Emergency Medical Technician Salary by State (2026)

Emergency Medical Technicians earn the most in Hawaii at $66,410 a year and the least in Puerto Rico at $27,610 (BLS OEWS, May 2025). The national median is $44,470. All 53 states and territories with reported data are ranked below, with a cost-of-living adjusted column.

Highest median
$66,410

Hawaii

National median
$44,470

BLS OEWS, May 2025

Lowest median
$27,610

Puerto Rico

States reporting
53

of 54 OEWS areas

Top 5 states for Emergency Medical Technicians

  1. 1. Hawaii$66,410 median · $60,400 adjusted · 560 employed
  2. 2. Alaska$57,440 median · $56,116 adjusted · 310 employed
  3. 3. New Jersey$53,610 median · $49,272 adjusted · 6,120 employed
  4. 4. Washington$52,690 median · $49,237 adjusted · 2,940 employed
  5. 5. Rhode Island$51,290 median · $50,147 adjusted · 430 employed

Lowest-paying states for Emergency Medical Technicians

  1. 53. Puerto Rico$27,610 median · no price parity · 650 employed
  2. 52. Oklahoma$34,170 median · $38,899 adjusted · 2,410 employed
  3. 51. West Virginia$34,360 median · $38,392 adjusted · 900 employed
  4. 50. Kansas$35,780 median · $39,726 adjusted · 1,510 employed
  5. 49. Louisiana$35,870 median · $40,666 adjusted · 2,450 employed

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.

Annual wages by state, sortable by median, quartiles, employment and cost-of-living adjusted median
#
1Hawaii$66,410$59,170$84,620560$60,400
2Alaska$57,440$48,130$63,350310$56,116
3New Jersey$53,610$48,010$60,9006,120$49,272
4Washington$52,690$47,560$56,5802,940$49,237
5Rhode Island$51,290$44,440$56,520430$50,147
6Connecticut$50,640$46,640$56,8502,190$48,876
7Massachusetts$50,230$46,880$54,0004,550$47,496
8Oregon$49,270$43,220$55,5301,970$47,668
9New York$48,400$43,270$63,87014,840$44,848
10Maryland$48,100$45,490$61,4603,400$45,827
11Minnesota$48,090$41,480$52,9403,160$48,762
12Wyoming$47,070$37,550$53,660400$50,782
13U.S. Virgin Islands$47,040$36,770$50,88040N/A
14Delaware$46,790$44,810$51,020950$46,880
15New Hampshire$46,790$39,240$50,5401,010$44,919
16District of Columbia$46,650$39,310$59,890370$42,447
17California$46,380$42,610$59,18021,880$41,889
18Maine$46,340$42,000$49,0801,110$47,749
19Colorado$45,750$40,100$49,9303,060$44,395
20Vermont$45,600$39,120$48,230790$46,551
21Georgia$45,550$37,820$48,4006,260$47,304
22Virginia$45,420$38,620$50,3904,490$44,924
23North Carolina$44,250$38,260$49,3106,680$46,912
24Pennsylvania$43,310$37,630$47,48010,160$44,388
25Wisconsin$43,060$37,940$49,9603,930$45,762
26Indiana$42,740$37,930$47,3304,160$45,795
27Illinois$42,260$39,430$49,6407,840$42,278
28Missouri$42,160$37,060$47,2302,800$46,423
29Nebraska$41,710$36,830$52,070540$46,291
30Iowa$40,660$37,030$47,8701,510$46,330
31South Carolina$40,370$38,050$46,6604,010$43,062
32Tennessee$40,330$36,910$48,4303,860$43,899
33Ohio$40,220$37,580$47,4905,560$43,353
34Florida$39,870$36,690$47,0006,060$38,554
35Michigan$39,870$37,600$45,1304,230$41,438
36North Dakota$39,670$37,180$50,870760$44,594
37Arizona$39,500$34,820$48,3503,970$39,234
38Utah$38,930$37,630$44,0001,280$39,377
39Idaho$38,840$31,200$47,030780$40,673
40Alabama$37,810$31,270$44,2102,020$42,568
41Nevada$37,560$35,920$48,8501,530$37,568
42New Mexico$37,550$35,880$47,6001,260$40,721
43Texas$37,260$35,130$44,24012,770$38,390
44Kentucky$36,800$31,200$44,3802,770$40,817
45South Dakota$36,800$34,780$43,570600$41,542
46Mississippi$36,630$29,120$39,1001,390$42,126
47Arkansas$36,230$31,840$41,6701,120$41,674
48Montana$36,140$30,330$41,530860$38,185
49Louisiana$35,870$29,240$38,1102,450$40,666
50Kansas$35,780$31,290$39,0601,510$39,726
51West Virginia$34,360$30,930$39,310900$38,392
52Oklahoma$34,170$28,210$37,4302,410$38,899
53Puerto Rico$27,610$24,380$32,790650N/A

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, that changes the ranking: Hawaii leads on raw pay at $66,410, while Hawaii leads 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.

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?

Puerto Rico reports the lowest median for Emergency Medical Technicians at $27,610 a year, $38,800 below the highest-paying state (BLS OEWS, May 2025).

Where do Emergency Medical Technicians earn the most after cost of living?

Dividing each state median by that state's BEA Regional Price Parity puts Hawaii first at $60,400 in national-average dollars, from a raw median of $66,410. BEA Regional Price Parities, 2024.

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