Nurse Anesthetist Salary in Alexandria, VA: $232,773 (2026)
Quick Answer:A full-time nurse anesthetist in Alexandria, VA earns a median $232,773/year (≈ $111.91/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Alexandria's price level (3% above national, BEA RPP 103.2), that paycheck buys what $225,555 would nationally. Nominal pay sits 9.4% below the Virginia state average.
Based on BLS state-level estimates · View source
In Alexandria, Virginia, the projected median annual nurse anesthetist salary in 2026 is $232,773, positioning it slightly below the national median of $248,893. Salary ranges for this role can vary significantly, from $156,396 at the 10th percentile to $342,431 at the 90th percentile, reflecting the diverse clinical environments in which nurse anesthetists operate. These figures represent estimates derived from 2025 BLS data, factoring in local cost-of-living adjustments. As the area navigates the Anesthesia Care Team model, CRNAs working in Alexandria face a dynamic job market, where compensation can be influenced by factors such as the location of practice and institutional affiliation.
About the Alexandria Market
Salary estimated from Virginia average ($215,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $156,396 | $75.19 |
| Lower Range (P25) | $204,876 | $98.50 |
| Median (P50)(typical) | $232,773 | $111.91 |
| Upper Range (P75) | $295,089 | $141.87 |
| Top Earners (P90) | $342,431 | $164.63 |
Median Salary Position
6.48% below the national average
2026 Salary Percentile Distribution in Alexandria
In Alexandria, VA, the nurse anesthetist salary spread from the 10th to 90th percentile is $186,035 (2026 est.). At $232,773, the local median is 6.48% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Alexandria: You'd be in the lower-middle range
How Alexandria Nurse Anesthetist Pay Compares
Alexandria median: $232,773/year (2026)
| Compared To | Median Salary | Alexandria Pays |
|---|---|---|
| Virginia Average | $256,924 | -9.40% less |
| National Average | $248,893 | -6.48% less |
Nurse Anesthetists in Alexandria, VA earn a median of $232,773 per year (2026 est.), which is 6.48% lower than the national median of $248,893 and 9.40% below the Virginia state average of $256,924.
Cost-of-Living Adjusted Salary
Alexandria has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Alexandria, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $232,773 is competitive, the higher cost of living reduces purchasing power to an effective $225,555 — a 3.1% reduction.
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2019 BLS Actual
$163,470
2025 BLS Actual
$221,267
2026 Current Est.
$232,773
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Alexandria (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $163,470 | Actual |
| 2020 | $171,690 | Actual |
| 2021 | $182,941 | Actual |
| 2022 | $189,937 | Actual |
| 2023 | $198,877 | Actual |
| 2024 | $222,207 | Actual |
| 2025 | $221,267 | Actual |
| 2026(current) | $232,773 | Estimated |
| 2027 | $244,877 | Projected |
Based on 7 years of BLS OEWS data for the Alexandria metropolitan area, the median nurse anesthetist salary grew 35.4% from $163,470 (2019) to $221,267 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $244,877 by 2027 — a total increase of $81,407 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Alexandria 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) | $156,396 – $204,876 |
| 3-5 years (Mid Career) | $204,876 – $232,773 |
| 5+ years (Experienced) | $232,773 – $295,089 |
| 10+ years (Top Earner) | $295,089 – $342,431 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Alexandria
The local job market for nurse anesthetists in Alexandria consists of 26 practitioners, which offers a glimpse into the competitive landscape for this critical specialty. Given the cost-of-living index at 103.2, it's essential for professionals to consider how far their earnings will stretch in the area. Among local employers, hospital systems generally offer higher compensation, while opportunities in ambulatory surgery centers and CRNA-owned practices can provide flexible pay structures. The disparity in pay often arises from variations in call coverage schedules, weekend and holiday differentials, and performance bonuses. By strategically considering positions, including those within locum tenens agencies or military treatment facilities, nurse anesthetists can maximize their salary potential in Alexandria, VA.
More salary data for Alexandria, VA:
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 $221,267 for nurse anesthetistsin the Alexandria 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 Alexandria 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