Nurse anesthetist (CRNA) salary in West Virginia
West Virginia nurse anesthetists earn a median of $278,530 a year ($133.91 an hour), according to BLS data for May 2025. That is 18% above the national median of $236,590, and ranks 8th of 44 states.
Median, West Virginia
$278,530
Mean $275,100
Middle half earns
$231,830 to $290,670
US: $206,730 to $294,350
Employed in West Virginia
740
3.18x the national concentration
Where West Virginia sits in the range
West Virginia
Statewide
United States
National
Washington
Metro area
Charleston
Metro area
Morgantown
Metro area
Huntington
Metro area
Nurse anesthetist (CRNA) pay by percentile
Ten percent of West Virginia nurse anesthetists earned less than $226,300 and ten percent earned more than $380,340, a spread of $154,040. 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 | West Virginia | United States | Difference |
|---|---|---|---|
| 10th | $226,300 | $155,250 | +45.8% |
| 25th | $231,830 | $206,730 | +12.1% |
| Median | $278,530 | $236,590 | +17.7% |
| 75th | $290,670 | $294,350 | -1.3% |
| 90th | $380,340 | $339,500 | +12.0% |
Nurse anesthetist (CRNA) pay by metro area
BLS published CRNA pay for 4 metro areas that include part of West Virginia. Charleston, WV has the highest median at $280,250. 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 |
|---|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WVlow precision | 440 | $223,150 | $223,130 to $351,020 |
| Charleston, WVmoderate precision | 220 | $280,250 | $232,350 to $290,670 |
| Morgantown, WV | 200 | $278,530 | $228,280 to $330,540 |
| Huntington-Ashland, WV-KY-OHmoderate precision | 190 | $264,420 | $199,330 to $278,050 |
How CRNA pay compares with other clinicians in West Virginia
| Occupation | West Virginia | United States |
|---|---|---|
| Nurse anesthetist (CRNA) | $278,530 | $236,590 |
| Physician assistant | $128,610 | $135,880 |
| Nurse practitioner | $127,320 | $132,300 |
| Registered nurse | $80,130 | $97,550 |
The West Virginia CRNA workforce
BLS counts 740 nurse anesthetists on West Virginia payrolls, or 1.06 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 $231,830, it sits in the bottom quarter of what West 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 $290,670, 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 West Virginia
How much does a CRNA make in West Virginia?
The median annual wage for nurse anesthetists in West Virginia was $278,530 in May 2025, and the mean was $275,100, per the BLS. The middle half earned between $231,830 and $290,670.
What is the hourly rate for nurse anesthetists in West Virginia?
The median hourly wage was $133.91 and the mean was $132.26. 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 West Virginia?
Among West Virginia metro areas with published data, Charleston, WV had the highest median at $280,250, and Washington-Arlington-Alexandria, DC-VA-MD-WV the lowest at $223,150.
How does West Virginia rank for CRNA pay?
West Virginia ranks 8th of 44 states (including DC) by median CRNA pay, 18% 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 West Virginia?
BLS estimated 740 nurse anesthetists employed in West 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.
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