Sort by any column. Employment is the number of paramedics OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.
Paramedic Salary by State (2026)
Paramedics earn the most in Washington at $104,310 a year and the least in Puerto Rico at $29,960 (BLS OEWS, May 2025). The national median is $60,600. All 52 states and territories with reported data are ranked below, with a cost-of-living adjusted column.
- Highest median
- $104,310
- National median
- $60,600
- Lowest median
- $29,960
- States reporting
- 52
Washington
BLS OEWS, May 2025
Puerto Rico
of 54 OEWS areas
Top 5 states for Paramedics
- 1. Washington$104,310 median · $97,474 adjusted · 2,110 employed
- 2. New Jersey$86,630 median · $79,620 adjusted · 540 employed
- 3. Hawaii$81,280 median · $73,924 adjusted · 140 employed
- 4. District of Columbia$78,550 median · $71,473 adjusted · 90 employed
- 5. Connecticut$77,480 median · $74,780 adjusted · 1,000 employed
Lowest-paying states for Paramedics
- 52. Puerto Rico$29,960 median · no price parity · 1,390 employed
- 51. Oklahoma$46,790 median · $53,265 adjusted · 1,590 employed
- 50. West Virginia$48,460 median · $54,147 adjusted · 1,090 employed
- 49. Alabama$48,540 median · $54,648 adjusted · 1,700 employed
- 48. South Dakota$48,830 median · $55,122 adjusted · 280 employed
Paramedic salary in every state
| # | ||||||
|---|---|---|---|---|---|---|
| 1 | Washington | $104,310 | $80,320 | $123,310 | 2,110 | $97,474 |
| 2 | New Jersey | $86,630 | $79,440 | $95,650 | 540 | $79,620 |
| 3 | Hawaii | $81,280 | $75,930 | $81,280 | 140 | $73,924 |
| 4 | District of Columbia | $78,550 | $78,550 | $96,640 | 90 | $71,473 |
| 5 | Connecticut | $77,480 | $73,840 | $81,710 | 1,000 | $74,780 |
| 6 | Minnesota | $76,300 | $67,840 | $82,040 | 1,690 | $77,367 |
| 7 | Oregon | $74,840 | $63,090 | $82,320 | 1,210 | $72,406 |
| 8 | California | $74,590 | $63,490 | $90,730 | 5,190 | $67,368 |
| 9 | New York | $73,200 | $62,630 | $80,870 | 6,110 | $67,827 |
| 10 | Alaska | $71,860 | $62,460 | $85,230 | 310 | $70,204 |
| 11 | Maryland | $66,660 | $55,880 | $84,430 | 1,910 | $63,511 |
| 12 | Massachusetts | $66,340 | $63,770 | $77,330 | 1,860 | $62,729 |
| 13 | Utah | $65,420 | $52,840 | $82,330 | 960 | $66,172 |
| 14 | Delaware | $64,240 | $61,890 | $78,730 | 340 | $64,364 |
| 15 | New Hampshire | $64,210 | $60,180 | $75,310 | 420 | $61,643 |
| 16 | Wyoming | $64,040 | $52,970 | $76,700 | 230 | $69,090 |
| 17 | Colorado | $63,910 | $59,790 | $78,270 | 2,110 | $62,017 |
| 18 | Rhode Island | $63,550 | $61,180 | $74,010 | 160 | $62,133 |
| 19 | Maine | $63,050 | $60,470 | $73,320 | 470 | $64,967 |
| 20 | North Dakota | $62,320 | $58,810 | $65,330 | 220 | $70,055 |
| 21 | Pennsylvania | $61,000 | $53,820 | $69,570 | 4,750 | $62,518 |
| 22 | Illinois | $60,660 | $49,650 | $106,810 | 3,890 | $60,685 |
| 23 | Iowa | $60,590 | $52,200 | $65,470 | 1,170 | $69,039 |
| 24 | Virginia | $60,480 | $49,960 | $67,030 | 1,960 | $59,820 |
| 25 | Idaho | $60,380 | $53,040 | $75,940 | 440 | $63,229 |
| 26 | Vermont | $60,360 | $54,890 | $64,040 | 190 | $61,618 |
| 27 | Indiana | $60,320 | $50,660 | $66,240 | 2,680 | $64,632 |
| 28 | Florida | $60,140 | $49,090 | $72,890 | 6,970 | $58,155 |
| 29 | Wisconsin | $59,710 | $49,470 | $71,030 | 1,990 | $63,457 |
| 30 | Nevada | $59,280 | $50,150 | $67,370 | 950 | $59,292 |
| 31 | Missouri | $59,180 | $49,230 | $73,780 | 3,300 | $65,164 |
| 32 | Arizona | $58,600 | $50,040 | $63,640 | 2,200 | $58,206 |
| 33 | Tennessee | $57,690 | $48,510 | $76,570 | 3,710 | $62,795 |
| 34 | Georgia | $57,660 | $47,420 | $64,140 | 3,250 | $59,880 |
| 35 | Texas | $57,500 | $47,740 | $63,510 | 8,410 | $59,244 |
| 36 | North Carolina | $57,320 | $48,630 | $63,820 | 5,660 | $60,768 |
| 37 | Nebraska | $56,230 | $50,170 | $66,700 | 490 | $62,406 |
| 38 | Louisiana | $56,050 | $47,700 | $61,080 | 2,040 | $63,544 |
| 39 | New Mexico | $55,530 | $48,010 | $64,480 | 810 | $60,220 |
| 40 | Mississippi | $54,630 | $46,970 | $61,040 | 1,150 | $62,827 |
| 41 | South Carolina | $53,550 | $48,010 | $62,220 | 2,250 | $57,121 |
| 42 | Michigan | $52,080 | $47,610 | $60,880 | 2,750 | $54,128 |
| 43 | Ohio | $51,300 | $45,870 | $62,170 | 3,600 | $55,296 |
| 44 | Kansas | $51,020 | $45,370 | $59,530 | 1,030 | $56,646 |
| 45 | Montana | $50,890 | $41,870 | $59,110 | 300 | $53,769 |
| 46 | Arkansas | $50,310 | $44,330 | $62,010 | 1,170 | $57,869 |
| 47 | Kentucky | $49,890 | $44,530 | $61,530 | 1,800 | $55,336 |
| 48 | South Dakota | $48,830 | $42,710 | $51,490 | 280 | $55,122 |
| 49 | Alabama | $48,540 | $39,840 | $59,540 | 1,700 | $54,648 |
| 50 | West Virginia | $48,460 | $42,880 | $56,500 | 1,090 | $54,147 |
| 51 | Oklahoma | $46,790 | $43,930 | $51,860 | 1,590 | $53,265 |
| 52 | Puerto Rico | $29,960 | $27,510 | $35,120 | 1,390 | N/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 Paramedics, that changes the ranking: Washington leads on raw pay at $104,310, while Washington leads once prices are taken into account at $97,474.
Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.
Paramedic pay by state: FAQ
Which state pays Paramedics the most?
Washington reports the highest median wage for Paramedics at $104,310 a year (BLS OEWS, May 2025), followed by New Jersey ($86,630) and Hawaii ($81,280).
Which state pays Paramedics the least?
Puerto Rico reports the lowest median for Paramedics at $29,960 a year, $74,350 below the highest-paying state (BLS OEWS, May 2025).
Where do Paramedics earn the most after cost of living?
Dividing each state median by that state's BEA Regional Price Parity puts Washington first at $97,474 in national-average dollars, from a raw median of $104,310. BEA Regional Price Parities, 2024.
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