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Anesthesiologists Salary in Washington: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Anesthesiologists salary really buy you in Washington?

Washington is 9.8% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$499,990
Median annual (2025)
-8.9%
Real Purchasing Power
$455,364
COL-adjusted (RPP=109.8)

Washington Cost of Living Index

Washington's Regional Price Parity (RPP) is 109.8, meaning prices are 9.8% higher the national average. A Anesthesiologists earning $499,990 in Washington has the equivalent purchasing power of $455,364 in an average-cost US state.

WA: 109.8
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Washington's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $239,000 $217,668 $-21,331
25th Percentile (P25) $437,430 $398,387 $-39,042
Median (P50) $499,990 $455,364 $-44,625
75th Percentile (P75) $646,930 $589,189 $-57,740
90th Percentile (P90) $646,940 $589,198 $-57,741
Key Insight

While $499,990 sounds high, Washington's elevated cost of living erases 9% of that salary's purchasing power. Your real buying power is $455,364. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Washington Is a High-Cost State

RPP 109.8

Washington's RPP of 109.8 puts it 9.8% above the national baseline cost of living. A Anesthesiologists needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-8.9%

After applying Washington's RPP, the $499,990 median salary translates to $455,364 in real terms — a 8.9% loss. That difference can cover several months of expenses over a year for a Anesthesiologists.

Above-Median Adjusted Pay

#9 / 25

Washington sits at #9 of 25 states for Anesthesiologists COL-adjusted salary — comfortably above the national midpoint.

Best States for Anesthesiologists (After Cost of Living)

Where does Anesthesiologists salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

1. Ohio
$536,098
RPP 91.5
$508,198
RPP 97.7
3. Idaho
$490,185
RPP 91.8
4. Kansas
$485,588
RPP 90.0
$481,029
RPP 92.3
$479,615
RPP 96.2
$478,266
RPP 102.1
8. Florida
$455,798
RPP 102.1
$455,364
RPP 109.8
10. Louisiana
$453,090
RPP 90.6

Washington ranks #9 out of 25 states for Anesthesiologists after cost-of-living adjustment.

How much do you actually take home? See Anesthesiologists take-home pay in Washington after taxes →

Frequently Asked Questions

What is the real salary for a Anesthesiologists in Washington after cost of living?

A Anesthesiologists in Washington earns a median salary of $499,990 per year. After adjusting for Washington's cost of living (RPP=109.8), the real purchasing power is $455,364 — a -8.9% difference.

Is Washington expensive to live in?

Washington's cost of living is 9.8% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Washington is 109.8 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Anesthesiologists in Washington: $499,990 x (100 / 109.8) = $455,364. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Washington offset the salary?

Partially — a Anesthesiologists's nominal salary of $499,990 in Washington has 8.9% less purchasing power due to higher living costs. The real value is $455,364. However, Washington may offer better career opportunities, networking, and industry access.

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