Anesthesiologist Salary in Louisville, KY
Anesthesiologists in the Louisville/Jefferson County, KY-IN metro area earn a median $491,640 a year — 26% more than the national median. After 2026 taxes, that is $318,149 take-home, or $26,512 a month.
Take-home pay calculator
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- Federal income tax$135,208
- Social Security (6.2%)$11,439
- Medicare (1.45%)$9,754
- Kentucky income tax$17,090
- Take-home pay$318,149
Marginal rate: 35% federal + 3.50% state
The Louisville/Jefferson County, KY-IN metro spans Kentucky, Indiana. Pick the state you live in — state income tax follows your residence.
Anesthesiologist pay by experience in Louisville, KY
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $119,990 | $57.69 | $89,161 | $7,430 |
| 25th percentile | $119,990 | $57.69 | $89,161 | $7,430 |
| Median (50th) | $491,640+ | $236.37 | $318,149 | $26,512 |
| 75th percentile | $491,640+ | $236.37 | $318,149 | $26,512 |
| 90th percentile (top earners) | $491,640+ | $236.37 | $318,149 | $26,512 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Kentucky resident, 2026 tax rules.
What $491,640 buys in Louisville, KY
Prices in Louisville, KY are 6.9% lower than the U.S. average (housing costs are 21% below the national average). Adjusted for local prices, a median anesthesiologist's $318,149 take-home pay has the buying power of $341,824 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Louisville, KY has 2.9× the national concentration of anesthesiologist jobs — a strong local market for this occupation.
Best-paying cities for anesthesiologists, adjusted for cost of living
Louisville, KY ranks #2 of 10 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Seattle, WA | $239,200+ | $432,528 | $389,199 |
| 2 | Louisville, KY | $239,200+ | $318,149 | $341,824 |
| 3 | Indianapolis, IN | $239,200+ | $250,970 | $262,258 |
| 4 | New York, NY | $239,200+ | $287,516 | $255,426 |
| 5 | Nashville, TN | $239,200+ | $233,245 | $242,111 |
| 6 | Orlando, FL | $239,200+ | $176,092 | $173,630 |
| 7 | Houston, TX | $210,230 | $156,461 | $158,636 |
| 8 | Dallas, TX | $218,060 | $162,213 | $157,351 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 10 metros →
Frequently asked questions
How much does a anesthesiologist make in Louisville, KY?
The median anesthesiologist salary in the Louisville/Jefferson County, KY-IN metro area is $491,640 a year, or about $236.37 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $119,990 and $239,200+.
What is a anesthesiologist’s take-home pay in Louisville, KY?
On the median $491,640 salary, a single filer living in Kentucky takes home about $318,149 a year ($26,512 a month) after federal tax, Social Security, Medicare and $17,090 in Kentucky taxes in 2026.
Is Louisville, KY a good place to work as a anesthesiologist?
Pay here is 26% above the national median of $239,200+. Local prices are 6.9% below the U.S. average, so the take-home pay buys what $341,824 would in a typical U.S. city. Louisville, KY ranks #2 of 10 metro areas for cost-of-living-adjusted pay in this job.
Can a anesthesiologist afford rent in Louisville, KY?
HUD’s fair market rent for a one-bedroom in Louisville, KY is $1,026 a month ($1,248 for two bedrooms) — 4% of a median anesthesiologist’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Louisville, KY
- Physicians, All Other — $239,200+
- Nurse Anesthetist — $222,520
- Pharmacist — $143,920
- Nurse Practitioner — $122,900
- Speech-Language Pathologist — $103,420
- Physical Therapist — $102,260
- Occupational Therapist — $100,040
- Registered Nurse — $84,850
- Dental Hygienist — $81,390
- Radiologic Technologist and Technician — $76,860
- Respiratory Therapist — $76,560
- Licensed Practical and Licensed Vocational Nurse — $64,460