Senior Nurse Anesthetist Salary in Marshalltown, IA: $295,771 (2026)
Quick Answer:The top tier of nurse anesthetists working in Marshalltown, IA — those at or above the 90th percentile — pull in $295,771/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1151. Strip back Marshalltown's price premium (BEA RPP 90.4, 10% below national) and that top-decile pay carries the same buying power as $327,180 in average-cost America. The 38% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

In 2026, senior nurse anesthetists in Marshalltown, Iowa, have the potential to earn significantly at the upper end of the salary spectrum, with the 90th percentile reaching an impressive $295,771 annually. The median salary for experienced nurse anesthetists in this area is $214,295, creating a substantial gap of over $81,000 to those in top-tier positions. Marshalltown's top earners perform anesthesia across various settings, from surgical centers to hospitals, often specializing in high-demand areas such as pediatric or cardiac anesthesia. Reaching this level of compensation typically requires not only solid clinical experience but also additional credentials that highlight advanced proficiency in niche anesthesia practices.
About the Marshalltown Market
Salary estimated from Iowa average ($216,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Marshalltown
Experienced nurse anesthetists at the top of the pay scale in Marshalltown earn between $262,633 and $295,771 per year (2026 est.). This $147,564 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Marshalltown median of $214,295 sits 13.9% below the US median.
Top CRNA Salary Comparison
| Level | Marshalltown | National |
|---|---|---|
| Median (P50) | $214,295 | $248,893 |
| 75th Percentile | $262,633 | $309,656 |
| 90th Percentile (Top 10%) | $295,771 | $357,154 |
In Marshalltown, experienced nurse anesthetists (P90) earn 38.02% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Nurse Anesthetist Pay in Marshalltown
Advanced Certifications in Iowa
IA nurse anesthetists with additional specialty certifications within the nursing field earn significantly above the $214,295 median. Expanded-scope credentials are increasingly valued by Marshalltown employers.
Specialty Focus
Nurse Anesthetists focusing on high-acuity or specialty areas within the nursing field in Marshalltown command premium compensation, often reaching the $262,633–$295,771 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Marshalltown metro area often pay above-market rates for experienced nurse anesthetists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured nurse anesthetists in Marshalltown with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Nurse Anesthetists in Iowa who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Nurse Anesthetist Career & Wage Growth Path in Marshalltown
Clinical Nurse Anesthetist
0-5 yearsSenior/Lead Nurse Anesthetist
5-10 yearsNurse Anesthetist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedMarshalltown ranks #17 of 26 Iowa cities for top earner nurse anesthetist salary (90th percentile: $295,771).
Top 10% nurse anesthetist compensation in Marshalltown ($295,771) is 7.42% below the Iowa average P90 ($319,464).
2024 BLS Actual
$227,571
2025 BLS Actual
$281,151
2026 Current Est.
$295,771
2024–2027 Growth
+36.7%
Salary Trajectory for Nurse Anesthetists in Marshalltown (2024–2027)
2024–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2024 | $227,571 | Actual |
| 2025 | $281,151 | Actual |
| 2026(current) | $295,771 | Estimated |
| 2027 | $311,151 | Projected |
Top-earning nurse anesthetists (90th percentile) in Marshalltown saw their compensation grow 23.5% from $227,571 in 2024 to $281,151 in 2025, based on 2 years of BLS OEWS data for this metropolitan area. At a 5.20% annual growth rate, senior-level pay is projected to reach $311,151 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2024–2025) are actual BLS OEWS figures for the Marshalltown 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 2-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Nurse Anesthetist Earnings in Marshalltown
Specializations within nurse anesthesia can command different compensation levels in Marshalltown, particularly in areas such as pediatric anesthesia and cardiac anesthesia. Hospitals and surgical centers often offer varying pay structures, with W-2 employed positions providing stability, while independent or 1099 arrangements through locum tenens agencies may increase hourly earnings due to the flexibility and demand. Additionally, leadership opportunities such as becoming a chief CRNA or a partner in a CRNA-owned practice can enhance earning potential significantly. Advanced certifications, such as those required by the NBCRNA, along with participation in fellowships, can further elevate pay prospects. Non-salary benefits, including bonuses based on OR efficiency and varying call coverage rotations, also contribute to the overall compensation package for senior nurse anesthetists in IA, making the profession both financially and professionally enriching.
More salary data for Marshalltown, IA:
Frequently Asked Questions
How much do experienced nurse anesthetists make in Marshalltown in 2026?
What drives higher nurse anesthetist pay in Marshalltown?
What certifications boost nurse anesthetist salary in Marshalltown?
Can experienced nurse anesthetists make six figures in Marshalltown?
How much does nurse anesthetist salary increase over time in Marshalltown?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $281,151 for nurse anesthetists in the Marshalltown metro area. A 5.20% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Marshalltown 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