Nurse Anesthetist Salary in Roanoke, VA: $254,663 (2026)
Quick Answer:A full-time nurse anesthetist in Roanoke, VA earns a median $254,663/year (≈ $122.43/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Roanoke's price level (3% above national, BEA RPP 103.2), that paycheck buys what $246,766 would nationally. Nominal pay sits 0.9% below the Virginia state average.
Based on BLS state-level estimates · View source
In 2026, the projected nurse anesthetist salary in Roanoke, Virginia, is $254,663, reflecting a notable 2.32% increase over the national median of $248,893. This competitive compensation is supported by a salary range that extends from $167,141 at the 10th percentile to $369,480 at the 90th percentile, indicating substantial variance in earnings based on factors such as the structural choice between W-2 employment in hospitals or 1099 arrangements with group practices. These figures are derived from estimates based on 2025 BLS data and regional price adjustments, highlighting Roanoke's economic landscape as it relates to healthcare professionals. The city’s job market for nurse anesthetists is evolving, influenced by interplay between local healthcare providers, availability of positions, and remuneration practices.
About the Roanoke Market
Salary estimated from Virginia average ($215,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $167,141 | $80.35 |
| Lower Range (P25) | $221,141 | $106.32 |
| Median (P50)(typical) | $254,663 | $122.43 |
| Upper Range (P75) | $319,777 | $153.74 |
| Top Earners (P90) | $369,480 | $177.63 |
Median Salary Position
2.32% above the national average
2026 Salary Percentile Distribution in Roanoke
In Roanoke, VA, the nurse anesthetist salary spread from the 10th to 90th percentile is $202,339 (2026 est.). At $254,663, the local median is 2.32% above the national median of $248,893.
Salary Calculator
At 40 hours/week in Roanoke: You'd be in the lower-middle range
How Roanoke Nurse Anesthetist Pay Compares
Roanoke median: $254,663/year (2026)
| Compared To | Median Salary | Roanoke Pays |
|---|---|---|
| Virginia Average | $256,976 | -0.90% less |
| National Average | $248,893 | +2.32% more |
Nurse Anesthetists in Roanoke, VA earn a median of $254,663 per year (2026 est.), which is 2.32% higher than the national median of $248,893 and 0.90% below the Virginia state average of $256,976.
Cost-of-Living Adjusted Salary
Roanoke has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Roanoke, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $254,663 is competitive, the higher cost of living reduces purchasing power to an effective $246,766 — a 3.1% reduction.
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2019 BLS Actual
$178,842
2025 BLS Actual
$242,075
2026 Current Est.
$254,663
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Roanoke (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $178,842 | Actual |
| 2020 | $187,836 | Actual |
| 2021 | $200,145 | Actual |
| 2022 | $207,798 | Actual |
| 2023 | $217,580 | Actual |
| 2024 | $219,984 | Actual |
| 2025 | $242,075 | Actual |
| 2026(current) | $254,663 | Estimated |
| 2027 | $267,905 | Projected |
Based on 7 years of BLS OEWS data for the Roanoke metropolitan area, the median nurse anesthetist salary grew 35.4% from $178,842 (2019) to $242,075 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $267,905 by 2027 — a total increase of $89,063 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Roanoke 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) | $167,141 – $221,141 |
| 3-5 years (Mid Career) | $221,141 – $254,663 |
| 5+ years (Experienced) | $254,663 – $319,777 |
| 10+ years (Top Earner) | $319,777 – $369,480 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Roanoke
The job market in Roanoke currently employs 16 nurse anesthetists, reflecting a niche segment within the healthcare economy that presents several avenues for maximizing earnings. Despite a cost-of-living index of 103.2, which slightly exceeds the national average, the potential for take-home pay can differ significantly based on the type of employer. For instance, hospital systems commonly offer predictable salaries, while CRNA-owned practices may provide attractive profit-sharing models and performance incentives for high efficiency. Factors such as call coverage requirements, weekend and holiday differentials, as well as service stipends at trauma centers, further contribute to earnings potential. Nurse anesthetists seeking to enhance their compensation might consider diversifying their experiences across different practice settings, opting for positions that offer partnership tracks, and negotiating terms that align with their professional goals within Roanoke’s healthcare framework.
More salary data for Roanoke, 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 $242,075 for nurse anesthetistsin the Roanoke 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 Roanoke 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