Paramedic Salary: $53,671 Average (2026)
2026 DataCompare paramedic salaries across 50 US cities. Pay ranges from $44,939 to $75,479.
Highest Paying Cities for Paramedics
Average Salary
$53,671
across all locations
Highest Paying
$75,479
San Jose, CA
Locations Covered
50
metro areas
Top 10 Highest Paying Cities for Paramedics
See which cities pay Paramedics the most, from $75,479 down to the #10 spot.
Paramedic Salary Comparison by Metro
Top 10 highest paying metro areas compared to national average ($53,320)
| Rank | Metro Area | Median Salary |
|---|---|---|
| #1 | San Jose, CA | $75,479 |
| #2 | San Francisco, CA | $71,730 |
| #3 | Boston, MA | $64,771 |
| #4 | Seattle, WA | $63,777 |
| #5 | New York, NY | $62,844 |
| #6 | Los Angeles, CA | $60,615 |
| #7 | Washington, DC | $60,138 |
| #8 | San Diego, CA | $58,703 |
| #9 | Austin, TX | $57,676 |
| #10 | Portland, OR | $57,470 |
COL Adjusted = Salary adjusted for cost of living. Higher values indicate better purchasing power.
Paramedic Salary by Experience Level
Average salary ranges across all 50 metro areas based on experience
| Experience Level | Annual Salary | Hourly Rate |
|---|---|---|
Entry-Level 10th Percentile | $34,986 | $16.82/hr |
Mid-Career 50th (Median) | $53,671 | $25.80/hr |
Senior / Experienced 90th Percentile | $78,066 | $37.53/hr |
Entry to Mid Growth
+$18,686
+53%
Mid to Senior Growth
+$24,395
+45%
Total Career Growth
+$43,080
+123%
Paramedic Salary by Location
| Location | Annual Salary | Hourly Rate | Employed |
|---|---|---|---|
| San Jose, CA | $75,479 | $36.29 | 274 |
| San Francisco, CA | $71,730 | $34.49 | 305 |
| Boston, MA | $64,771 | $31.14 | 282 |
| Seattle, WA | $63,777 | $30.66 | 345 |
| New York, NY | $62,844 | $30.21 | 534 |
| Los Angeles, CA | $60,615 | $29.14 | 413 |
| Washington, DC | $60,138 | $28.91 | 351 |
| San Diego, CA | $58,703 | $28.22 | 286 |
| Austin, TX | $57,676 | $27.73 | 247 |
| Portland, OR | $57,470 | $27.63 | 228 |
| Minneapolis, MN | $56,421 | $27.13 | 213 |
| Denver, CO | $56,335 | $27.08 | 262 |
| Sacramento, CA | $56,225 | $27.03 | 228 |
| Miami, FL | $55,770 | $26.81 | 266 |
| Chicago, IL | $55,706 | $26.78 | 332 |
| Philadelphia, PA | $55,657 | $26.76 | 249 |
| Raleigh, NC | $54,725 | $26.31 | 260 |
| Baltimore, MD | $54,215 | $26.06 | 271 |
| Houston, TX | $54,193 | $26.05 | 314 |
| Hartford, CT | $53,960 | $25.94 | 232 |
| Providence, RI | $53,586 | $25.76 | 273 |
| Riverside, CA | $53,328 | $25.64 | 280 |
| Atlanta, GA | $53,168 | $25.56 | 314 |
| Phoenix, AZ | $53,068 | $25.51 | 266 |
| Charlotte, NC | $52,572 | $25.28 | 266 |
| Dallas, TX | $52,572 | $25.28 | 343 |
| Salt Lake City, UT | $52,138 | $25.07 | 218 |
| Detroit, MI | $52,041 | $25.02 | 258 |
| Tampa, FL | $51,156 | $24.59 | 248 |
| Orlando, FL | $51,153 | $24.59 | 274 |
| Cincinnati, OH | $50,372 | $24.22 | 279 |
| Nashville, TN | $50,316 | $24.19 | 280 |
| Milwaukee, WI | $50,256 | $24.16 | 213 |
| Richmond, VA | $50,166 | $24.12 | 229 |
| Las Vegas, NV | $49,482 | $23.79 | 251 |
| Columbus, OH | $49,399 | $23.75 | 220 |
| Pittsburgh, PA | $49,346 | $23.72 | 271 |
| Cleveland, OH | $49,300 | $23.70 | 243 |
| St. Louis, MO | $49,201 | $23.65 | 255 |
| San Antonio, TX | $49,152 | $23.63 | 254 |
| Indianapolis, IN | $48,639 | $23.38 | 221 |
| Kansas City, MO | $48,303 | $23.22 | 273 |
| Jacksonville, FL | $48,241 | $23.19 | 244 |
| Tucson, AZ | $48,095 | $23.12 | 255 |
| Memphis, TN | $47,613 | $22.89 | 268 |
| Oklahoma City, OK | $47,532 | $22.85 | 220 |
| Louisville, KY | $47,483 | $22.83 | 273 |
| Birmingham, AL | $47,360 | $22.77 | 231 |
| New Orleans, LA | $47,174 | $22.68 | 262 |
| El Paso, TX | $44,939 | $21.61 | 233 |
About Paramedic Careers
This professional role involves specialized skills and knowledge to perform essential job duties across various industries and organizations. Professionals in this field contribute to organizational success through their expertise and dedication to quality work.
Based on Bureau of Labor Statistics data, the average paramedic salary across all U.S. metropolitan areas is $53,671 per year. Salaries range from $44,939 in El Paso, TX to $75,479 in San Jose, CA, reflecting significant variation based on location, cost of living, and local demand. There are approximately 13,607 professionals employed as paramedics across the metro areas we track.
What Does a Paramedic Do?
Paramedics perform a variety of essential duties in their daily work:
- Perform core job responsibilities with attention to quality and detail
- Collaborate with team members and stakeholders
- Stay current with industry trends and best practices
- Meet performance targets and organizational goals
- Maintain professional standards and ethical conduct
- Contribute to process improvements and efficiency gains
- Document work and maintain accurate records
Education Requirements
Qualifications for this role typically include relevant education, training, and experience. Many employers value a combination of formal education and practical experience. Professional certifications and continuing education can enhance career prospects and earning potential.
Key Skills for Paramedics
Factors That Affect Paramedic Salary
Several factors influence how much a paramedic earns:
Career Path & Advancement
Career advancement typically involves gaining experience, developing specialized expertise, and taking on increased responsibility. Opportunities may include senior-level positions, management roles, or specialized technical tracks.
Job Outlook
Employment in this field is influenced by economic conditions, industry trends, and technological developments. Professionals who stay current with industry changes and continuously develop their skills will have better career prospects.
Work Environment
Work environments vary based on industry and specific role requirements. Many positions offer opportunities for professional growth and development in supportive workplace settings.
Career Prospects for Paramedics
The job market for paramedics continues to evolve with changing economic conditions and technological advancements. Professionals entering this field should be prepared for a dynamic career landscape that rewards adaptability and continuous skill development.
With approximately 13,607 paramedics employed across the metropolitan areas we track, the profession offers substantial employment opportunities. Industry projections suggest steady demand driven by factors including technological innovation, demographic shifts, and evolving business needs.
Professionals who invest in specialized certifications, stay current with industry trends, and develop complementary skills in emerging technologies tend to command higher salaries and have better job security. Networking and maintaining strong professional relationships also play crucial roles in career advancement within this field.
Geographic Salary Variations for Paramedics
Salary for paramedics varies significantly by geographic location. The highest-paying metropolitan area, San Jose, CA, offers a median salary of $75,479, while the lowest in our data, El Paso, TX, pays approximately $44,939. This represents a salary difference of $30,540 (68% higher).
Cost of living is a critical factor when evaluating salaries across locations. Higher-paying metropolitan areas like San Francisco, New York, and Seattle typically have significantly higher housing costs, taxes, and general expenses. When considering relocation, calculate your potential take-home pay after accounting for local cost of living differences.
Regional demand also affects compensation. Areas with strong industries that heavily employ paramedics often pay premium salaries to attract and retain talent. Conversely, regions with surplus labor or fewer industry concentrations may offer lower compensation. Remote work opportunities have begun to change these dynamics, allowing some professionals to earn higher salaries while living in lower-cost areas.
Advancement Opportunities for Paramedics
Career advancement for paramedics typically follows several paths. Technical advancement involves deepening expertise and specializing in high-demand niches, while management tracks offer opportunities to lead teams and oversee larger projects. Both paths can lead to significant salary increases over time.
Entry-level paramedics can expect to progress from starting salaries around $29,375to the median salary of $53,671 within 3-5 years with solid performance and skill development. Top performers who reach senior levels can earn $110,741 or more, representing the top 10% of earners in this profession.
Professional development investments that typically yield the highest returns include industry certifications, advanced degrees, leadership training, and expertise in emerging technologies or methodologies. Professionals who consistently deliver results and build strong professional networks tend to advance more quickly and negotiate better compensation packages.
Frequently Asked Questions About Paramedic Salaries
The average paramedic salary across all U.S. metropolitan areas is $53,671 per year as of 2026. This is based on official Bureau of Labor Statistics data covering 50 metro areas. Salaries range from $44,939 in El Paso, TX to $75,479 in San Jose, CA.
The average hourly rate for paramedics is $25.80 per hour, based on a standard 2,080-hour work year. Hourly rates vary by location, ranging from $21.61/hour in lower-paying areas to $36.29/hour in top-paying cities like San Jose.
San Jose, CA is the highest paying metro area for paramedics, with a median salary of $75,479 per year. This is 41% above the national average of $53,671. Other high-paying areas typically include major tech hubs and cities with high costs of living.
Entry-level paramedics (10th percentile) typically earn around $34,986 per year nationally. Starting salaries depend on education, certifications, location, and industry. Most entry-level professionals can expect to reach the median salary of $53,671 within 3-5 years of career growth.
The average paramedic salary of $53,671 is 9% lower than the typical U.S. worker salary of approximately $59,228. Top earners in this profession (90th percentile) can make $78,066 or more annually.
El Paso, TX has the lowest paramedic salary at $44,939 per year. However, lower salaries often correlate with lower costs of living, which can result in similar purchasing power. The salary difference between the highest and lowest paying areas is $30,540.
There are approximately 13,607 paramedics employed across the 50 metropolitan areas tracked by the Bureau of Labor Statistics. This represents a moderate-sized job market with opportunities in protective services industries nationwide.
The biggest factors affecting paramedic salary include: geographic location (salaries vary by up to $30,540 across cities), years of experience, industry sector, Years of relevant experience, Education level and certifications. Metropolitan areas with high industry demand and cost of living typically pay more.
In-demand skills that boost paramedic salaries include: Strong communication and interpersonal abilities, Problem-solving and critical thinking, Technical proficiency relevant to the field, Attention to detail and organizational skills, Ability to work independently and as part of a team. Years of relevant experience Developing specialized expertise can help you reach the top 25% of earners ($66,356).
Paramedic salaries have generally kept pace with inflation, with the current average of $53,671 reflecting 2026 Bureau of Labor Statistics data. Salary trends vary by location and specialization. Professionals who develop in-demand skills and pursue certifications tend to see above-average salary increases.
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Data Freshness & Source
Current DataLast Updated
March 2027
Data Source
BLS 2026 OEWS
Next Update Expected
March 2027
Salary data sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. This is the most comprehensive source of occupation-specific wage data in the United States.
About Our Salary Data
This salary data comes from the Bureau of Labor Statistics (BLS) 2026 Occupational Employment and Wage Statistics (OEWS) survey. The BLS collects wage data from employers each May and publishes results the following spring. Our data reflects the most recent official government statistics available. The next BLS data release is expected in March 2027.
Paramedic Salary by State
Compare paramedic salaries across 31 states. Click a state for detailed city-by-city salary data.