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Max Mello, PA-CCareer coaching for PAs, NPs and CRNAs

Nurse anesthetist (CRNA) salary in Virginia

Virginia nurse anesthetists earn a median of $252,110 a year ($121.21 an hour), according to BLS data for May 2025. That is 7% above the national median of $236,590, and ranks 20th of 44 states.

Median, Virginia

$252,110

Mean $254,820

Middle half earns

$207,230 to $294,350

US: $206,730 to $294,350

Employed in Virginia

700

0.51x the national concentration

Where Virginia sits in the range

Virginia

Statewide

United States

National

Washington

Metro area

Charlottesville

Metro area

Virginia Beach

Metro area

Richmond

Metro area

Line: 10th to 90th percentile. Bar: 25th to 75th. Tick: median. Annual wages, BLS OEWS, May 2025.

Nurse anesthetist (CRNA) pay by percentile

Ten percent of Virginia nurse anesthetists earned less than $174,210 and ten percent earned more than $387,020, a spread of $212,810. 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.

Annual wages, BLS OEWS, May 2025
PercentileVirginiaUnited StatesDifference
10th$174,210$155,250+12.2%
25th$207,230$206,730+0.2%
Median$252,110$236,590+6.6%
75th$294,350$294,350+0.0%
90th$387,020$339,500+14.0%

Nurse anesthetist (CRNA) pay by metro area

BLS published CRNA pay for 4 metro areas that include part of Virginia. Charlottesville, VA has the highest median at $241,460. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.

Annual wages, BLS OEWS, May 2025
Metro areaEmployedMedianMiddle half
Washington-Arlington-Alexandria, DC-VA-MD-WVlow precision440$223,150$223,130 to $351,020
Charlottesville, VA60$241,460$241,460 to $310,600
Virginia Beach-Chesapeake-Norfolk, VA-NCnot published$233,060$218,380 to $279,880
Richmond, VAnot published$235,320$163,340 to $270,470

How CRNA pay compares with other clinicians in Virginia

Median annual wage, BLS OEWS, May 2025
OccupationVirginiaUnited States
Nurse anesthetist (CRNA)$252,110$236,590
Physician assistant$135,940$135,880
Nurse practitioner$127,810$132,300
Registered nurse$93,600$97,550

The Virginia CRNA workforce

BLS counts 700 nurse anesthetists on Virginia payrolls, or 0.17 for every 1,000 jobs in the state, less 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 $207,230, it sits in the bottom quarter of what Virginia 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 $294,350, 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 Virginia

How much does a CRNA make in Virginia?

The median annual wage for nurse anesthetists in Virginia was $252,110 in May 2025, and the mean was $254,820, per the BLS. The middle half earned between $207,230 and $294,350.

What is the hourly rate for nurse anesthetists in Virginia?

The median hourly wage was $121.21 and the mean was $122.51. 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 Virginia?

Among Virginia metro areas with published data, Charlottesville, VA had the highest median at $241,460, and Washington-Arlington-Alexandria, DC-VA-MD-WV the lowest at $223,150.

How does Virginia rank for CRNA pay?

Virginia ranks 20th of 44 states (including DC) by median CRNA pay, 7% 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 Virginia?

BLS estimated 700 nurse anesthetists employed in Virginia 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.

Have an offer on the table?

Book a free intro call with Max. Tell him what you are weighing, and he will tell you whether coaching would help, or whether you just need a few answers.