Paramedics Salary and Pay
How much do Paramedics make?
Median pay for Paramedics is $58,410 a year ($28.08); the mean is $60,610. The occupation employed 99,530 people in May 2024, and its middle band runs from $47,920 to $68,420.
One page for the whole Paramedics pay distribution: national ladder first, then all 50 state rows and the metro rankings, every figure from BLS OEWS May 2024.
Updated November 5, 2026
Salary converter for this occupation
Conversions use 12 months, 26 biweekly periods, 52 weeks, and 2,080 hours. No level in this occupation's ladder reaches the BLS top code, so every figure the converter shows is a published estimate rather than a floor.
The national wage ladder (BLS OEWS, May 2024)
| Pay level | Annual wage | Hourly wage |
|---|---|---|
| 10th percentile | $40,130 | $19.29 |
| 25th percentile | $47,920 | $23.04 |
| Median (50th) | $58,410 | $28.08 |
| 75th percentile | $68,420 | $32.90 |
| 90th percentile | $82,420 | $39.63 |
The five rows are five different workers in the same occupation, from the 10th percentile ($40,130) to the 90th ($82,420). BLS suppresses cells that fail its reliability rules (n/p here) and caps the highest wages at $239,200+ a year or $115.00+ an hour; in this ladder that top code appears at the very top rows only.
Employment and concentration
BLS counted 99,530 Paramedics jobs in May 2024, which is 0.06% of all U.S. employment in the survey. Work is most concentrated in West Virginia, where the location quotient is 2.49, meaning the occupation holds 2.49 times its national share of local jobs. Texas employs the most people outright, 8,560 of them, and the three largest state employers together account for 21.3% of the national total.
Pay inside the occupation is wide: $42,290 separates the ends of its ladder. The 90th percentile ($82,420) is 2.1 times the 10th percentile ($40,130), a gap of $42,290 a year. The mean of $60,610 sitting above the median of $58,410 tells you the top end pulls the average up: most workers cluster below the mean, and the high tail is thin.
Pay by state
The state spread for Paramedics runs from the $100,780 median in Washington down through every other publishing state. Employment concentrates in Texas (8,560 jobs). The complete table:
| State | Employment | Jobs per 1,000 | Location quotient | Mean annual | Median annual |
|---|---|---|---|---|---|
| Texas | 8,560 | 0.6 | 0.96 | $55,590 | $53,960 |
| Florida | 6,530 | 0.7 | 1.03 | $62,040 | $58,860 |
| California | 6,090 | 0.3 | 0.52 | $74,470 | $72,180 |
| New York | 5,820 | 0.6 | 0.95 | $69,010 | $66,420 |
| North Carolina | 5,330 | 1.1 | 1.69 | $54,210 | $51,110 |
| Illinois | 4,680 | 0.8 | 1.20 | $68,130 | $59,110 |
| Ohio | 4,090 | 0.7 | 1.15 | $50,430 | $47,960 |
| Pennsylvania | 4,070 | 0.7 | 1.05 | $59,510 | $57,670 |
| Georgia | 3,600 | 0.7 | 1.15 | $54,750 | $51,740 |
| Tennessee | 3,320 | 1.0 | 1.57 | $57,880 | $52,860 |
| Missouri | 2,800 | 1.0 | 1.49 | $55,960 | $55,600 |
| Michigan | 2,710 | 0.6 | 0.96 | $51,890 | $50,320 |
| Colorado | 2,350 | 0.8 | 1.26 | $67,350 | $64,690 |
| Indiana | 2,130 | 0.7 | 1.04 | $58,270 | $58,260 |
| Washington | 2,120 | 0.6 | 0.93 | $98,390 | $100,780 |
| South Carolina | 2,100 | 0.9 | 1.43 | $52,340 | $50,130 |
| Louisiana | 2,090 | 1.1 | 1.69 | $50,720 | $50,800 |
| Kentucky | 2,060 | 1.0 | 1.60 | $50,430 | $47,650 |
| Wisconsin | 1,910 | 0.7 | 1.01 | $58,230 | $56,010 |
| Alabama | 1,890 | 0.9 | 1.40 | $46,810 | $45,020 |
| Massachusetts | 1,880 | 0.5 | 0.80 | $68,790 | $64,010 |
| Arizona | 1,820 | 0.6 | 0.88 | $53,060 | $50,860 |
| Minnesota | 1,720 | 0.6 | 0.91 | $72,230 | $68,000 |
| Virginia | 1,690 | 0.4 | 0.64 | $58,200 | $58,570 |
| Oklahoma | 1,510 | 0.9 | 1.39 | $48,640 | $47,890 |
| Maryland | 1,400 | 0.5 | 0.79 | $72,140 | $67,670 |
| Mississippi | 1,160 | 1.0 | 1.55 | $50,650 | $51,290 |
| West Virginia | 1,130 | 1.6 | 2.49 | $48,370 | $48,190 |
| Kansas | 1,120 | 0.8 | 1.21 | $51,210 | $49,090 |
| Iowa | 1,110 | 0.7 | 1.10 | $55,420 | $53,470 |
| Oregon | 1,100 | 0.6 | 0.87 | $70,560 | $73,380 |
| Arkansas | 1,070 | 0.8 | 1.28 | $50,640 | $45,710 |
| Connecticut | 1,010 | 0.6 | 0.93 | $72,640 | $75,400 |
| Utah | 990 | 0.6 | 0.90 | $66,370 | $63,430 |
| Nevada | 910 | 0.6 | 0.92 | $60,150 | $60,320 |
| New Mexico | 850 | 1.0 | 1.53 | $63,940 | $50,340 |
| New Jersey | 620 | 0.1 | 0.23 | $80,980 | $80,100 |
| Maine | 500 | 0.8 | 1.23 | $60,150 | $59,800 |
| Idaho | 470 | 0.6 | 0.86 | $67,180 | $62,640 |
| Nebraska | 460 | 0.5 | 0.70 | $56,710 | $54,170 |
| Montana | 400 | 0.8 | 1.20 | $52,360 | $49,360 |
| New Hampshire | 400 | 0.6 | 0.91 | $63,970 | $60,540 |
| South Dakota | 340 | 0.8 | 1.18 | $49,120 | $48,070 |
| Delaware | 320 | 0.7 | 1.03 | $69,740 | $62,040 |
| Wyoming | 260 | 0.9 | 1.46 | $60,380 | $61,600 |
| Alaska | 230 | 0.7 | 1.10 | $74,250 | $68,330 |
| Vermont | 230 | 0.7 | 1.16 | $55,660 | $53,010 |
| North Dakota | 180 | 0.4 | 0.65 | $58,880 | $59,950 |
| Rhode Island | 150 | 0.3 | 0.48 | $63,020 | $63,530 |
| District of Columbia | n/p | n/p | n/p | $79,150 | $80,950 |
The occupation in context
Ranked against all 826 published occupations, Paramedics stands number 269 by employment and number 434 by median pay. Inside its own major group, Healthcare Practitioners and Technical Occupations, the group median wage is $98,340 across 71 detailed occupations, so this occupation pays 41% less than its group median, and it supplies 1.0% of the group's 9,592,720 jobs. In 24 of the 50 states with a published median, the state median beats the national median of $58,410, which is the single best quick test of whether this occupation's pay is set nationally or locally: a high count means local markets regularly outbid the national figure.
Metropolitan areas: where the jobs and the pay sit
New York-Newark-Jersey City, NY-NJ is the largest metro employer with 3,750 jobs, 3.8% of the national total. Employment rank and pay rank are different lists: the second table re-sorts metros with at least 500 jobs in this occupation by mean pay, the floor keeping a handful of workers from posing as a market.
Largest metro employers
| Metropolitan area | Employment | Mean annual | Median annual |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 3,750 | $76,600 | $76,060 |
| Chicago-Naperville-Elgin, IL-IN | 2,880 | $81,550 | $80,870 |
| Houston-Pasadena-The Woodlands, TX | 2,050 | $57,380 | $56,450 |
| Dallas-Fort Worth-Arlington, TX | 1,690 | $58,910 | $58,320 |
| Atlanta-Sandy Springs-Roswell, GA | 1,650 | $61,350 | $59,770 |
| St. Louis, MO-IL | 1,480 | $57,770 | $57,040 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1,440 | $71,530 | $63,140 |
| Los Angeles-Long Beach-Anaheim, CA | 1,430 | $74,170 | $72,910 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 1,400 | $70,260 | $65,560 |
| Boston-Cambridge-Newton, MA-NH | 1,290 | $70,630 | $64,010 |
Highest-paying metros (500+ jobs)
| Metropolitan area | Employment | Mean annual | Median annual |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 670 | $122,110 | $129,020 |
| San Francisco-Oakland-Fremont, CA | 990 | $87,940 | $78,780 |
| Chicago-Naperville-Elgin, IL-IN | 2,880 | $81,550 | $80,870 |
| Portland-Vancouver-Hillsboro, OR-WA | 650 | $79,120 | $79,510 |
| New York-Newark-Jersey City, NY-NJ | 3,750 | $76,600 | $76,060 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 920 | $75,500 | $74,410 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 800 | $74,860 | $72,620 |
| Los Angeles-Long Beach-Anaheim, CA | 1,430 | $74,170 | $72,910 |
| Baltimore-Columbia-Towson, MD | 730 | $73,140 | $67,670 |
| Riverside-San Bernardino-Ontario, CA | 620 | $73,100 | $66,500 |
At the other end, San Juan-Bayamon-Caguas, PR posts the lowest mean pay among metros with at least 500 jobs, $29,030 a year, against $122,110 in Seattle-Tacoma-Bellevue, WA. That is the metro effect in one line: identical job title, materially different pay, decided mostly by which labor market the job sits in.
What the median pay looks like as a budget
As a household number, $58,410 a year is $4,868 a month gross, $2,247 every two weeks, $1,123 a week. Moving from the 25th percentile ($47,920) to the 75th ($68,420) is worth $20,500 a year, which is the realistic size of the experience and specialization premium inside this occupation. The next step from a gross figure is a net one: run the $4,868 monthly figure through the paycheck calculator applies your state's taxes, the salary calculator compares two offers in any unit, and the raise vs inflation calculator tells you whether a nominal raise is a real one.
To place a real offer: a salary of $64,251 would sit between the median ($58,410) and the 75th percentile ($68,420), inside the top half but outside the top quarter of this occupation's ladder. An offer at the 25th percentile, $47,920, is $10,490 under the median, the typical size of the discount attached to entry-level or low-cost-market postings in this field.
Related occupations in Healthcare Practitioners and Technical Occupations
Compare the ladder above with the closest relatives in the survey: General Internal Medicine Physicians, Cardiovascular Technologists and Technicians, Nurse Anesthetists, Pediatricians, General, Optometrists, Anesthesiologists. The Careers hub carries the whole branch, group by group.
Frequently asked questions
How much do Paramedics make an hour?
The median hourly wage is $28.08, and the mean hourly wage is $29.14, from the May 2024 OEWS estimates. Annual figures for Paramedics use the survey's 2,080-hour year where a conversion is needed, which is how the $58,410 annual median and the hourly figures reconcile.
Which state pays Paramedics the most?
Washington, with a median annual wage of $100,780 across 2,120 jobs. The full state table on this page ranks every publishing state by employment and shows median and mean side by side.
How big is the Paramedics workforce?
99,530 wage and salary workers in May 2024, 0.06% of U.S. employment in the survey. Employment concentrates most in West Virginia by location quotient (2.49).
How current is this Paramedics salary data?
These are the May 2024 OEWS estimates behind the $58,410 median and the 99,530 job count on this page, released by BLS on April 2, 2025 and downloaded on November 5, 2026. OEWS is an employer survey, so those figures describe wages actually paid in this occupation, not advertised ranges.