Anesthesiologist Salary in Texas 2026,
$215,230 Median | BLS Data by City

Texas anesthesiologists earn a median $215,230 a year, $103.48 an hour, per BLS OEWS May 2025, with a 25th percentile of $210,190, a 75th of $348,530 and a full range of $168,750 to $488,670. The median is 45.0% below the $391,490 national figure, but the upper half of the Texas distribution is competitive with anywhere, and Texas takes no income tax.

San Antonio-New Braunfels leads the published metros at $335,300, well ahead of Dallas-Fort Worth-Arlington at $218,060 and Houston-Pasadena-The Woodlands at $210,230. San Antonio's military and trauma hospitals bid against a small civilian pool, while Houston's Texas Medical Center trains and retains a large share of its own anaesthesia workforce.

Because OEWS is a survey of wages, and a large share of Texas anaesthesia is delivered by physician-owned groups whose members take partnership distributions rather than reported salary. Establishments report the salaried component; the distribution is not a wage. The result is a Texas 25th percentile of $210,190 barely below the median of $215,230, with the real spread appearing only above it at $348,530 and $488,670. Read the upper percentiles, not the median, as the guide to established practice here.

No. The Texas Medical Board issues one physician licence and there is no anesthesiology-specific state credential; board certification comes from the American Board of Anesthesiology. Texas has not joined the Interstate Medical Licensure Compact, so physicians relocating from a compact state apply to the Texas Medical Board through the ordinary route rather than an expedited one — worth building into a relocation timetable.

No. Texas is one of nine states with no personal income tax, and it has no local income tax either, so a Texas anesthesiologist at the state 75th percentile of $348,530 owes nothing to any state or city on it. The offsetting cost is property tax, which in Texas is high relative to most states — a trade that still comes out clearly ahead at this income level.

That the median is the least informative number on the page. A 10th percentile of $168,750 and a 25th of $210,190 sitting within forty-five thousand dollars of each other, then a 75th at $348,530 and a 90th at $488,670, is a compressed lower tail attached to a long upper one. That shape appears where salaried early-career and academic positions are measured properly and partnership practice is measured partially. San Antonio-New Braunfels at $335,300 is closer to what an established Texas anesthesiologist should expect than the statewide $215,230.

Only three Texas metros are published for the occupation and the state sample is about 2,800 physicians, so percentile values move between vintages. More importantly, the Dallas-Fort Worth-Arlington figure of $218,060 and the Houston-Pasadena-The Woodlands figure of $210,230 are implausibly close to the state median for the two largest medical markets in Texas — which is itself evidence that these metro rows capture employed and academic anaesthesia rather than group practice. Treat this page as a wage floor map, not an earnings map.

They set nearly all of it. Texas groups compensate on units billed and call obligation, so the distance between the state median of $215,230 and the 75th percentile of $348,530 is usually call burden, case acuity and partnership status rather than seniority. Ambulatory surgical centre work in the suburban DFW and Austin corridors offers predictable hours at lower rates; hospital trauma and cardiac coverage — the San Antonio pattern at $335,300 — pays materially more and demands materially more.