HealthcareUpdated Q1 2026No state income tax

Anesthesiologist Salary
in Spokane, WA

Administer anesthesia and monitor patients before, during, and after surgical procedures. Median salary in Spokane: $374K/year. Data from BLS, O*NET, and H-1B disclosures.

Median salary
$374K
per year
Take-home: $263K

Salary range in Spokane

Entry level (25th)$288,000
Median (50th)$374,000
Senior (75th)$461,000
Top earner (90th)$557,000
Data freshness

Figures represent annual base salary in Spokane, Washington. Reviewed by SalaryOptics Editorial Β· How we calculate this β†’

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What the numbers say for Spokane

Analysis derived from the salary, COL, tax, and labor-market figures above β€” specific to this role and city.

4% discount vs national median

Anesthesiologists in Spokane earn approximately 4% lower than the US national median for this role β€” a $16,000 discount on annual base salary. Spokane's lower wage level partially reflects the area's cost-of-living index of 95 (US avg = 100).

Cost-of-living adjusted picture

Adjusted for Spokane's cost-of-living index (95), the median Anesthesiologist salary buys the equivalent of $393,684 in a US-average-cost city. That's $3,684 more purchasing power than the national median β€” a meaningful real-wage advantage.

No state income tax β€” $35K effective edge

Washington has no state income tax, which is worth roughly $34,782 per year at this salary level compared to a California Anesthesiologist on the same gross pay. A Spokane Anesthesiologist would need to earn $412,348 in California to net the same take-home.

Key facts for Spokane

Median salary
$374K
annual
Take-home pay
$263K
after fed/state tax
COL index
95
100 = US avg
State income tax
None
no-tax state
Avg 1BR rent
$1,150
per month
YoY growth
+2.1%
salary trend

Salary forecast: Spokane Anesthesiologist to 2030

Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $374K by 2030.

Salary trend & forecast β€” Spokane

Historical (2019–2025) + projected to 2030 based on BLS growth rates

HistoricalProjected
Anesthesiologist salary trend 2019–2030PROJECTED β†’$313K$341K$368K$396K$423K201920212023202520272029
2026
$383K
projected
2027
$393K
projected
2028
$403K
projected
2029
$413K
projected
2030
$423K
projected

Projections based on BLS Employment Projections 2022–2032 CAGR and WEF Jobs Report 2025. Not financial advice.

YearProjected median salaryvs today
2027 projected$374,000+$0
2028 projected$374,000+$0
2029 projected$374,000+$0
2030 projected$374,000+$0

Projections use compound annual growth rate (CAGR) from BLS occupational outlook data. Actual salaries may vary.

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Anesthesiologist Salary in Spokane, Washington: Complete Guide (2026)

The median Anesthesiologist salary in Spokane, WA is $374,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Spokane–WA metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.

Salary range for Anesthesiologist in Spokane

Entry-level Anesthesiologists in Spokane with 0–2 years of experience typically earn between $288,000 and $374,000 annually. Mid-career professionals with 3–7 years command $374,000 to $461,000, while senior-level practitioners with 8+ years of experience regularly earn $461,000 to $557,000 or more.

Cost of living in Spokane for Anesthesiologists

Spokane has a cost of living index of 95 compared to the US national average of 100. This means your salary goes approximately 5% further in Spokane than the national average. Crucially, Washington has no state income tax β€” giving Spokane-based Anesthesiologists an immediate 3–5% take-home pay advantage over workers in states like California (9.3%) or New York (6.85%).

Education requirements for Anesthesiologist

MD; anesthesiology residency. 2% of these roles offer some remote flexibility.

Anesthesiologist salary in nearby cities

CityMedian salaryCOL index
Spokane (current)$374K95
Seattle$476K150
Tacoma$429K128
Vancouver$460K118
Bellevue$683K175
Kirkland$632K162