Not all CRNA locum assignments are created equal. While Certified Registered Nurse Anesthetists are in demand nationwide, some states stand out in 2025 for their pay rates, independence, and opportunity.
Whether you’re looking for scope of practice freedom, high compensation, or a better lifestyle between contracts, here are the best states to work as a locum CRNA this year.
1. Iowa
As one of the earliest states to grant CRNA independence, Iowa offers strong demand and clinical autonomy. Rural hospitals and critical access facilities often have long-term locum needs — ideal for providers who enjoy working without anesthesiologist supervision.
Highlights: Independent practice, rural bonuses, great housing stipends.
2. Montana
Montana has been rapidly growing in demand for anesthesia services — and with full practice authority for CRNAs, it offers both autonomy and adventure. Many assignments involve solo practice or small OR teams in beautiful outdoor settings.
Highlights: Top-tier rates, scenic locations, less competition for jobs.
3. Alaska
If you’re ready for a true locum experience, Alaska delivers. CRNAs are often the primary anesthesia providers across the state, and assignments may involve remote travel, medevac support, or multi-site coverage.
Highlights: High pay, travel stipends, housing provided — and unforgettable adventure.
4. Wisconsin
With a blend of urban and rural assignments, Wisconsin remains a go-to for CRNA locums. It’s also an IMLC state, making licensing fast and straightforward for those participating in the compact.
Highlights: Steady case mix, rapid credentialing, excellent for new locums.
5. Kansas
Another full-practice state with a strong history of CRNA-led care, Kansas is ideal for providers who want to work independently while earning excellent compensation in less saturated markets.
Highlights: Rural hospital assignments, leadership opportunities, solo call potential.
6. New Hampshire
New Hampshire offers a unique mix of autonomy and East Coast access. It’s one of the few northeastern states where CRNAs enjoy full practice authority, making it a magnet for experienced providers looking to avoid strict supervision models.
Highlights: Autonomy, proximity to Boston/NYC, coastal or mountain living.
7. Arizona
Arizona’s booming healthcare sector, independent practice laws, and mix of rural and urban facilities make it a prime target for locum CRNAs. Winter demand is especially high.
Highlights: Flexible scheduling, great weather, excellent compensation.
Bonus: States That Reimburse Travel Generously
Some states and facilities go above and beyond with locum support — offering full travel coordination, rental cars, per diem, and furnished housing. These include:
- Wyoming
- North Dakota
- South Carolina (rural hospitals)
Ask your recruiter what the full package includes — sometimes housing and travel make a big difference in total compensation.
What About Supervision States?
Even in states that require physician supervision, CRNA locum work can be rewarding — especially in high-volume facilities or where CRNAs function with broad responsibility. Just confirm your role expectations before accepting the contract.
Conclusion
The best CRNA locum opportunities in 2025 are found in states where demand meets autonomy — and where agencies are eager to place qualified providers. Whether you're drawn to rural medicine, urban call coverage, or travel adventure, these states offer the pay, freedom, and support to make every assignment worthwhile.