Pay by state · 53 areas
Emergency Medical Technician Salary by State (2026)
Emergency Medical Technicians earn the most in Hawaii at $66,410 a year and the least in Oklahoma at $34,170 (BLS OEWS, May 2025). The national median is $44,470. The table below covers all 50 states, DC, U.S. Virgin Islands and Puerto Rico, with a cost-of-living adjusted column.
- Highest median
- $66,410Hawaii
- National median
- $44,470BLS OEWS, May 2025
- Lowest median
- $34,170Oklahoma
- Areas reporting
- 53of 54 OEWS areas
Top and bottom
Highest- and lowest-paying states for emergency medical technicians
Ranked on the state median among the 50 states and DC. Territories are in the full table but not ranked here.
Highest median pay
- 1Hawaii$66,410
- 2Alaska$57,440
- 3New Jersey$53,610
- 4Washington$52,690
- 5Rhode Island$51,290
Lowest median pay
- 1Oklahoma$34,170
- 2West Virginia$34,360
- 3Kansas$35,780
- 4Louisiana$35,870
- 5Montana$36,140
All states
Emergency Medical Technician salary in every state
Sort by any column. Employment is the number of emergency medical technicians OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.
| # | ||||||
|---|---|---|---|---|---|---|
| 1 | HIHawaii | $66,410 | $59,170 | $84,620 | 560 | $60,400 |
| 2 | AKAlaska | $57,440 | $48,130 | $63,350 | 310 | $56,116 |
| 3 | NJNew Jersey | $53,610 | $48,010 | $60,900 | 6,120 | $49,272 |
| 4 | WAWashington | $52,690 | $47,560 | $56,580 | 2,940 | $49,237 |
| 5 | RIRhode Island | $51,290 | $44,440 | $56,520 | 430 | $50,147 |
| 6 | CTConnecticut | $50,640 | $46,640 | $56,850 | 2,190 | $48,876 |
| 7 | MAMassachusetts | $50,230 | $46,880 | $54,000 | 4,550 | $47,496 |
| 8 | OROregon | $49,270 | $43,220 | $55,530 | 1,970 | $47,668 |
| 9 | NYNew York | $48,400 | $43,270 | $63,870 | 14,840 | $44,848 |
| 10 | MDMaryland | $48,100 | $45,490 | $61,460 | 3,400 | $45,827 |
| 11 | MNMinnesota | $48,090 | $41,480 | $52,940 | 3,160 | $48,762 |
| 12 | WYWyoming | $47,070 | $37,550 | $53,660 | 400 | $50,782 |
| 13 | VIU.S. Virgin Islands | $47,040 | $36,770 | $50,880 | 40 | N/A |
| 14 | DEDelaware | $46,790 | $44,810 | $51,020 | 950 | $46,880 |
| 15 | NHNew Hampshire | $46,790 | $39,240 | $50,540 | 1,010 | $44,919 |
| 16 | DCDistrict of Columbia | $46,650 | $39,310 | $59,890 | 370 | $42,447 |
| 17 | CACalifornia | $46,380 | $42,610 | $59,180 | 21,880 | $41,889 |
| 18 | MEMaine | $46,340 | $42,000 | $49,080 | 1,110 | $47,749 |
| 19 | COColorado | $45,750 | $40,100 | $49,930 | 3,060 | $44,395 |
| 20 | VTVermont | $45,600 | $39,120 | $48,230 | 790 | $46,551 |
| 21 | GAGeorgia | $45,550 | $37,820 | $48,400 | 6,260 | $47,304 |
| 22 | VAVirginia | $45,420 | $38,620 | $50,390 | 4,490 | $44,924 |
| 23 | NCNorth Carolina | $44,250 | $38,260 | $49,310 | 6,680 | $46,912 |
| 24 | PAPennsylvania | $43,310 | $37,630 | $47,480 | 10,160 | $44,388 |
| 25 | WIWisconsin | $43,060 | $37,940 | $49,960 | 3,930 | $45,762 |
| 26 | INIndiana | $42,740 | $37,930 | $47,330 | 4,160 | $45,795 |
| 27 | ILIllinois | $42,260 | $39,430 | $49,640 | 7,840 | $42,278 |
| 28 | MOMissouri | $42,160 | $37,060 | $47,230 | 2,800 | $46,423 |
| 29 | NENebraska | $41,710 | $36,830 | $52,070 | 540 | $46,291 |
| 30 | IAIowa | $40,660 | $37,030 | $47,870 | 1,510 | $46,330 |
| 31 | SCSouth Carolina | $40,370 | $38,050 | $46,660 | 4,010 | $43,062 |
| 32 | TNTennessee | $40,330 | $36,910 | $48,430 | 3,860 | $43,899 |
| 33 | OHOhio | $40,220 | $37,580 | $47,490 | 5,560 | $43,353 |
| 34 | FLFlorida | $39,870 | $36,690 | $47,000 | 6,060 | $38,554 |
| 35 | MIMichigan | $39,870 | $37,600 | $45,130 | 4,230 | $41,438 |
| 36 | NDNorth Dakota | $39,670 | $37,180 | $50,870 | 760 | $44,594 |
| 37 | AZArizona | $39,500 | $34,820 | $48,350 | 3,970 | $39,234 |
| 38 | UTUtah | $38,930 | $37,630 | $44,000 | 1,280 | $39,377 |
| 39 | IDIdaho | $38,840 | $31,200 | $47,030 | 780 | $40,673 |
| 40 | ALAlabama | $37,810 | $31,270 | $44,210 | 2,020 | $42,568 |
| 41 | NVNevada | $37,560 | $35,920 | $48,850 | 1,530 | $37,568 |
| 42 | NMNew Mexico | $37,550 | $35,880 | $47,600 | 1,260 | $40,721 |
| 43 | TXTexas | $37,260 | $35,130 | $44,240 | 12,770 | $38,390 |
| 44 | KYKentucky | $36,800 | $31,200 | $44,380 | 2,770 | $40,817 |
| 45 | SDSouth Dakota | $36,800 | $34,780 | $43,570 | 600 | $41,542 |
| 46 | MSMississippi | $36,630 | $29,120 | $39,100 | 1,390 | $42,126 |
| 47 | ARArkansas | $36,230 | $31,840 | $41,670 | 1,120 | $41,674 |
| 48 | MTMontana | $36,140 | $30,330 | $41,530 | 860 | $38,185 |
| 49 | LALouisiana | $35,870 | $29,240 | $38,110 | 2,450 | $40,666 |
| 50 | KSKansas | $35,780 | $31,290 | $39,060 | 1,510 | $39,726 |
| 51 | WVWest Virginia | $34,360 | $30,930 | $39,310 | 900 | $38,392 |
| 52 | OKOklahoma | $34,170 | $28,210 | $37,430 | 2,410 | $38,899 |
| 53 | PRPuerto Rico | $27,610 | $24,380 | $32,790 | 650 | N/A |
Method
How the cost-of-living adjustment works
The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.
For emergency medical technicians, the adjustment does not change the leader: Hawaii is first on raw pay and still first once prices are taken into account, at $60,400.
Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.
Questions
Emergency Medical Technician pay by state: FAQ
Which state pays emergency medical technicians the most?
Hawaii reports the highest median wage for emergency medical technicians at $66,410 a year (BLS OEWS, May 2025), followed by Alaska ($57,440) and New Jersey ($53,610).
Which state pays emergency medical technicians the least?
Among the 50 states and DC, Oklahoma reports the lowest median for emergency medical technicians at $34,170 a year, $32,240 below the highest-paying state (BLS OEWS, May 2025). Among the territories, U.S. Virgin Islands reports $47,040 and Puerto Rico reports $27,610.
Is the highest-paying state the best for emergency medical technicians after cost of living?
Yes. Hawaii stays first after dividing each state median by its BEA Regional Price Parity, at $60,400 in national-average dollars from a raw $66,410. BEA Regional Price Parities, 2024; the adjustment is NueCareer's calculation.