For an emergency medical technician (EMT) in the United States who has completed their EMT test prep and the certification process, the median salary is slightly more than $41,600 (or $20/hour). However, EMT wages can vary significantly from state to state.
According to Talent.com’s annual survey, Alaska tops the list with an average salary of $55,500, and Mississippi is at the bottom of the list at $33,280. That said, determining the best state to work as an EMT is about more than just salary. EMTs must also consider the cost of housing, food, medical care, education, and other lifestyle needs before deciding where they want to pursue their career.
What States Have the Highest EMT Salaries?
In addition to Alaska, Talent.com identified other states that pay EMTs well above the national average. The average EMT salary in Maine is $55,500, in Vermont it’s $48,400, and in Rhode Island it is $48,500. Other states that pay in the range of $45,000 to $48,000 are Oregon, New Hampshire, Connecticut, Maryland, Washington, Delaware, and Wisconsin.
What States Have the Lowest EMT Salaries?
While Mississippi pays EMTs the least, EMTs earn an average of $34,200 in Oklahoma and $35,200 in West Virginia. Wyoming ($36,300), Florida ($37,600), Kentucky ($38,000), New Mexico ($38,500), Alabama ($38,500), and Indiana ($38,800) are also at the lower end of the pay scale.
Other Factors to Consider When Comparing State Salaries
Salaries of all professions (including EMTs) can swing from one end of the spectrum to the other, depending on the state. However, so can the cost of living, demands for specialized skills and qualifications, the education and skill level of the workforce, minimum wage laws, income taxes, and other factors that can impact the advantages of moving for higher paramedic pay.
In addition, salaries can fluctuate from one location to another within the same state. For example, urban areas tend to pay more than rural communities.
Before uprooting your life, research the impact of union membership on EMT salary in the areas you are considering. Remember that even if a state pays more, if it costs more to live there, you may end up with less in your pocket at the end of the month.
Each Person and Situation Is Different
Every job–even those with the same title and description–will differ slightly from one organization to another. Each EMT brings their unique skills and abilities to the work. More experienced EMTs may be more adept at providing medical care to a sick or injured patient under stressful conditions than a rookie EMT. Others may be fast learners and more capable at handling the demands of the job.
How to Be More Competitive in Any State
The Paramedic Coach is an online resource hub full of guides, videos, worksheets, flashcards, and a private community of emergency medical professionals who collaborate to improve their skills and pass the required exams for EMT-related certifications. Taking advantage of our tools could be the best move you make to advance in your career!


