Healthcare Practitioners and Technical

Anesthesiologist Assistant Salary (2026), outlook and how to become one

Assist anesthesiologists in the administration of anesthesia for surgical and non-surgical procedures.

Median pay
$135,880
Growth to 2035
+21.1%
Openings a year
11,500
Typical entry
Master's

Anesthesiologist Assistants earn a median of $135,880 per year ($65.33/hr) (BLS OEWS, May 2025). Employment is projected to grow 21.1% through 2035, with about 11,500 openings a year (BLS EP, 2025–2035). Typical entry-level education: Master's degree.

  • SOC 29-1071
  • Healthcare Practitioners and Technical
  • Last updated October 15, 2026

At a glance

Anesthesiologist Assistant in four numbers

Median pay
$135,880a year, or $65.33/hr
Lowest 10% $99KTop 10% $190K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+21.1%Much faster than average
This career
+21.1%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+21.1%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
11,500168,900 jobs today
  • Jobs in 2025168.9K
  • Projected 2035204.6K
Employment, 2025–2035
ItemValue
Jobs in 2025168.9K
Projected 2035204.6K
BLS EP, 2025–2035
Typical education
Master'sneeded to enterBLS EP, 2025–2035; mix: O*NET

Also advertised as: Anesthesia Assistant, Anesthesia Orderly, Anesthesia Technician (Anesthesia Tech), Anesthesiology Assistant, Anesthesiology Technician (Anesthesiology Tech), CAA (Certified Anesthesiologist Assistant).

Pay

How much do anesthesiologist assistants make?

Anesthesiologist Assistants earn a median of $135,880 a year ($65.33 an hour, or about $11,320 a month); the lowest-paid 10% earn less than $99,380 and the top 10% more than $190,280 (BLS OEWS, May 2025).

The best-paying state is New Jersey, with a median of $165,690. See Anesthesiologist assistant salary in New Jersey and every other state. By city, pay is highest around San Jose ($207,670 average): salary in every city.

Annual pay, lowest-paid to highest-paid

Every anesthesiologist assistant in the US, by percentile of annual wage

Median

$135,880

Middle half earn $120,670 to $163,980

10th
$99,380
25th
$120,670
75th
$163,980
90th
$190,280

All US occupations: $50,980

Anesthesiologist Assistant annual wages
PercentileValue
10th$99,380
25th$120,670
Median$135,880
75th$163,980
90th$190,280
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$135,880
Median hourly wage
$65.33/hr
Mean annual wage
$141,280
People employed
162,150

Versus all US occupations

At $135,880, Anesthesiologist Assistants earn 167% above the $50,980 median across all US occupations, a difference of $84,900 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 32% above the group median.

Pay range

The top 10% earn $190,280 or more while the bottom 10% earn $99,380, a gap of 1.9×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 90% of the 1,741 occupations in the NueCareer career bank.

Cost of living

New Jersey posts the highest raw median ($165,690), but once local prices are taken into account Oklahoma leads at $155,448 in national-average dollars.

Pay by state

Which states pay anesthesiologist assistants the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Anesthesiologist Assistants
StateMedianCOL-adjustedEmployed
1New Jersey$165,690$152,2824,790
2California$165,650$149,61213,600
3Washington$164,360$153,5893,540
4Hawaii$164,050$149,203530
5New York$160,880$149,07219,140
6Oregon$155,780$150,7142,250
7New Hampshire$150,960$144,9241,060
8Alaska$150,700$147,227700
9Vermont$150,490$153,627410
10Massachusetts$142,410$134,6584,470
See all 51 states, sortable, with cost-of-living adjustments

Job outlook

Is anesthesiologist assistant a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Anesthesiologist Assistants
+21.1%
All US occupations
+3.5%

Much faster than average. +21.1% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Anesthesiologist Assistants+21.1%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Much faster than average

BLS projects employment of Anesthesiologist Assistants to change 21.1% over 2025–2035, roughly 6.0× the 3.5% projected for all occupations. That is 35,700 more jobs.

Annual openings

About 11,500 openings are projected each year, 6.8% of the 168,900 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

A rise in the number of older people, who are more likely than young people to require medical care, and of patients with chronic diseases, such as diabetes, will increase healthcare demand. These increases, in turn, drive the need for healthcare providers such as physician assistants (PAs), who can provide many of the same services as physicians.

PAs are expected to continue to expand their role in providing healthcare services. This is largely because they can be trained more quickly than physicians, and team-based healthcare provision models will continue to evolve and become more common.

AI exposure: low

BLS places this occupation in its low relative AI exposure category, among the occupations least exposed to current AI.

Getting in

How to become an anesthesiologist assistant

A Certified Anesthesiologist Assistant is not a nurse anesthetist and not a physician assistant, and the difference is structural rather than cosmetic. CAAs work exclusively within the anesthesia care team, trained and working under the supervision of a physician anesthesiologist who retains responsibility for the immediate care of the patient. CRNAs are advanced practice registered nurses licensed through boards of nursing, and 25 states plus Guam have opted out of the federal physician supervision requirement for them. The other thing to settle before committing is geography: CAAs may practise in 22 states plus the District of Columbia and Guam, not nationwide.

The credential path, step by step

  1. Check whether your state authorises CAA practice at all

    This is the first gate, not the last. The American Academy of Anesthesiologist Assistants states that CAAs can currently practise in 22 states, Washington DC and the territory of Guam, and publishes a practice authorization map (dated July 2025) naming them. Authorisation comes in more than one form: ASA notes that both delegatory authority and licensure implement CAAs within the anesthesia care team and both require supervision by a physician anesthesiologist, and AAAA's map carries a further category for a state that also requires physician assistant licensure.

  2. Complete a premedical bachelor's degree4 years

    AAAA states that all CAAs hold a premedical background and a baccalaureate degree. Programmes set the coursework: Saint Louis University, for example, requires two semesters each of biology, general chemistry, organic chemistry and physics with laboratory, plus one semester of calculus.

  3. Sit the MCAT or the GRE

    Accredited programmes require one or the other, taken recently. Saint Louis University requires MCAT or GRE scores within 3 years of matriculation and reports competitive figures of MCAT 501 or GRE 152 verbal and 155 quantitative; Emory pre-screens on GRE or MCAT as well.

  4. Complete a CAAHEP-accredited master's programme27 to 29 months

    CAAHEP is the only nationally recognised accreditor for anesthesiologist assistant education, and the Accreditation Review Committee for Anesthesiologist Assistant Education is the only body CAAHEP recognises to provide those accreditation services. As of 23 August 2026 there were 25 accredited programme locations, all at master's level, run by 15 parent institutions across Alabama, Colorado, the District of Columbia, Florida, Georgia, Indiana, Missouri, New Mexico, Ohio, South Carolina, Texas and Wisconsin. Programmes run 27 to 29 months, and ASA states that graduating requires a minimum of 2,000 anesthesia hours or 600 cases.

  5. Pass the NCCAA Certifying Examination

    180 multiple-choice items delivered in two blocks of 90 over 235 minutes, of which 30 are unscored pretest items, at Pearson VUE. NCCAA also collects and reviews a self-reported clinical experience record from student AAs as part of eligibility. Eligibility runs for 2 years from graduation with a maximum of 6 attempts, and the registration fee is $1,400.

  6. Apply for the state credential and keep the certification current

    Where the state licenses CAAs you apply to the relevant board; where it operates on delegatory authority the supervising anesthesiologist's delegation is the mechanism. Certification is then maintained with continuing medical education every two years and the Continued Demonstration of Qualifications examination on NCCAA's schedule.

Exams you have to pass

  • NCCAA Certifying Examination for Anesthesiologist Assistants

    180 multiple-choice items in two blocks of 90, 235 minutes of testing time plus an optional 15-minute break, with 30 unscored pretest items. Eligibility requires graduation from an anesthesiologist assistant programme at a USDE- or CHEA-recognised institution covering basic medical sciences, medical biophysics, patient monitoring, laboratory instrumentation, data analysis, patient assessment, clinical anesthesia practice, quality assurance conferences and emergency preparedness. Registration $1,400. The content outline was validated by a job analysis last performed in 2021.

    Administered by National Commission for Certification of Anesthesiologist Assistants, delivered at Pearson VUE.

  • Continued Demonstration of Qualifications examination (CDQ)

    135 items in two blocks of 68 and 67 over 165 minutes, required for maintenance of certification in specified years of the credential (NCCAA's current handbook describes them as year 4, 10, 20 and so on) with three consecutive offerings, in February and June, to pass. Registration $1,300.

    Administered by National Commission for Certification of Anesthesiologist Assistants.

How long the training takes

27 to 29 months of graduate study

A premedical bachelor's degree, then a CAAHEP-accredited master's programme running 27 to 29 months at the programmes we checked. ASA describes the training as approximately 2 years of specialised science and clinical education in anesthesia, with a minimum of 2,000 anesthesia hours or 600 cases to graduate.

Continuing education

Required to stay credentialed

NCCAA requires 50 hours of eligible continuing medical education every two years, including the year in which the CDQ examination is taken, and 40 of the 50 must be CAA Category I anesthesia CME. The remaining 10 may be general medicine or professional development. Category I means ACCME- or AAPA-accredited anesthesia CME, or an ABA subspecialty such as critical care medicine, neurocritical care, pain medicine or pediatric anesthesia, with ACLS and PALS capped at 4 hours. Carry-over is not permitted, the deadline is 1 June of the registration year, the registration fee is $295, and failing to register leads to expiry and then decertification on 1 September.

Program accreditation

CAAHEP · Commission on Accreditation of Allied Health Education Programs

Graduation from a CAAHEP-accredited anesthesiologist assistant programme is the route to the NCCAA examination, and CAAHEP is the only nationally recognised accreditor for this education. The Accreditation Review Committee for Anesthesiologist Assistant Education carries out the accreditation. There were 25 accredited programme locations across 15 institutions as of 23 August 2026, which is why programme choice is geographically constrained.

Licensing and state variation

Licensed state by state

Practice authority is the defining state variable for this occupation, more than for almost any other. AAAA states that CAAs can practise in 22 states, Washington DC and Guam, and its practice authorization map, dated July 2025, distinguishes states that license CAAs from states that authorise them through physician-delegatory authority, and carries a further category for a state that requires physician assistant licensure in addition. Because that map is the only published list and is more than a year old, check the current position with the state board before relying on it. In every category the supervision requirement holds: ASA states that both delegatory authority and licensure require supervision by a physician anesthesiologist, and Medicare requires the supervising anesthesiologist to be immediately available. That is the structural difference from the CRNA, who is licensed as an advanced practice registered nurse and for whom 25 states plus Guam have opted out of the federal physician supervision requirement.

Who governs the credential

Credential detail for anesthesiologist assistants is researched by hand from the bodies that issue it, not derived from BLS or O*NET. Sources last checked August 23, 2026. Requirements change: confirm with your own state board before enrolling in anything.

What the federal data says

Physician assistants typically need a master’s degree from an accredited educational program. Applicants to these programs typically have a bachelor's degree and experience caring directly for patients. All states require physician assistants to be licensed.

  1. 1

    Typical entry-level education

    Master's degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Extensive preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

Full BLS Occupational Outlook Handbook entry

The work

What does an anesthesiologist assistant do?

Assist anesthesiologists in the administration of anesthesia for surgical and non-surgical procedures. Monitor patient status and provide patient care during surgical treatment.

Physician assistants, also known as PAs, examine, diagnose, and treat patients under the supervision of a physician.

Day-to-day tasks

  1. Provide airway management interventions including tracheal intubation, fiber optics, or ventilary support.
  2. Assist anesthesiologists in monitoring of patients, including electrocardiogram (EKG), direct arterial pressure, central venous pressure, arterial blood gas, hematocrit, or routine measurement of temperature, respiration, blood pressure or heart rate.
  3. Control anesthesia levels during procedures.
  4. Administer anesthetic, adjuvant, or accessory drugs under the direction of an anesthesiologist.
  5. Respond to emergency situations by providing cardiopulmonary resuscitation (CPR), basic cardiac life support (BLS), advanced cardiac life support (ACLS), or pediatric advanced life support (PALS).
  6. Collect and document patients' pre-anesthetic health histories.
  7. Administer blood, blood products, or supportive fluids.
  8. Verify availability of operating room supplies, medications, and gases.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Most physician assistants work full time. Work schedules vary and may include nights, weekends, or holidays. Physician assistants also may be on call, meaning that they must be ready to respond to a work request with little notice.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day
  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

    Mistakes carry very serious consequences.

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Where anesthesiologist assistants work

Share of jobs by employer type

  • Offices of physicians53%
  • Hospitals; state, local, and private26%
  • Outpatient care centers9%
  • Government, excluding state and local education and hospitals3%
  • Educational services; state, local, and private3%
Largest employers of Anesthesiologist Assistants
ItemValue
Offices of physicians53%
Hospitals; state, local, and private26%
Outpatient care centers9%
Government, excluding state and local education and hospitals3%
Educational services; state, local, and private3%

Source: BLS Occupational Outlook Handbook, 2025–2035 edition

Core skills

O*NET importance, 1 to 5

  • Monitoring4.1
  • Reading Comprehension4.0
  • Active Listening4.0
  • Speaking3.8
  • Active Learning3.8
  • Critical Thinking3.6
  • Writing3.3
  • Mathematics2.9
Core skills for Anesthesiologist Assistants
ItemValue
Monitoring4.1
Reading Comprehension4.0
Active Listening4.0
Speaking3.8
Active Learning3.8
Critical Thinking3.6
Writing3.3
Mathematics2.9

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Judgment and Decision Making3.6
  • Operations Monitoring3.5
  • Complex Problem Solving3.4
  • Service Orientation3.3
  • Social Perceptiveness3.1
  • Coordination3.1
  • Time Management3.1
  • Operation and Control2.9
Transferable skills for Anesthesiologist Assistants
ItemValue
Judgment and Decision Making3.6
Operations Monitoring3.5
Complex Problem Solving3.4
Service Orientation3.3
Social Perceptiveness3.1
Coordination3.1
Time Management3.1
Operation and Control2.9

Source: O*NET 31.0 Database

Tools and software

  • Data base user interface and query software · in demand
  • Electronic mail software · in demand
  • Medical software · in demand
  • Office suite software · in demand
  • Presentation software · in demand
  • Spreadsheet software · in demand
  • Word processing software · in demand
  • Inventory management software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

The workforce

Who works as an anesthesiologist assistant?

Women make up 77.5% of anesthesiologist assistants, against 47.1% of all employed people: a female-dominated occupation.

Only 9.2% are 55 or older (23.2% across all jobs): a young workforce.

The median worker is 38.0 years old (all workers: 42.1).

Women
77.5%All workers 47.1% · BLS CPS, 2025
Median age
38.0All workers 42.1 · BLS CPS, 2025
Aged 55+
9.2%All workers 23.2% · BLS CPS, 2025
Employed (CPS)
153,000BLS CPS, 2025
Share of anesthesiologist assistants by sex, race, ethnicity and age, against all employed people
GroupShare of anesthesiologist assistantsAll employed people
Women
77.5%
47.1%
White
81.4%
75.7%
Black or African American
4.8%
12.7%
Asian
11.0%
7.5%
Hispanic or Latino (any race)
12.2%
20.0%
Aged 55 and over
9.2%
23.2%
Aged 16 to 24
2.6%
12.2%

Current Population Survey annual averages, 2025 (BLS tables 11 and 11b). Race groups can overlap with Hispanic or Latino ethnicity, so they do not sum to 100%.

Personality fit

What personality type suits an anesthesiologist assistant?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Anesthesiologist Assistant · Realistic: 4Anesthesiologist Assistant · Investigative: 5Anesthesiologist Assistant · Artistic: 1Anesthesiologist Assistant · Social: 5Anesthesiologist Assistant · Enterprising: 2Anesthesiologist Assistant · Conventional: 5
Anesthesiologist Assistant interest profile
AxisAnesthesiologist Assistant
Realistic4
Investigative5
Artistic1
Social5
Enterprising2
Conventional5

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around organising, following procedures and working precisely with data, combined with teaching, helping and working directly with other people.

  • Conventional5.1
  • Social4.9
  • Investigative4.6
  • Realistic4.4
  • Enterprising1.9
  • Artistic1.0

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Anesthesiologist Assistant: frequently asked questions

How much do anesthesiologist assistants make?

Anesthesiologist Assistants earn a median of $135,880 a year (BLS OEWS, May 2025). That is 167% above the $50,980 median for all US occupations. That works out at $65.33/hr. The middle half earn between $120,670 and $163,980. The top 10% earn $190,280 or more.

How much do anesthesiologist assistants make an hour?

The median hourly wage for anesthesiologist assistants is $65.33 (BLS OEWS, May 2025). On a full-year basis the $135,880 annual median works out to about $11,320 a month before tax.

What is the starting salary for an anesthesiologist assistant?

BLS does not publish a starting salary. The nearest measure is the low end of the pay range: the lowest-paid 10% of anesthesiologist assistants earn less than $99,380 a year and the bottom quarter less than $120,670 (BLS OEWS, May 2025). New workers often start near that end, but where a particular job starts depends on the employer, the state and the credentials you bring, so read these as the bottom of the range rather than a guaranteed entry wage.

Do anesthesiologist assistants make $100k?

Yes, more often than not. The median is $135,880, so more than half of anesthesiologist assistants earn over $100,000 a year; even the 25th percentile is $120,670 (BLS OEWS, May 2025). In 51 states the median itself is above $100,000: New Jersey ($165,690), California ($165,650), Washington ($164,360), Hawaii ($164,050), and 47 more.

Which states pay anesthesiologist assistants the most?

The highest state medians for Anesthesiologist Assistants are New Jersey ($165,690), California ($165,650), Washington ($164,360) (BLS OEWS, May 2025). Adjusted for local prices using BEA Regional Price Parities, Oklahoma moves to the top at $155,448.

What kind of anesthesiologist assistant earns the most?

BLS does not split anesthesiologist assistants' pay by specialty or employer, but its range shows how far the top end runs: the highest-paid 10% earn more than $190,280, against a median of $135,880 (BLS OEWS, May 2025). Location moves pay the most in the published data: the best-paying states are New Jersey ($165,690), California ($165,650), Washington ($164,360).

Do you need a degree to become an anesthesiologist assistant?

Yes. BLS reports a master's degree as the typical entry-level education for Anesthesiologist Assistants, and O*NET rates the preparation needed as extensive preparation.

Is anesthesiologist assistant a growing career?

Yes, strongly. Employment is projected to grow 21.1% over 2025–2035, more than double the 3.5% projected for all occupations (BLS EP, 2025–2035). BLS still projects about 11,500 openings a year, mostly from workers retiring or moving to other work.

What does an anesthesiologist assistant do?

Physician assistants, also known as PAs, examine, diagnose, and treat patients under the supervision of a physician. A core O*NET task: provide airway management interventions including tracheal intubation, fiber optics, or ventilary support. Employers most often ask for Data base user interface and query software, Electronic mail software, Medical software.

Do anesthesiologist assistants work 40 hours a week?

Yes, for most. In O*NET's survey of people in the job, 33% of anesthesiologist assistants usually work more than 40 hours a week, 63% work exactly 40 and 4% work fewer. 67% say their schedule is regular and 33% irregular. Source: O*NET 31.0 Database, Work Context.

What personality type suits an anesthesiologist assistant?

O*NET scores Anesthesiologist Assistants highest on the Conventional, Social and Investigative interest areas, so the work mixes organising, following procedures and working precisely with data with teaching, helping and working directly with other people. On NueCareer's MBTI-to-interest mapping the closest types are ISFJ, ISTJ. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.

How long does it take to become an anesthesiologist assistant?

27 to 29 months of graduate study. A premedical bachelor's degree, then a CAAHEP-accredited master's programme running 27 to 29 months at the programmes we checked. ASA describes the training as approximately 2 years of specialised science and clinical education in anesthesia, with a minimum of 2,000 anesthesia hours or 600 cases to graduate.

Do you need a license to work as an anesthesiologist assistant?

Yes, and it is issued by the state you work in, not nationally. Practice authority is the defining state variable for this occupation, more than for almost any other. AAAA states that CAAs can practise in 22 states, Washington DC and Guam, and its practice authorization map, dated July 2025, distinguishes states that license CAAs from states that authorise them through physician-delegatory authority, and carries a further category for a state that requires physician assistant licensure in addition. Because that map is the only published list and is more than a year old, check the current position with the state board before relying on it. In every category the supervision requirement holds: ASA states that both delegatory authority and licensure require supervision by a physician anesthesiologist, and Medicare requires the supervising anesthesiologist to be immediately available. That is the structural difference from the CRNA, who is licensed as an advanced practice registered nurse and for whom 25 states plus Guam have opted out of the federal physician supervision requirement.

What exams do you have to pass to become an anesthesiologist assistant?

The NCCAA Certifying Examination for Anesthesiologist Assistants and the CDQ (Continued Demonstration of Qualifications examination). 180 multiple-choice items in two blocks of 90, 235 minutes of testing time plus an optional 15-minute break, with 30 unscored pretest items. Eligibility requires graduation from an anesthesiologist assistant programme at a USDE- or CHEA-recognised institution covering basic medical sciences, medical biophysics, patient monitoring, laboratory instrumentation, data analysis, patient assessment, clinical anesthesia practice, quality assurance conferences and emergency preparedness. Registration $1,400. The content outline was validated by a job analysis last performed in 2021.

What percentage of anesthesiologist assistants are women?

Women make up 77.5% of anesthesiologist assistants, against 47.1% of all employed people: a female-dominated occupation. Only 9.2% are 55 or older (23.2% across all jobs): a young workforce. The median worker is 38.0 years old (all workers: 42.1). Source: BLS Current Population Survey, 2025 annual averages.