Anesthesiologist Salary in Massachusetts 2026,
$391,490 Median | BLS Data by City

BLS does not publish a statewide figure for anesthesiologists in Massachusetts — the May 2025 OEWS state cell for SOC 29-1211 is suppressed and was not released. The reference figure on this page is therefore the national median of $391,490 a year, or $188.22 an hour, with a national band from $101,460 to $557,130. Employment was published: about 1,100 anesthesiologists at 1.21 times the national concentration.

No Massachusetts metropolitan estimates were released for this occupation — nothing for Boston-Cambridge-Newton, Worcester or Springfield. There is therefore no basis in this release for ranking Massachusetts metros on anaesthesiology pay, and this page does not attempt one.

Because the estimate failed OEWS disclosure or reliability tests. With about 1,100 anesthesiologists in the state and a substantial share employed by a small number of large academic systems, the sample may be too concentrated to publish without risking disclosure. Suppression is a statistical decision and says nothing about pay levels. Using the national median as an explicitly labelled reference is the defensible response; presenting a modelled state figure as BLS data would not be.

About 1,100, at a location quotient of 1.21 — meaning the state employs them at roughly 21% above the national rate relative to total employment. That is unusual data to have when the wage cell is suppressed, and it is worth using: it tells you Massachusetts is a well-staffed market for the specialty, consistent with its concentration of academic medical centres and the training programmes attached to them.

It applies to any individual whose taxable income exceeds $1 million in a year, at 4% on the excess over that threshold, on top of the flat 5.0% state rate. Most employed anesthesiologists will not reach it on clinical income alone — the national 90th percentile reference is $557,130. It becomes relevant for group partners, for physicians with substantial investment income, and particularly in a year involving a practice sale or a large one-off realisation. It is the only surtax structure of its kind among the states in this tranche.

It means BLS is unwilling to publish a state estimate because the underlying sample is too small, too concentrated among a few employers, or otherwise fails its reliability and disclosure tests. It does not mean the occupation is rare — Massachusetts employs about 1,100 anesthesiologists at above the national rate — and it does not imply anything about pay. Publishing the national median of $391,490 as an explicit reference alongside the real Massachusetts employment data is the honest response available.

They describe a national occupation whose distribution reflects fifty markets with different practice models, payer mixes and cost structures. Massachusetts is atypical in a specific way: its anaesthesia workforce is unusually academic, and academic appointments trade income for research time, teaching and case complexity. The national band from $101,460 to $557,130 is the best available reference and genuinely useful for orientation, but no figure on this page is a Massachusetts observation, and this page does not present one as such.

Subspecialty first — cardiac, paediatric and pain medicine command distinct rates, and fellowship investment is much of what the national $490,530 seventy-fifth percentile reference represents. Then practice structure: private group practice generally pays above academic appointment, which matters more in Massachusetts than in most states given how academic the workforce is. Then call burden, heavy in this specialty and separately compensated. And then case mix and site, since ambulatory surgery centre work and complex tertiary hospital anaesthesia are quite different propositions.