How Much Do Anesthesiology Practices Make? Key Revenue Insights
- Nate Jones, CPCU, ARM, CLCS, AU
- Dec 23, 2025
- 2 min read
Anesthesiology practices operate in a high-demand, high-responsibility medical field, and understanding revenue potential is critical for new and existing practice owners. Income varies depending on practice model, staffing, location, and case mix.
This guide provides key insights into how anesthesiology practices generate revenue and what owners can expect financially.
1. Revenue Drivers for Anesthesiology Practices
Hospital and ASC Contracts: Most anesthesiology income comes from service contracts with hospitals and ambulatory surgery centers.
Procedure Volume: Higher case volumes and complex procedures increase revenue.
Ancillary Services: Pain management, pre-op evaluations, and post-op follow-ups can generate additional income.
Time-Based Billing: Anesthesia is typically billed based on the duration of service plus base units, which can affect reimbursements.
2. Typical Annual Revenue Ranges
Revenue varies based on practice size, provider count, and location:
Solo anesthesiologist practices: $350,000 – $600,000
Group practices with multiple anesthesiologists: $1,000,000 – $5,000,000+
CRNA-supported practices: Shared revenue models typically generate $250,000 – $450,000 per provider
High-demand regions and hospital-affiliated practices often see above-average revenue.
Check Now: Physician and Anesthesiology Earnings
3. Profit Margins and Expenses
Expenses significantly affect net income:
Staffing costs: Salaries for anesthesiologists, CRNAs, and administrative staff
Malpractice insurance: $15,000 – $30,000 per provider annually
General and property insurance: $2,000 – $5,500 annually
Equipment and supplies: $20,000 – $80,000 upfront for machines, monitors, and emergency tools
Billing and administrative costs: 5–8% of collections
Profit margins typically range from 20% to 40% depending on efficiency, overhead, and payer contracts.
4. Factors That Influence Revenue Potential
Location: Urban centers with high surgical volumes may offer higher revenue opportunities.
Practice Model: Hospital-employed vs. independent practices have different reimbursement structures.
Specialty Focus: Subspecialty anesthesia services (pediatrics, cardiac, OB/GYN) often command higher rates.
Contract Negotiation: Skilled negotiation with hospitals and ASCs improves reimbursement rates.
5. Protecting Your Practice While Maximizing Revenue
Revenue generation must be paired with risk management:
Professional Liability / Malpractice Insurance – Protects against clinical claims
General Liability Insurance – Covers non-medical incidents
Property Insurance – Protects anesthesia equipment and office assets
Workers’ Compensation Insurance – Required for employees
Final Thoughts
Anesthesiology practices can generate significant revenue, but net profitability depends on efficient staffing, accurate billing, strategic contracts, and effective risk management. Understanding key revenue drivers, cost structures, and insurance needs allows practice owners to maximize profitability while delivering high-quality patient care.
Contact us today.