Nurse Anesthetist Salary in Gaithersburg, MD: $274,027 (2026)
Quick Answer:A full-time nurse anesthetist in Gaithersburg, MD earns a median $274,027/year (≈ $131.74/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Gaithersburg's price level (9% above national, BEA RPP 109.3), that paycheck buys what $250,711 would nationally. Nominal pay sits 0.7% above the Maryland state average.
Based on BLS state-level estimates · View source
In 2026, the compensation landscape for nurse anesthetists in Gaithersburg, Maryland, projects a median annual salary of $274,027, significantly exceeding the national figure of $248,893. This lucrative pay scale features a wide range, with the lowest 10% earning around $177,519 and the top 10% reaching approximately $382,019. These numbers, derived from BLS state-level data and adjusted for regional cost-of-living factors, reflect the nuances of the Gaithersburg job market. Particularly, the choice between W-2 hospital employment and 1099 arrangements with group practices can greatly influence total compensation and benefits, making it essential for nurse anesthetists in this area to carefully consider their employment options.
About the Gaithersburg Market
Salary estimated from Maryland average ($225,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $177,519 | $85.35 |
| Lower Range (P25) | $235,667 | $113.30 |
| Median (P50)(typical) | $274,027 | $131.74 |
| Upper Range (P75) | $342,256 | $164.54 |
| Top Earners (P90) | $382,019 | $183.66 |
Median Salary Position
10.10% above the national average
2026 Salary Percentile Distribution in Gaithersburg
In Gaithersburg, MD, the nurse anesthetist salary spread from the 10th to 90th percentile is $204,500 (2026 est.). At $274,027, the local median is 10.1% above the national median of $248,893.
Salary Calculator
At 40 hours/week in Gaithersburg: You'd be in the lower-middle range
How Gaithersburg Nurse Anesthetist Pay Compares
Gaithersburg median: $274,027/year (2026)
| Compared To | Median Salary | Gaithersburg Pays |
|---|---|---|
| Maryland Average | $272,122 | +0.70% more |
| National Average | $248,893 | +10.10% more |
Nurse Anesthetists in Gaithersburg, MD earn a median of $274,027 per year (2026 est.), which is 10.10% higher than the national median of $248,893 and 0.70% above the Maryland state average of $272,122.
Cost-of-Living Adjusted Salary
Gaithersburg has a cost of living 9.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Gaithersburg, MD has a cost-of-living index of 109.3 (above the national average of 100). While the nominal salary of $274,027 is competitive, the higher cost of living reduces purchasing power to an effective $250,711 — a 8.51% reduction.
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2019 BLS Actual
$192,441
2025 BLS Actual
$260,482
2026 Current Est.
$274,027
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Gaithersburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $192,441 | Actual |
| 2020 | $202,119 | Actual |
| 2021 | $215,364 | Actual |
| 2022 | $223,599 | Actual |
| 2023 | $234,124 | Actual |
| 2024 | $247,722 | Actual |
| 2025 | $260,482 | Actual |
| 2026(current) | $274,027 | Estimated |
| 2027 | $288,276 | Projected |
Based on 7 years of BLS OEWS data for the Gaithersburg metropolitan area, the median nurse anesthetist salary grew 35.4% from $192,441 (2019) to $260,482 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $288,276 by 2027 — a total increase of $95,835 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Gaithersburg 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) | $177,519 – $235,667 |
| 3-5 years (Mid Career) | $235,667 – $274,027 |
| 5+ years (Experienced) | $274,027 – $342,256 |
| 10+ years (Top Earner) | $342,256 – $382,019 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Gaithersburg
Gaithersburg's market presents unique opportunities for the 14 nurse anesthetists currently practicing in the area. The cost of living index at 109.3 indicates that while salaries are robust, practitioners should remain mindful of regional expenses affecting their net income. High-paying employers often include hospital systems and CRNA-owned anesthesia group practices, with earnings often differentiated by call coverage obligations, differentials for weekend and holiday shifts, and the potential for OR efficiency bonuses. Additionally, partnership opportunities within group practices can enhance earning potential through profit-sharing mechanisms. Those seeking to maximize their nurse anesthetist pay in Gaithersburg, MD, would be wise to evaluate the benefits of long-term employment contracts versus the flexibility of locum tenens roles, all while assessing the specific requirements and expectations of their potential employers in this dynamic market.
More salary data for Gaithersburg, MD:
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 $260,482 for nurse anesthetistsin the Gaithersburg 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 Gaithersburg 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