Nurse Anesthetist Salary in Richmond, VA: $247,557 (2026)
Quick Answer:A full-time nurse anesthetist in Richmond, VA earns a median $247,557/year (≈ $119.01/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Richmond's price level (2% below national, BEA RPP 97.9), that paycheck buys what $252,976 would nationally. Nominal pay sits 3.6% below the Virginia state average.
Official BLS data · View source

With a median annual salary projected at $247,557 in 2026, the nurse anesthetist pay in Richmond, VA is competitive but shows a significant variance among practitioners. The salary range for this profession spans from $129,207 at the 10th percentile to $423,283 at the 90th percentile, reflecting the diverse call coverage responsibilities and lifestyle trade-offs that affect compensation levels. Such disparity can be attributed to factors such as work schedules, weekend requirements, and the types of practice settings. This data, derived from official Bureau of Labor Statistics (BLS) OEWS surveys, indicates that while Richmond's figures align closely with national trends, local market dynamics present unique opportunities for skilled nurse anesthetists.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $129,207 | $62.12 |
| Lower Range (P25) | $171,834 | $82.61 |
| Median (P50)(typical) | $247,557 | $119.01 |
| Upper Range (P75) | $284,534 | $136.79 |
| Top Earners (P90) | $423,283 | $203.50 |
Median Salary Position
0.54% below the national average
2026 Salary Percentile Distribution in Richmond
In Richmond, VA, the nurse anesthetist salary spread from the 10th to 90th percentile is $294,076 (2026 est.). At $247,557, the local median is 0.54% 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: $247,557/year (2026)
| Compared To | Median Salary | Richmond Pays |
|---|---|---|
| Virginia Average | $256,801 | -3.60% less |
| National Average | $248,893 | -0.54% less |
Nurse Anesthetists in Richmond, VA earn a median of $247,557 per year (2026 est.), which is 0.54% lower than the national median of $248,893 and 3.60% below the Virginia state average of $256,801.
Cost-of-Living Adjusted Salary
Richmond has a cost of living 2.14% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Richmond, VA has a cost-of-living index of 97.858 (below the national average of 100). A nurse anesthetist earning $247,557 nominally has purchasing power equivalent to $252,976 in an average-cost city — an effective 2.19% boost.
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2019 BLS Actual
$170,240
2025 BLS Actual
$235,320
2026 Current Est.
$247,557
2019–2027 Growth
+53.0%
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 | $170,240 | Actual |
| 2020 | $184,470 | Actual |
| 2021 | $168,450 | Actual |
| 2022 | $181,690 | Actual |
| 2023 | $211,509 | Actual |
| 2024 | $124,450 | Actual |
| 2025 | $235,320 | Actual |
| 2026(current) | $247,557 | Estimated |
| 2027 | $260,430 | Projected |
Based on 7 years of BLS OEWS data for the Richmond metropolitan area, the median nurse anesthetist salary grew 38.2% from $170,240 (2019) to $235,320 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $260,430 by 2027 — a total increase of $90,190 (52.98%) 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) | $129,207 – $171,834 |
| 3-5 years (Mid Career) | $171,834 – $247,557 |
| 5+ years (Experienced) | $247,557 – $284,534 |
| 10+ years (Top Earner) | $284,534 – $423,283 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Richmond
Local demand for nurse anesthetists in Richmond reflects growing healthcare needs, with various employers such as hospital systems, ambulatory surgery centers, and CRNA-owned group practices looking to fill these critical roles. The cost of living index in the area, currently at 97.858, indicates a slightly lower-than-average cost of living, which can enhance the purchasing power of salaries earned. Notably, hospital systems tend to provide more stable W-2 employment contracts, while locum tenens positions and CRNA-owned practices may offer higher compensation but come with fluctuating income and responsibilities. Factors that influence the salary spread include call coverage rotations, efficiency bonuses tied to operating room productivity, and differing payment structures between W-2 and 1099 arrangements. To maximize earning potential in the Richmond market, nurse anesthetists should consider diversifying their experience across various practice settings, ensuring they understand the intricacies of both salaried and partnership opportunities available in this evolving landscape.
More salary data for Richmond, 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 $235,320 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
Source: BLS, OEWS, 6-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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