Introduction
An anesthesiologist assistant (AA) is a highly skilled healthcare provider whose work is performed under the supervision of licensed anesthesiologists. They are important in the administration of anesthesia for surgical procedures.
This role they play helps maintain patient safety, comfort, and dignity during a very stressful and intense moment in the patient’s life, resulting in their all-important position on a surgical team in the U.S. healthcare system.
As with the demand that continues to increase in 2025, the salary and employment opportunities for AAs will continue to grow.
Who is an Anesthesiologist Assistant?
Anesthesiologist assistants help create and carry out anesthesia care plans. They oversee patients before, during and after anesthesia.
They collaborate directly with anesthesiologists in hospitals, surgery centers and academic institutions. This ultimately allows AAs to provide accurate drug administration and management of patients.
The AAs work under physician supervision at all times which is unlike CRNAs (Certified Registered Nurse Anesthetists). CRNAs, by contrast, are autonomous in some states.
Average Anesthesiologist Assistant Salary in the USA (2025)
The average annual salary of an anesthesiologist assistant in the U.S. is about $135,000–$165,000 in 2025. The hourly pay rates range from approximately $65–$80/hour, state and facility-dependent.
As per Indeed & ZipRecruiter, the average salary counts towards nearly $145,000/year, and while starting with an entry-level position, an average of $120,000/year.
The annual salaries for senior-level AAs with 10+ years of experience can easily exceed $180k.
Salary by Experience Level
| Experience Level | Average Annual Salary (USD) |
| 0–2 Years (Entry) | $120,000 – $130,000 |
| 2–5 Years (Mid) | $135,000 – $150,000 |
| 5–10+ Years (Senior) | $160,000 – $180,000+ |
Salary by Location
Salaries vary widely across states due to demand, cost of living, and local healthcare systems.
| State | Average Salary (USD) |
| California | $175,000 |
| New York | $165,000 |
| Florida | $145,000 |
| Texas | $150,000 |
| Georgia | $140,000 |
Highest average salaries can be found in Los Angeles, Atlanta, Houston, Miami and New York City, with hospitals in urban areas around these cities offering high compensation.
Top Employers & Salary Ranges
| Employer Type | Salary Range (USD) |
| Private Hospitals | $145,000 – $175,000 |
| Academic Medical Centers | $135,000 – $160,000 |
| Government Hospitals | $130,000 – $150,000 |
| Specialty Clinics | $140,000 – $165,000 |
Big hospital systems frequently include perks such as paid CME, relocation assistance, and performance bonuses.
Comparison with Related Professions
CRNA: Yes, CRNAs make more ($180,000–$220,000/year on average) but they do not have the same path.
Physician Assistants (PAs) : PAs make about $120,000/year, slightly less than AAs.
Surgical Assistants: Through certification and experience, these earn approximately $85,000–$110,000.
Although AAs do not earn as much as CRNAs, the structure and collaborative practice can be alluring to candidates.
Educational Path to Become an Anesthesiologist Assistant
Earn a Bachelor’s degree in science, then earn a Master’s in Anesthesia from a CAAHEP-accredited program to become an AA.
And the best include Emory University, Nova Southeastern, and Case Western Reserve.
Most states require licensure and passing the NCCAA certification exam after graduation.
Job Outlook and Career Growth
Anesthesiologist assistants have very bright job prospects, with demand projected to grow by 15–20% for the period between 2025 and 2030.
This demand is driven by an increasing number of surgeries and the requirement of more effective care teams.
Opportunities will grow dramatically nationwide as more states legalise AA practice.
Compensation Beyond Salary: Benefits and Perks
Anesthesiologist assistants often receive full benefits, which includes:
Medical, vision and dental insurance.
Matching contributions to a 401(k) retirement plan.
Paid vacation and holidays.
Malpractice insurance.
Continuing education support.
Some employers will even offer tuition reimbursement and flexible schedules for work-life balance.
Challenges Faced in the Profession
Even though it pays very well, there are specific challenges AAs face:
Long hours in high-stress environments.
Physically demanding shifts.
Some states have licensing restrictions.
Always working under the supervision of anesthesiologists.
But this role also is extremely rewarding for many, because of the impact on patient safety and surgical outcomes.
How to Increase Your Salary as an Anesthesiologist Assistant
To increase your income, consider:
Obtaining training in intricate surgical specialties.
Practicing in high-need states or metropolitan areas.
Seeking administrative or educator positions.
Obtaining advanced certifications (e.g., ACLS, PALS).
Moving into management in large institutions.
Witness attendance, national AA meetings, and networking can also all help lead to higher-paying positions.
Conclusion
A well-paying, secure job with a clear career trajectory in the U.S. healthcare system. Their wages are commensurate with their important role, from first-start professionals to seasoned veterans.
Due to the increasing demand, job security, and amazing benefits, getting an AA is what everyone should do who has a passion for patient care and surgical medicine.
If you wish to be this professional, it is the best time to start this journey towards success in the healthcare sector.
Frequently Asked Questions (FAQs)
What is the anesthesiologist assistant’s salary starting number in the U.S.?
Starting salaries are usually between $120,000 and $130,000 a year.
Is an AA the same as a CRNA?
No, CRNAs are independent practitioners and AAs must be supervised by a physician.
The highest salary for anesthesiologist assistants is in which state?
The highest-paying states are California, New York and Washington.
Is this a good career choice for the long-term?
Absolutely. The area is steadily increasing and expected to be in high demand.
What degree do I need to be an AA?
A Bachelor’s degree is required, as well as a Master’s in Anesthesia.
Are anesthesiologist assistants licensed in every U.S. state?
No, licensing requirements differ from state to state. AAs are still not recognised in some states.
What is the average work week for an AA?
It takes them an average of 40–60 hours a week, including weekends and nights.
Do AAs get paid overtime?
Many are paid overtime and on-call bonuses, yes.
What’s the difference between AAs and PAs?
Anesthesiologist-assistants(anesthesia only) vs Physician-assistants(broad medical roles).
How hard is it to get into AA program?
Yes, it is competitive for limited programs and high demand.
Are AAs able to become anesthesiologists?
No, though they may apply to medical school when qualified.
What does the future hold for AA jobs in the countryside?
Rural demand is increasing, even though CRNAs are predominant there now.
How long does it take to become an AA?
6–7 years overall, undergraduate + graduate education.
Do AAs have to renew their certification?
And yes, they need to recertify with the NCCAA every six years.
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