Emergency Medical Technician (EMT) Salary, Adjusted for Cost of Living
Hawaii pays EMTs the most both on paper ($66,410/yr) and after cost of living. But below the top, the ranking reshuffles sharply once a dollar's local value is taken into account.
| # | State | Nominal / yr | Cost of living | Real pay / yr | COL shift |
|---|---|---|---|---|---|
| Hawaii | $66,410 | 110 | $60,400 | — | |
| Alaska | $57,440 | 102 | $56,116 | — | |
| Wyoming | $47,070 | 93 | $50,782 | ▲ 9 | |
| Rhode Island | $51,290 | 102 | $50,147 | ▲ 1 | |
| New Jersey | $53,610 | 109 | $49,272 | ▼ 2 | |
| Washington | $52,690 | 107 | $49,237 | ▼ 2 | |
| Connecticut | $50,640 | 104 | $48,876 | ▼ 1 | |
| Minnesota | $48,090 | 99 | $48,762 | ▲ 3 | |
| Maine | $46,340 | 97 | $47,749 | ▲ 8 | |
| Oregon | $49,270 | 103 | $47,668 | ▼ 2 | |
| Massachusetts | $50,230 | 106 | $47,496 | ▼ 4 | |
| Georgia | $45,550 | 96 | $47,304 | ▲ 8 | |
| North Carolina | $44,250 | 94 | $46,912 | ▲ 9 | |
| Delaware | $46,790 | 100 | $46,880 | ▼ 1 | |
| Vermont | $45,600 | 98 | $46,551 | ▲ 4 | |
| Missouri | $42,160 | 91 | $46,423 | ▲ 11 | |
| Iowa | $40,660 | 88 | $46,330 | ▲ 12 | |
| Nebraska | $41,710 | 90 | $46,291 | ▲ 10 | |
| Maryland | $48,100 | 105 | $45,827 | ▼ 9 | |
| Indiana | $42,740 | 93 | $45,795 | ▲ 5 | |
| Wisconsin | $43,060 | 94 | $45,762 | ▲ 3 | |
| Virginia | $45,420 | 101 | $44,924 | ▼ 1 | |
| New Hampshire | $46,790 | 104 | $44,919 | ▼ 9 | |
| New York | $48,400 | 108 | $44,848 | ▼ 15 | |
| North Dakota | $39,670 | 89 | $44,594 | ▲ 10 | |
| Colorado | $45,750 | 103 | $44,395 | ▼ 8 | |
| Pennsylvania | $43,310 | 98 | $44,388 | ▼ 4 | |
| Tennessee | $40,330 | 92 | $43,899 | ▲ 3 | |
| Ohio | $40,220 | 93 | $43,353 | ▲ 3 | |
| South Carolina | $40,370 | 94 | $43,062 | — | |
| Alabama | $37,810 | 89 | $42,568 | ▲ 8 | |
| District of Columbia | $46,650 | 110 | $42,447 | ▼ 17 | |
| Illinois | $42,260 | 100 | $42,278 | ▼ 7 | |
| Mississippi | $36,630 | 87 | $42,126 | ▲ 11 | |
| California | $46,380 | 111 | $41,889 | ▼ 19 | |
| Arkansas | $36,230 | 87 | $41,674 | ▲ 10 | |
| South Dakota | $36,800 | 89 | $41,542 | ▲ 7 | |
| Michigan | $39,870 | 96 | $41,438 | ▼ 4 | |
| Kentucky | $36,800 | 90 | $40,817 | ▲ 4 | |
| New Mexico | $37,550 | 92 | $40,721 | ▲ 1 | |
| Idaho | $38,840 | 96 | $40,673 | ▼ 3 | |
| Louisiana | $35,870 | 88 | $40,666 | ▲ 6 | |
| Kansas | $35,780 | 90 | $39,726 | ▲ 6 | |
| Utah | $38,930 | 99 | $39,377 | ▼ 7 | |
| Arizona | $39,500 | 101 | $39,234 | ▼ 9 | |
| Oklahoma | $34,170 | 88 | $38,899 | ▲ 5 | |
| Florida | $39,870 | 103 | $38,554 | ▼ 14 | |
| West Virginia | $34,360 | 90 | $38,392 | ▲ 2 | |
| Texas | $37,260 | 97 | $38,390 | ▼ 7 | |
| Montana | $36,140 | 95 | $38,185 | ▼ 3 | |
| Nevada | $37,560 | 100 | $37,568 | ▼ 11 |
How to read this
Nominal pay is the U.S. Bureau of Labor Statistics (BLS) median wage for EMTs in each state. Real pay divides that by the state's cost of living (BEA Regional Price Parity, U.S. average = 100), so it reflects what the salary is actually worth locally. A state with high nominal pay but high costs can rank lower on real pay than a cheaper state — that's the COL shift column.
Methodology: nominal medians from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS) (May 2025 release); cost of living from the U.S. Bureau of Economic Analysis Regional Price Parities (all items, 2024). Real pay = nominal ÷ (RPP ÷ 100). Cite as “WageAtlas Real Pay Index.”
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