Nurse Anesthetist Salary in Rockville, MD: $265,216 (2026)
Quick Answer:A full-time nurse anesthetist in Rockville, MD earns a median $265,216/year (≈ $127.50/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Rockville's price level (9% above national, BEA RPP 109.3), that paycheck buys what $242,650 would nationally. Nominal pay sits 2.5% below the Maryland state average.
Based on BLS state-level estimates · View source
In 2026, the median annual salary for a nurse anesthetist in Rockville, Maryland is projected to reach $265,216, which reflects a robust increment compared to the national median of $248,893. The salary range for this occupation will vary significantly, from a minimum of $179,143 at the 10th percentile to a maximum of $378,901 at the 90th percentile, illustrating the diverse earning potential in this field. These figures stem from local estimates based on 2025 BLS data and account for regional cost-of-living adjustments. As a location within the Washington D.C. metropolitan area, Rockville's nurse anesthetist pay situates itself strategically against the backdrop of both federal opt-out states and those adhering to the Anesthesia Care Team (ACT) model, signaling a dynamic environment for anesthesia practitioners.
About the Rockville Market
Salary estimated from Maryland average ($225,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $179,143 | $86.13 |
| Lower Range (P25) | $227,783 | $109.51 |
| Median (P50)(typical) | $265,216 | $127.50 |
| Upper Range (P75) | $330,944 | $159.10 |
| Top Earners (P90) | $378,901 | $182.16 |
Median Salary Position
6.56% above the national average
2026 Salary Percentile Distribution in Rockville
In Rockville, MD, the nurse anesthetist salary spread from the 10th to 90th percentile is $199,758 (2026 est.). At $265,216, the local median is 6.56% above the national median of $248,893.
Salary Calculator
At 40 hours/week in Rockville: You'd be in the lower-middle range
How Rockville Nurse Anesthetist Pay Compares
Rockville median: $265,216/year (2026)
| Compared To | Median Salary | Rockville Pays |
|---|---|---|
| Maryland Average | $272,016 | -2.50% less |
| National Average | $248,893 | +6.56% more |
Nurse Anesthetists in Rockville, MD earn a median of $265,216 per year (2026 est.), which is 6.56% higher than the national median of $248,893 and 2.50% below the Maryland state average of $272,016.
Cost-of-Living Adjusted Salary
Rockville has a cost of living 9.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rockville, MD has a cost-of-living index of 109.3 (above the national average of 100). While the nominal salary of $265,216 is competitive, the higher cost of living reduces purchasing power to an effective $242,650 — a 8.51% reduction.
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2019 BLS Actual
$186,253
2025 BLS Actual
$252,106
2026 Current Est.
$265,216
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Rockville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $186,253 | Actual |
| 2020 | $195,620 | Actual |
| 2021 | $208,438 | Actual |
| 2022 | $216,409 | Actual |
| 2023 | $226,596 | Actual |
| 2024 | $239,755 | Actual |
| 2025 | $252,106 | Actual |
| 2026(current) | $265,216 | Estimated |
| 2027 | $279,007 | Projected |
Based on 7 years of BLS OEWS data for the Rockville metropolitan area, the median nurse anesthetist salary grew 35.4% from $186,253 (2019) to $252,106 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $279,007 by 2027 — a total increase of $92,754 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rockville 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) | $179,143 – $227,783 |
| 3-5 years (Mid Career) | $227,783 – $265,216 |
| 5+ years (Experienced) | $265,216 – $330,944 |
| 10+ years (Top Earner) | $330,944 – $378,901 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Rockville
With 15 employed nurse anesthetists in the Rockville area, the local job market remains relatively stable, but the high cost of living, indexed at 109.3, influences take-home purchasing power. Facilities such as hospital systems typically offer the most lucrative positions, often driven by comprehensive benefits that align with W-2 employment models. On the other hand, CRNA-owned group practices may provide partnership opportunities and a different income structure depending upon variables like call coverage rotation and productivity bonuses. Factors such as weekend differentials and bonuses for high-demand situations, including trauma care, contribute to the span of salaries seen in the area. For those looking to maximize compensation, seeking opportunities in high-demand settings and considering dual roles that may furnish additional financial rewards can lead to elevated annual figures.
More salary data for Rockville, 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 $252,106 for nurse anesthetistsin the Rockville 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 Rockville 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