Paramedic Salary: The Complete Guide
Target keywords & long‑tail keywords:
- paramedic salary 2025
- EMT paramedic pay
- paramedic hourly wage
- paramedic income by state
- emergency medical technician salary
- EMS careers pay guide
Thinking about becoming a paramedic or curious how much they make in 2025? Paramedics provide life-saving care in emergencies and enjoy steady demand — and it can be a stable, well-paying job.
In this guide, we cover:
- National average salary for paramedics in 2025
- Salary by state and metro area
- Entry-level vs. experienced pay
- Career growth, job outlook, and factors that influence earnings
Average Paramedic Salary in 2025
As of 2025, the average paramedic salary in the United States is around $50,000 to $65,000 per year.
Hourly pay averages between $24 and $31, depending on region and employer.
| Level | Annual Salary Range | Hourly Rate |
|---|---|---|
| Entry-Level | $40,000 - $48,000 | $19 - $23 |
| Mid-Level | $50,000 - $65,000 | $24 - $31 |
| Experienced | $70,000 - $90,000+ | $33 - $43 |
These figures include both municipal EMS and private ambulance service roles.
Highest-Paying States and Cities in 2025
Pay varies widely by location. States with higher cost of living and strong demand generally pay more.
Top-Paying States
| State | Annual Salary Range |
|---|---|
| California | $60,000 - $90,000 |
| New York | $55,000 - $85,000 |
| Massachusetts | $55,000 - $80,000 |
| Washington | $50,000 - $78,000 |
| Texas | $48,000 - $72,000 |
Top-Paying Metro Areas
- San Francisco Bay Area, CA
- New York City, NY
- Boston, MA
- Seattle, WA
- Dallas/Fort Worth, TX
Salary by Career Stage
- Entry-Level (paramedic) (0–2 years)
Typically earn $40,000 to $48,000 annually. - Mid-Level (paramedic) (3–7 years)
With experience, salaries rise to $50,000–$65,000. - Senior/Lead (paramedic) (8+ years)
Field training officers, flight paramedics, or supervisors can make $70,000 to $90,000 or more.
Factors Influencing Paramedic Salary
- Location: Urban and high-cost states pay more.
- Certifications: Advanced life support, critical care, or flight paramedic credentials can boost pay.
- Experience: More years on the job generally mean higher wages.
- Employer Type: Municipal EMS, hospital-based, and private services may pay differently.
- Shift Differentials: Nights, weekends, and on-call work can add to base pay.
Job Outlook
The Bureau of Labor Statistics projects steady growth for paramedics through 2034, driven by population growth, increased emergencies, and the need for trained emergency responders.
How to Increase Your Earnings
- Obtain advanced certifications (critical care, flight paramedic).
- Move into supervisory or training officer roles.
- Consider relocating to higher-paying states or metro areas.
- Negotiate for shift differentials or specialty assignments.
Key Takeaways
- Average paramedic salary in 2025: $50,000–$65,000 annually
- Entry-level pay: Around $40,000–$48,000
- Top earners: Over $90,000 in high-demand regions and specialties
- Education, specialization, and geographic location significantly influence pay.