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Raleigh, North Carolina · 2026

Nurse Anesthetists Salary in Raleigh

Based on BLS data · Cost of living adjusted · Updated 2026 · 3 min read

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Average Salary

$218,055

per year

Cost of Living Adjusted

$211,703

effective purchasing power

vs National Average

+2%

national avg: $214,200

Salary Range in Raleigh

25th %ile

$184,095

Entry

Median

$216,477

Mid

75th %ile

$266,027

Senior

Nurse Anesthetists in Raleigh, North Carolina earn an average salary of $218,055, slightly above the national average of $214,200. With a favorable cost of living index and strong year-over-year growth of 4.1%, this role offers solid earning potential in the region.

Complete Nurse Anesthetists Salary Guide — Raleigh

Based on BLS data · Updated 2026

Salary Overview for Nurse Anesthetists in Raleigh

Nurse Anesthetists in Raleigh command competitive compensation. The average salary stands at $218,055, with a median of $216,477, indicating a relatively tight salary distribution in this market. The 25th percentile earns $184,095, while top earners at the 75th percentile reach $266,027. This $82,000 spread between the 25th and 75th percentiles reflects meaningful variation based on experience, credentials, and employer type.

Understanding Cost of Living Impact

Raleigh's cost of living index of 103 is slightly above the national average of 100, meaning expenses are roughly 3% higher than typical U.S. cities. However, this modest premium is offset by strong earning power. Your effective purchasing power of $211,703 indicates that despite the slightly elevated costs, your salary maintains excellent real-world value. Housing, groceries, and utilities in Raleigh remain reasonable compared to major metropolitan areas, allowing nurse anesthetists to build savings and invest in their futures.

Comparison to National Average

Raleigh's average salary of $218,055 exceeds the national average of $214,200 by $3,855 annually, positioning this market favorably for nurse anesthetists. This 1.8% premium reflects strong local demand for anesthesia services, growing healthcare infrastructure, and competitive regional healthcare systems. The Research Triangle region's expanding medical sector continues to drive demand for specialized nursing roles.

Factors Affecting Pay in Raleigh

Several elements influence compensation for nurse anesthetists locally. Healthcare facility type matters significantly—major hospital systems and surgical centers typically pay more than smaller clinics. Your CRNA certification level and additional specializations command higher rates. Experience is crucial; newly certified CRNAs start near the 25th percentile, while veterans approach the 75th percentile. Geographic location within the Raleigh area affects pay, with positions in high-demand surgical centers offering premiums. The 4.1% year-over-year growth rate suggests increasing demand, which should continue pushing salaries upward.

Strategies to Reach the Top 25% Earning Tier

To reach the $266,027 ceiling at the 75th percentile, pursue advanced certifications beyond your CRNA credential. Specializations in cardiac anesthesia, pediatric anesthesia, or pain management command premium compensation. Build relationships with major healthcare systems like Duke Health and UNC Health, which offer higher-tier positions. Seek roles in high-acuity settings such as cardiac operating rooms or trauma centers where expertise commands higher pay. Consider leadership positions—anesthesia supervisors and department directors earn substantially more. Negotiate aggressively during hiring; the salary range suggests room for negotiation based on your background. Stay current with continuing education and maintain excellent performance reviews to position yourself for advancement. Finally, explore opportunities in private surgical centers and ambulatory surgery centers, which often pay above hospital averages for experienced CRNAs.

Salary Distribution — Nurse Anesthetists in Raleigh

25th percentile: $184,095, Median: $216,477, Average: $218,055, 75th percentile: $266,027, National average: $214,200

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