Salary guide
Paramedic Salary & Pay Scale (2026)
What paramedics earn per year, per hour and per month, with the full percentile range, the factors that move pay and how to earn more.
The median paramedic salary in the U.S. is $60,600 per year, or $29.13 per hour, based on Bureau of Labor Statistics data for May 2025. The lowest-paid 10% earned under $44,230, while the top 10% earned more than $84,850.
Pay data: BLS OEWS, May 2025 · Outlook: BLS 2025–35 · Checked October 15, 2026
Paramedic pay scale
| Percentile | Annual | Hourly* | What it usually reflects |
|---|---|---|---|
| 10th percentile | $44,230 | $21.26 | Typical for new workers, part-time markets and lower-paying settings |
| 25th percentile | $49,660 | $23.88 | Early career, a year or two of experience |
| Median (50th) | $60,600 | $29.13 | Mid-career: half earn more, half earn less |
| 75th percentile | $73,470 | $35.32 | Experienced workers, specialists and higher-paying employers |
| 90th percentile | $84,850 | $40.79 | Top earners: senior, specialized, supervisory or high-cost areas |
*Hourly figures are annual wages divided by 2,080 hours. Percentile descriptions are general patterns, not guarantees.
Monthly and biweekly pay
| Pay period | At 25th percentile | At median | At 75th percentile |
|---|---|---|---|
| Per year | $49,660 | $60,600 | $73,470 |
| Per month | $4,138 | $5,050 | $6,123 |
| Every two weeks | $1,910 | $2,331 | $2,826 |
| Per week | $955 | $1,165 | $1,413 |
Gross pay before taxes and deductions.
What affects paramedic pay
- Work setting (hospitals and outpatient care centers often pay more than physician offices or nursing homes)
- Shift differentials for nights, weekends and holidays
- Credentials such as national certification or state licensure
- Specialty experience (surgery, cardiology, oncology, pediatrics)
- Geography and cost of living: metropolitan areas and some states pay well above the national median
How to earn more as a paramedic
- Get credentialed: National Registry Paramedic (NRP), State paramedic license, ACLS and PALS.
- Build specialty experience: Provide advanced life support on an ambulance or fire engine.
- Move up: roles such as critical care, flight or tactical paramedic and ems supervisor, educator or nurse typically pay more.
- Negotiate: research local pay and use our salary negotiation guide.
Paramedic pay vs. related careers
Job outlook
BLS projects employment of paramedics to change by +5.7% from 2025–35, faster than average compared with the 3.5% average for all occupations. About 4,300 openings are projected each year, on average, including openings to replace workers who retire or change occupations.
About this data
Figures come from the BLS Occupational Employment and Wage Statistics survey (May 2025), which covers wage and salary workers nationwide under SOC code 29-2043 (“Paramedics”). Wages exclude self-employment income, overtime and most bonuses unless they are part of regular pay. We refresh these numbers when BLS releases new estimates each spring.
Paramedic salary FAQ
How much does a paramedic make per hour?
The median hourly wage for paramedics was $29.13 in May 2025 (BLS). Hourly pay for the lowest 10% was about $21.26 and the top 10% earned about $40.79 or more.
How much does a paramedic make a month?
At the median annual wage of $60,600, that works out to about $5,050 per month before taxes, or about $2,331 every two weeks.
What is the starting salary for a paramedic?
New paramedics often start near the lower end of the range. The 10th percentile was $44,230 and the 25th percentile was $49,660 per year in May 2025. Starting pay depends on location, employer and credentials.
How can paramedics earn more?
Common ways include earning National Registry Paramedic (NRP) and State paramedic license, gaining specialty experience, taking shifts or roles with premium pay, and moving up the career ladder to roles such as critical care, flight or tactical paramedic.
Sources
- U.S. Bureau of Labor Statistics, BLS Occupational Employment and Wage Statistics (OEWS), May 2025, SOC 29-2043 (Paramedics).
- U.S. Bureau of Labor Statistics, BLS Employment Projections, Table 1.2 (2025–35).
- O*NET OnLine summary for Paramedics (U.S. Department of Labor).
- BLS Occupational Outlook Handbook.
Reviewed by the Career Education Institute Curriculum Team. Pay figures are national estimates; local pay varies. See our editorial policy.