structures but also the work-life balance associated with different employment models in the region.
About the Richmond Market
Salary estimated from Kentucky average ($208,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $144,365 | $69.41 |
| Lower Range (P25) | $190,457 | $91.57 |
| Median (P50)(typical) | $218,844 | $105.21 |
| Upper Range (P75) | $268,251 | $128.96 |
| Top Earners (P90) | $295,461 | $142.05 |
Median Salary Position
12.07% below the national average
2026 Salary Percentile Distribution in Richmond
In Richmond, KY, the nurse anesthetist salary spread from the 10th to 90th percentile is $151,096 (2026 est.). At $218,844, the local median is 12.07% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Richmond: You'd be in the lower-middle range
How Richmond Nurse Anesthetist Pay Compares
Richmond median: $218,844/year (2026)
| Compared To | Median Salary | Richmond Pays |
|---|---|---|
| Kentucky Average | $222,177 | -1.50% less |
| National Average | $248,893 | -12.07% less |
Nurse Anesthetists in Richmond, KY earn a median of $218,844 per year (2026 est.), which is 12.07% lower than the national median of $248,893 and 1.50% below the Kentucky state average of $222,177.
Cost-of-Living Adjusted Salary
Richmond has a cost of living 10.70% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Richmond, KY has a cost-of-living index of 89.3 (below the national average of 100). A nurse anesthetist earning $218,844 nominally has purchasing power equivalent to $245,066 in an average-cost city — an effective 11.98% boost.
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2019 BLS Actual
$153,688
2025 BLS Actual
$208,027
2026 Current Est.
$218,844
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Richmond (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $153,688 | Actual |
| 2020 | $161,417 | Actual |
| 2021 | $171,994 | Actual |
| 2022 | $178,571 | Actual |
| 2023 | $186,977 | Actual |
| 2024 | $182,889 | Actual |
| 2025 | $208,027 | Actual |
| 2026(current) | $218,844 | Estimated |
| 2027 | $230,224 | Projected |
Based on 7 years of BLS OEWS data for the Richmond metropolitan area, the median nurse anesthetist salary grew 35.4% from $153,688 (2019) to $208,027 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $230,224 by 2027 — a total increase of $76,536 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Richmond 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) | $144,365 – $190,457 |
| 3-5 years (Mid Career) | $190,457 – $218,844 |
| 5+ years (Experienced) | $218,844 – $268,251 |
| 10+ years (Top Earner) | $268,251 – $295,461 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Richmond
The job market for nurse anesthetists in Richmond is relatively small, with only five professionals currently employed in the area. This limited pool, combined with the cost-of-living index at 89.3, indicates that while salaries may be lower than national averages, local purchasing power remains viable. Hospitals generally provide the most competitive wages, as they offer stable employment and comprehensive benefits typical of W-2 positions. In contrast, 1099 contracts from ambulatory surgery centers and CRNA-owned practices may provide variable income influenced by factors like call coverage expectations and partnership opportunities. Nurse anesthetists can maximize their pay by seeking positions that provide patient volume incentives, engaging in weekend or holiday work, and considering the tax implications of different compensation structures. Understanding the dynamics of pay distribution in Richmond's healthcare facilities can lead to more strategic career choices and improved financial outcomes.
More salary data for Richmond, KY:
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 $208,027 for nurse anesthetistsin the Richmond 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 Richmond 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