123 major metros · 2026
CRNA salary, metro by metro.
Every major US metro with BLS-reportable CRNA employment. Ranked by median base, filterable by state, with cost-of-living context so “top-paying” reflects actual purchasing power.
| # | Metro | Median | 25th–75th band | Band vis? | Jobs | COL-adj.? |
|---|---|---|---|---|---|---|
| 01 | Anchorage, AKAK | $296,000 | $252k+ | — | $248,739 | |
| 02 | San Diego-Carlsbad, CACA | $294,180 | — | 110 | $251,436 | |
| 03 | Carbondale-Marion, ILIL | $286,920 | $223k+ | 50 | $345,687 | |
| 04 | Boston-Cambridge-Nashua, MA-NHMA | $284,550 | $235k+ | 540 | $243,205 | |
| 05 | Chicago-Naperville-Elgin, IL-IN-WIIL | $271,620 | $222k+ | 820 | $261,173 | |
| 06 | San Francisco-Oakland-Hayward, CACA | $270,110 | — | 460 | $204,629 | |
| 07 | San Jose-Sunnyvale-Santa Clara, CACA | $267,880 | — | 120 | $196,971 | |
| 08 | New York-Newark-Jersey City, NY-NJ-PANY | $262,710 | $226k+ | 1,410 | $205,242 | |
| 09 | Providence-Warwick, RI-MARI | $256,000 | $218k+ | — | $241,509 | |
| 10 | Las Vegas-Henderson-Paradise, NVNV | $253,000 | $215k+ | — | $258,163 | |
| 11 | Milwaukee-Waukesha-West Allis, WIWI | $250,060 | $232k+ | 290 | $260,479 | |
| 12 | Los Angeles-Long Beach-Anaheim, CACA | $246,680 | $236k+ | 640 | $203,868 | |
| 13 | Phoenix-Mesa-Chandler, AZAZ | $245,000 | $208k+ | — | $247,475 | |
| 14 | Sacramento--Roseville--Arden-Arcade, CACA | $244,520 | — | 250 | $216,389 | |
| 15 | Tulsa, OKOK | $244,430 | $216k+ | — | $280,954 | |
| 16 | Saginaw, MIMI | $242,020 | $221k+ | 110 | $288,119 | |
| 17 | Burlington-South Burlington, VTVT | $242,000 | $206k+ | — | $216,071 | |
| 18 | Fayetteville-Springdale-Rogers, ARAR | $240,000 | $204k+ | — | $263,736 | |
| 19 | Riverside-San Bernardino-Ontario, CACA | $238,880 | $140k+ | 280 | $221,185 | |
| 20 | Seattle-Tacoma-Bellevue, WAWA | $238,160 | $225k+ | 340 | $208,912 | |
| 21 | Syracuse, NYNY | $237,780 | $221k – $238k | — | $245,134 | |
| 22 | Mankato-North Mankato, MNMN | $236,070 | $224k+ | 30 | $259,418 | |
| 23 | Urban Honolulu, HIHI | $236,000 | $201k+ | — | $198,319 | |
| 24 | Madison, WIWI | $235,400 | $235k – $237k | 170 | $230,784 | |
| 25 | Washington-Arlington-Alexandria, DC-VA-MD-WVDC | $235,320 | $228k+ | 400 | $196,100 | |
| 26 | St. Cloud, MNMN | $234,630 | $227k – $235k | — | $249,606 | |
| 27 | Fayetteville, NCNC | $233,880 | $193k+ | 60 | $268,828 | |
| 28 | Spokane-Spokane Valley, WAWA | $232,080 | $203k+ | 130 | $234,424 | |
| 29 | Detroit-Warren-Dearborn, MIMI | $231,910 | $224k – $233k | 750 | $239,082 | |
| 30 | Charlotte-Concord-Gastonia, NC-SCNC | $231,680 | $219k+ | 700 | $241,333 | |
| 31 | Duluth, MN-WIMN | $231,470 | $201k+ | 120 | $248,892 | |
| 32 | Ann ArborMI | $231,200 | $198k – $266k | 180 | $222,308 | |
| 33 | Newark, NJ-PANJ | $231,080 | $197k+ | — | $189,410 | |
| 34 | Peoria, ILIL | $230,600 | $196k+ | — | $256,222 | |
| 35 | Fort Collins, COCO | $230,410 | $191k – $230k | — | $223,699 | |
| 36 | Buffalo-Cheektowaga-Niagara Falls, NYNY | $229,660 | $230k – $231k | 70 | $239,229 | |
| 37 | Hartford-East Hartford-Middletown, CTCT | $229,630 | $195k+ | — | $210,670 | |
| 38 | Albany-Schenectady-Troy, NYNY | $228,890 | $229k – $238k | 100 | $224,402 | |
| 39 | Green Bay, WIWI | $228,260 | $228k+ | 80 | $248,109 | |
| 40 | Charleston, WVWV | $227,810 | $216k – $233k | 260 | $268,012 | |
| 41 | Winston-Salem, NCNC | $227,380 | $190k+ | 280 | $258,386 | |
| 42 | Portland-Vancouver-Hillsboro, OR-WAOR | $227,160 | $177k – $236k | 210 | $210,333 | |
| 43 | Lansing-East Lansing, MIMI | $226,820 | $210k – $227k | 80 | $252,022 | |
| 44 | Rochester, NYNY | $224,420 | $205k+ | 70 | $226,687 | |
| 45 | Charlottesville, VAVA | $224,290 | $172k+ | 90 | $215,663 | |
| 46 | Flint, MIMI | $223,440 | $210k+ | 130 | $259,814 | |
| 47 | Traverse City (non-metro)MI | $223,100 | $190k – $258k | 70 | $225,354 | |
| 48 | Monroe, LALA | $221,370 | $205k+ | 60 | $263,536 | |
| 49 | Wausau, WIWI | $221,320 | $221k+ | 60 | $248,674 | |
| 50 | Jackson, MSMS | $221,080 | $176k – $221k | 40 | $260,094 | |
| 51 | New Orleans-Metairie, LALA | $220,760 | $183k – $224k | 140 | $234,851 | |
| 52 | Minneapolis-St. Paul-Bloomington, MN-WIMN | $220,420 | $206k – $236k | 1,480 | $214,000 | |
| 53 | Albuquerque, NMNM | $220,390 | $205k – $220k | 140 | $234,457 | |
| 54 | Portland-South Portland, MEME | $220,030 | $186k – $231k | 150 | $215,716 | |
| 55 | Greenville-Anderson-Mauldin, SCSC | $220,000 | $199k+ | 60 | $247,191 | |
| 56 | Wheeling, WV-OHWV | $219,620 | $220k – $232k | 50 | $261,452 | |
| 57 | Philadelphia-Camden-Wilmington, PA-NJ-DE-MDPA | $218,310 | $194k+ | 960 | $204,028 | |
| 58 | Fresno, CACA | $218,300 | $186k+ | — | $207,905 | |
| 59 | Hickory-Lenoir-Morganton, NCNC | $217,840 | $187k – $230k | 100 | $253,302 | |
| 60 | Salt Lake City, UTUT | $216,900 | $184k+ | — | $214,752 | |
| 61 | Louisville/Jefferson County, KY-INKY | $215,540 | $201k+ | 130 | $239,489 | |
| 62 | Grand Rapids-Wyoming, MIMI | $215,460 | $180k – $220k | 180 | $229,213 | |
| 63 | Akron, OHOH | $214,520 | $180k – $229k | — | $235,736 | |
| 64 | Greensboro-High Point, NCNC | $214,450 | $196k – $225k | 220 | $240,955 | |
| 65 | San Antonio-New Braunfels, TXTX | $214,190 | $178k+ | 360 | $230,312 | |
| 66 | Macon, GAGA | $213,350 | $189k – $213k | 60 | $253,988 | |
| 67 | Bangor, MEME | $213,190 | $189k – $214k | 90 | $222,073 | |
| 68 | Lafayette, LALA | $212,020 | $193k – $216k | 70 | $235,578 | |
| 69 | Lincoln, NENE | $211,910 | $175k – $212k | 100 | $232,868 | |
| 70 | Asheville, NCNC | $211,820 | $212k – $213k | 110 | $216,143 | |
| 71 | Farmington, NMNM | $211,540 | $200k – $230k | 30 | $240,386 | |
| 72 | Charleston-North Charleston, SCSC | $209,870 | $187k – $217k | 140 | $214,153 | |
| 73 | Des Moines-West Des Moines, IAIA | $209,670 | $210k+ | 170 | $225,452 | |
| 74 | Kansas City, MO-KSMO | $207,450 | $187k+ | 320 | $223,065 | |
| 75 | Toledo, OHOH | $207,400 | $194k+ | 170 | $235,682 | |
| 76 | Shreveport-Bossier City, LALA | $206,020 | $191k – $232k | 140 | $242,376 | |
| 77 | Manchester, NHNH | $205,980 | $206k – $206k | — | $188,972 | |
| 78 | Omaha-Council Bluffs, NE-IANE | $205,940 | $180k – $214k | 90 | $228,822 | |
| 79 | Gulfport-Biloxi-Pascagoula, MSMS | $205,580 | $197k – $214k | 60 | $236,299 | |
| 80 | Knoxville, TNTN | $205,080 | $183k – $225k | 620 | $233,045 | |
| 81 | Scranton--Wilkes-Barre--Hazleton, PAPA | $204,340 | $182k – $228k | 150 | $234,874 | |
| 82 | Kalamazoo–PortageMI | $204,100 | $174k – $236k | 80 | $221,848 | |
| 83 | Baltimore-Columbia-Towson, MDMD | $203,640 | $145k – $212k | 420 | $190,318 | |
| 84 | Gainesville, FLFL | $200,350 | $183k – $229k | — | $208,698 | |
| 85 | Rapid City, SDSD | $199,870 | $170k – $225k | — | $212,628 | |
| 86 | Sioux Falls, SDSD | $199,690 | $195k – $215k | 190 | $217,054 | |
| 87 | Williamsport, PAPA | $199,520 | $175k – $226k | 30 | $226,727 | |
| 88 | Columbus, OHOH | $199,210 | $180k – $214k | 490 | $211,926 | |
| 89 | Denver-Aurora-Lakewood, COCO | $199,100 | $182k – $199k | 280 | $184,352 | |
| 90 | Boise City, IDID | $198,000 | $168k – $223k | — | $194,118 | |
| 91 | Dayton, OHOH | $197,440 | $177k – $232k | 280 | $221,843 | |
| 92 | Erie, PAPA | $197,040 | $177k – $232k | 80 | $218,933 | |
| 93 | Cincinnati, OH-KY-INOH | $196,490 | $178k – $220k | 820 | $215,923 | |
| 94 | Dallas-Fort Worth-Arlington, TXTX | $196,440 | $195k+ | 1,980 | $196,440 | |
| 95 | Miami-Fort Lauderdale-West Palm Beach, FLFL | $195,360 | $184k – $230k | — | $184,302 | |
| 96 | Houston-The Woodlands-Sugar Land, TXTX | $193,690 | $189k+ | 1,760 | $201,760 | |
| 97 | Huntsville, ALAL | $193,460 | $180k – $205k | 180 | $217,371 | |
| 98 | Atlanta-Sandy Springs-Roswell, GAGA | $191,880 | $189k – $214k | 640 | $199,875 | |
| 99 | North Port-Sarasota-Bradenton, FLFL | $191,790 | $185k – $207k | 80 | $180,934 | |
| 100 | Jackson, TNTN | $190,010 | $177k – $205k | 80 | $223,541 | |
| 101 | Cape Coral-Fort Myers, FLFL | $190,000 | $190k – $190k | 160 | $180,952 | |
| 102 | Chattanooga, TN-GATN | $189,860 | $179k – $206k | 330 | $215,750 | |
| 103 | Durham-Chapel Hill, NCNC | $189,660 | $184k – $225k | 610 | $191,576 | |
| 104 | Orlando-Kissimmee-Sanford, FLFL | $189,120 | $177k – $217k | — | $185,412 | |
| 105 | Jacksonville, FLFL | $188,480 | $176k – $226k | 220 | $192,327 | |
| 106 | Memphis, TN-MS-ARTN | $186,880 | $179k – $213k | 510 | $214,805 | |
| 107 | Columbia, MOMO | $185,870 | $186k – $211k | 60 | $208,843 | |
| 108 | St. Louis, MO-ILMO | $184,760 | $185k+ | 230 | $203,033 | |
| 109 | Pittsburgh, PAPA | $182,210 | $176k – $212k | 560 | $193,840 | |
| 110 | Nashville-Davidson--Murfreesboro--Franklin, TNTN | $182,010 | $179k – $199k | 960 | $187,639 | |
| 111 | Little Rock-North Little Rock-Conway, ARAR | $179,680 | $164k – $180k | 80 | $208,930 | |
| 112 | Cleveland-Elyria, OHOH | $178,750 | $176k+ | 420 | $194,293 | |
| 113 | Mobile, ALAL | $178,590 | $162k – $182k | 100 | $205,276 | |
| 114 | Canton-Massillon, OHOH | $176,860 | $176k – $177k | 200 | $200,977 | |
| 115 | Altoona, PAPA | $174,930 | $175k – $213k | 50 | $201,069 | |
| 116 | Dothan, ALAL | $172,970 | $173k – $204k | 110 | $205,917 | |
| 117 | Tuscaloosa, ALAL | $170,330 | $168k – $197k | 60 | $195,782 | |
| 118 | Longview, TXTX | $166,360 | $166k – $166k | 120 | $193,442 | |
| 119 | Birmingham-Hoover, ALAL | $163,340 | $94k – $195k | 640 | $183,528 | |
| 120 | Indianapolis-Carmel-Anderson, ININ | $161,600 | $161k – $213k | — | $175,652 | |
| 121 | Youngstown-Warren-Boardman, OH-PAOH | $152,530 | $153k – $166k | 120 | $177,360 | |
| 122 | Wichita, KSKS | $152,450 | $152k – $236k | 70 | $173,239 | |
| 123 | Tampa-St. Petersburg-Clearwater, FLFL | $145,600 | $146k – $160k | 1,670 | $141,359 |
SOURCE BLS OES MSA-level, May 2023 · COL INDEX C2ER 2024 · UPDATED MAR 2026
A note on MSA pay.Metro-level BLS numbers can lag and under-sample smaller cities. COL-adjusted pay (median ÷ local COL index × 100) is often a better “where do I want to live” metric than raw median; e.g., a Midwest metro's COL-adjusted pay can beat coastal metros by $20–30k.