Real salary ranges for Anesthesiologists in the US market — what you should expect, and what you can negotiate.
Employed anesthesiologists earn 15-25% less than private practice counterparts but gain predictable income and reduced administrative burden; locum tenens positions command 20-30% premiums ($450K-$650K) for flexibility sacrifice. Subspecialty certifications (cardiac, pediatric, pain management) add $40K-$80K annually, while CRNA supervision ratios directly impact workload—higher ratios (4:1) compress compensation despite increased volume.
Negotiate explicit CRNA supervision ratios and call coverage expectations into your employment contract; anesthesiologists in markets enforcing lower ratios (2:1) command $50K+ premiums. Specify whether you're covering ICU, OR, or pain clinic blocks, as mixed-duty assignments typically undercompensate relative to focused OR anesthesia roles.
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