Nurse anesthetist (CRNA) salary in South Dakota
South Dakota nurse anesthetists earn a median of $263,930 a year ($126.89 an hour), according to BLS data for May 2025. That is 12% above the national median of $236,590, and ranks 17th of 44 states.
Median, South Dakota
$263,930
Mean $249,720
Middle half earns
$220,920 to $269,480
US: $206,730 to $294,350
Employed in South Dakota
400
2.62x the national concentration
Where South Dakota sits in the range
South Dakota
Statewide
United States
National
Sioux Falls
Metro area
Nurse anesthetist (CRNA) pay by percentile
Ten percent of South Dakota nurse anesthetists earned less than $194,200 and ten percent earned more than $287,650, a spread of $93,450. 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 | South Dakota | United States | Difference |
|---|---|---|---|
| 10th | $194,200 | $155,250 | +25.1% |
| 25th | $220,920 | $206,730 | +6.9% |
| Median | $263,930 | $236,590 | +11.6% |
| 75th | $269,480 | $294,350 | -8.4% |
| 90th | $287,650 | $339,500 | -15.3% |
Nurse anesthetist (CRNA) pay by metro area
BLS published CRNA pay for one South Dakota metro area. 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 |
|---|---|---|---|
| Sioux Falls, SD-MN | 230 | $243,560 | $194,200 to $269,480 |
How CRNA pay compares with other clinicians in South Dakota
| Occupation | South Dakota | United States |
|---|---|---|
| Nurse anesthetist (CRNA) | $263,930 | $236,590 |
| Physician assistant | $133,200 | $135,880 |
| Nurse practitioner | $128,840 | $132,300 |
| Registered nurse | $78,060 | $97,550 |
The South Dakota CRNA workforce
BLS counts 400 nurse anesthetists on South Dakota payrolls, or 0.87 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 $220,920, it sits in the bottom quarter of what South Dakota 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 $269,480, 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 South Dakota
How much does a CRNA make in South Dakota?
The median annual wage for nurse anesthetists in South Dakota was $263,930 in May 2025, and the mean was $249,720, per the BLS. The middle half earned between $220,920 and $269,480.
What is the hourly rate for nurse anesthetists in South Dakota?
The median hourly wage was $126.89 and the mean was $120.06. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.
How does South Dakota rank for CRNA pay?
South Dakota ranks 17th of 44 states (including DC) by median CRNA pay, 12% 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 South Dakota?
BLS estimated 400 nurse anesthetists employed in South Dakota 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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