Nurse Anesthetist Salary in Pierre, SD: $217,001 (2026)
Quick Answer:A full-time nurse anesthetist in Pierre, SD earns a median $217,001/year (≈ $104.33/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Pierre's price level (7% below national, BEA RPP 92.8), that paycheck buys what $233,837 would nationally. Nominal pay sits 6.0% below the South Dakota state average.
Based on BLS state-level estimates · View source
Nurse anesthetist compensation in Pierre, South Dakota, reveals a 2026 median salary of $217,001, which is comparatively below the national median of $248,893. This figure illustrates how the structural choice between W-2 employment in hospital settings and 1099 contractor roles in group practices influences effective pay. Additionally, salaries range from $142,901 at the lower end (P10) to $297,945 at the upper limit (P90), reflecting the diverse responsibilities and settings in which certified registered nurse anesthetists (CRNAs) operate. These estimates are derived from 2025 BLS OEWS data and adjusted for the regional cost of living, providing valuable insight into the nurse anesthetist salary in Pierre and the factors shaping this market.
About the Pierre Market
Salary estimated from South Dakota average ($218,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $142,901 | $68.71 |
| Lower Range (P25) | $201,082 | $96.68 |
| Median (P50)(typical) | $217,001 | $104.33 |
| Upper Range (P75) | $265,926 | $127.85 |
| Top Earners (P90) | $297,945 | $143.24 |
Median Salary Position
12.81% below the national average
2026 Salary Percentile Distribution in Pierre
In Pierre, SD, the nurse anesthetist salary spread from the 10th to 90th percentile is $155,044 (2026 est.). At $217,001, the local median is 12.81% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Pierre: You'd be in the lower-middle range
How Pierre Nurse Anesthetist Pay Compares
Pierre median: $217,001/year (2026)
| Compared To | Median Salary | Pierre Pays |
|---|---|---|
| South Dakota Average | $230,852 | -6.00% less |
| National Average | $248,893 | -12.81% less |
Nurse Anesthetists in Pierre, SD earn a median of $217,001 per year (2026 est.), which is 12.81% lower than the national median of $248,893 and 6.00% below the South Dakota state average of $230,852.
Cost-of-Living Adjusted Salary
Pierre has a cost of living 7.20% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Pierre, SD has a cost-of-living index of 92.8 (below the national average of 100). A nurse anesthetist earning $217,001 nominally has purchasing power equivalent to $233,837 in an average-cost city — an effective 7.76% boost.
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2019 BLS Actual
$152,394
2025 BLS Actual
$206,275
2026 Current Est.
$217,001
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Pierre (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $152,394 | Actual |
| 2020 | $160,057 | Actual |
| 2021 | $170,546 | Actual |
| 2022 | $177,067 | Actual |
| 2023 | $185,403 | Actual |
| 2024 | $190,067 | Actual |
| 2025 | $206,275 | Actual |
| 2026(current) | $217,001 | Estimated |
| 2027 | $228,285 | Projected |
Based on 7 years of BLS OEWS data for the Pierre metropolitan area, the median nurse anesthetist salary grew 35.4% from $152,394 (2019) to $206,275 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $228,285 by 2027 — a total increase of $75,891 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Pierre 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) | $142,901 – $201,082 |
| 3-5 years (Mid Career) | $201,082 – $217,001 |
| 5+ years (Experienced) | $217,001 – $265,926 |
| 10+ years (Top Earner) | $265,926 – $297,945 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Pierre
The job market for nurse anesthetists in Pierre is modestly populated, with only four CRNAs currently employed in the area. The cost of living index stands at 92.8, suggesting that while direct compensation may lag behind national averages, the purchasing power for nurses in this region is relatively favorable. Employment opportunities at hospital systems or ambulatory surgery centers tend to offer more competitive pay, while CRNA-owned anesthesia groups may include partnership tracks that impact overall earnings. Factors contributing to the salary spread encompass call coverage rotations, with variations in weekend and holiday differentials, as well as bonuses tied to operational efficiency. To maximize pay within Pierre's healthcare market, prospective CRNAs should consider seeking employment with institutions providing higher rates for complex cases or take on positions that offer additional stipends for trauma care or weekend coverage to enhance their overall compensation.
More salary data for Pierre, SD:
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 $206,275 for nurse anesthetistsin the Pierre 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 Pierre 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