Nurse anesthetist (CRNA) salary in Missouri
Missouri nurse anesthetists earn a median of $242,630 a year ($116.65 an hour), according to BLS data for May 2025. That is 3% above the national median of $236,590, and ranks 27th of 44 states.
Median, Missouri
$242,630
Mean $271,780
Middle half earns
$214,990 to $332,800
US: $206,730 to $294,350
Employed in Missouri
1,550
1.58x the national concentration
Where Missouri sits in the range
Missouri
Statewide
United States
National
Kansas
Metro area
St. Louis
Metro area
Columbia
Metro area
Joplin
Metro area
Nurse anesthetist (CRNA) pay by percentile
Ten percent of Missouri nurse anesthetists earned less than $177,900 and ten percent earned more than $362,800, a spread of $184,900. Where you land depends mostly on specialty, setting, experience and how the productivity pay is built, which is why two offers in the same city can be far apart.
| Percentile | Missouri | United States | Difference |
|---|---|---|---|
| 10th | $177,900 | $155,250 | +14.6% |
| 25th | $214,990 | $206,730 | +4.0% |
| Median | $242,630 | $236,590 | +2.6% |
| 75th | $332,800 | $294,350 | +13.1% |
| 90th | $362,800 | $339,500 | +6.9% |
Nurse anesthetist (CRNA) pay by metro area
BLS published CRNA pay for 4 metro areas that include part of Missouri. Columbia, MO has the highest median at $310,170. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.
| Metro area | Employed | Median | Middle half |
|---|---|---|---|
| Kansas City, MO-KSmoderate precision | 980 | $218,080 | $180,200 to $264,350 |
| St. Louis, MO-ILlow precision | 650 | $232,300 | $214,990 to $313,980 |
| Columbia, MOmoderate precision | 90 | $310,170 | $244,990 to $310,170 |
| Joplin, MO-KSlow precision | 30 | $170,770 | $170,430 to $239,990 |
How CRNA pay compares with other clinicians in Missouri
| Occupation | Missouri | United States |
|---|---|---|
| Nurse anesthetist (CRNA) | $242,630 | $236,590 |
| Physician assistant | $135,130 | $135,880 |
| Nurse practitioner | $129,930 | $132,300 |
| Registered nurse | $81,780 | $97,550 |
The Missouri CRNA workforce
BLS counts 1,550 nurse anesthetists on Missouri payrolls, or 0.53 for every 1,000 jobs in the state, more concentrated than in the country as a whole.
Using these numbers when you negotiate
A state median is a reference point, not a target. If an offer comes in under $214,990, it sits in the bottom quarter of what Missouri nurse anesthetists earn, and you should know why before you sign: a new-grad rate, a light schedule, or a base kept low because a productivity bonus is supposed to make up the difference. If it is above $332,800, ask what is expected in return, such as call, volume targets or a longer non-compete.
Compare the whole package, not the base: how the bonus is calculated, call pay, CME, PTO and who pays malpractice tail coverage. The negotiation guide and the contract checklist walk through each term.
Questions about CRNA pay in Missouri
How much does a CRNA make in Missouri?
The median annual wage for nurse anesthetists in Missouri was $242,630 in May 2025, and the mean was $271,780, per the BLS. The middle half earned between $214,990 and $332,800.
What is the hourly rate for nurse anesthetists in Missouri?
The median hourly wage was $116.65 and the mean was $130.66. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.
Where do CRNAs earn the most in Missouri?
Among Missouri metro areas with published data, Columbia, MO had the highest median at $310,170, and Joplin, MO-KS the lowest at $170,770.
How does Missouri rank for CRNA pay?
Missouri ranks 27th of 44 states (including DC) by median CRNA pay, 3% above the national median of $236,590. Pay is only half the picture: compare it with what housing and taxes cost where you would live.
How many nurse anesthetists work in Missouri?
BLS estimated 1,550 nurse anesthetists employed in Missouri in May 2025.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1151, all industries and ownerships. NPI counts: NPPES monthly file, August 2026 (CMS, public domain). BLS wages are straight-time pay: they include production bonuses but leave out overtime, shift differentials, non-production bonuses and benefits, and they exclude the self-employed.
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