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Emergency medical technicians (EMTs) and paramedics provide life-saving care in high-pressure situations. While both professions require extensive training and quick decision-making skills, there are significant differences in their responsibilities and pay. In this article, we’ll break down the pay scales for both EMTs and paramedics, including which factors influence their salaries, as well as tips for maximizing earning potential.
How much do EMTs make?
The salary of an EMT varies depending on factors such as geographic location, experience and the employer. According to the U.S. Bureau of Labor Statistics, the annual median wage for an EMT is $38,930 as of May 2023, with the lowest 10% earning less than $29,919 and the highest 10 % earning more than $59,390. The national average EMT hourly pay is $18, with the majority of EMTs earning between $17-21 per on-duty hour, according to Salary.com, with higher EMT pay per hour in California, New York and other areas of the country with higher costs of living.
Which states have the highest EMT pay?
According to the U.S. Bureau of Labor Statistics, the fives states with the highest-paid EMT salary are Hawaii, Alaska, the Distric of Columbia, California and Illinois.
Factors that influence EMT pay
While an EMT in West Virgnia and an EMT in California might have the same qualifications, their salaries are likely quite different. Aside from location, education level, employwer type and specializations can influence an EMT’s salary attainment.
- Location: Pay scales for EMTs can significantly differ based on location. EMTs working in urban areas, where the demand for EMS is higher, often earn more than those in rural areas.
- Experience: As with many professions, experience plays a large role in salary. A newly certified EMT can expect to earn a lower salary, but with additional years of experience, the pay scale will generally increase.
- Employer type: EMTs working for fire departments or in government jobs may receive better benefits and higher pay than those working for private ambulance services.
- Specializations: EMTs who pursue additional certifications or specialize in certain areas, such as hazardous materials response, may see higher salaries.
[READ NEXT | 11 keys to success for the rookie EMT]
How much do paramedics make?
Paramedics, due to their higher level of training and responsibility, typically earn a higher salary compared to EMTs. According to the U.S. Bureau of Labor and Statistics, the annual median wage for a paramedic is $53,180 as of May 2023, with the lowest 10% earning less than $38,520 and the highest 10 % earning more than $79,430.
Factors that influence paramedic pay
Just like EMTs, paramedic salaries are dependent on a variety of factors unique to each employer, state and circumstance.
- Location: Like EMTs, paramedic pay varies by region. Areas with high populations or more expensive living costs tend to offer higher wages to paramedics.
- Experience and education: Paramedics who have worked for several years in the field or have advanced training often earn higher salaries. Advanced certifications and additional coursework, such as critical care paramedicine, can also improve earning potential.
- Workplace setting: Paramedics employed by large urban EMS organizations or hospitals may earn higher salaries and enjoy better benefits than those employed by smaller, rural departments.
- Union representation: In some regions, paramedics who are represented by unions may negotiate higher wages and better working conditions, influencing overall pay scales.
Which states have the highest paramedic pay?
According to the U.S. Bureau of Labor Statistics, the fives states with the highest-paid EMT salary are Hawaii, Alaska, the Distric of Columbia, California and Illinois.
How to increase your EMT or paramedic salary
Maximizing your salary as an EMT or paramedic requires strategic steps that go beyond basic certification. By pursuing further education, specializing in high-demand areas, and exploring higher-paying job opportunities, you can significantly increase your earning potential in these vital roles. Check out these EMS1 resources for exploring your career options:
- Inside EMS career development roundup: Pathways, challenges and opportunities
- A real EMS career ladder for the paramedic profession
- Gaming a career path: A foundation for paramedic growth
How to make your EMT or paramedic salary fit your financial needs
If advancing in your profession is not in the cards, consider taking a deep dive into your finances. By adopting smart budgeting practices and planning for both short-term and long-term financial goals, first responders can ensure financial stability while navigating the demands and salary realities of the profession. Check out these EMS1 resources for successfully managing your home budget:
- Secure your financial future: A first responder’s guide to money management
- How first responders can manage finances with their partners
- Budgeting for first responders: How to make a budget you will actually stick with
And, if push comes to shove, EMS providers looking to make a little extra money could consider a second job or a passive side income to increase their monthly financial budget.
Let us know: What are your thoughts about EMT and paramedic salaries in your state? Send an email to editor@ems1.com to share your experiences.
ADDITIONAL RESOURCES:
- EMS1 EMS Job Board
- Is becoming an EMT right for you? Here’s what you need to know
- Paramedic vs. EMT: What’s the difference?
- What is the job of a paramedic and what are the requirements for certification?
This article, originally published in 2019, has been updated with current data, graphs and resources.
