What are the main factors that influence an ALS EMT's salary?

The primary factors are: 1) Experience Level, 2) Geographic Location, 3) Education/Skills, 4) Company Size & Industry

How does experience change An ALS EMT's salary?

An ALS EMT's salary grows with experience: a ALS EMT (0-1 years)earns $39,051, a Security Guard - Armed (3-5 years)earns $47,977, a Security Guard Team Leader (5+ years)earns $59,898,

What are the highest paying states for an ALS EMT?

ALS EMT salary varies significantly by state. The top 3 highest paying states for ALS EMT roles are District of Columbia $43,692, California $43,526, Massachusetts $42,946. These tech hubs typically pay 10-15% above the national average.

How much do different types of ALS EMT roles make?

Salaries for ALS EMT level roles vary by specialization: paramedic emt: $54,763; Als Teacher: $54,697; ALS Technician: $51,246; Emt Supervisor: $50,852; Flight EMT: $50,610.

How do different companies affect an ALS EMT's salary?

Company size, industry, and compensation structure create significant salary variations for ALS EMT roles. Large, established industry leaders like C R Bard Inc ($128,509) and Henry Schein Canada ($124,697) offer base salaries 35-40% above the national average. In contrast, smaller firms or startups may offer closer to $82,041.

ALS EMT Salary in the United States

How much does an ALS EMT make in the United States?

As of May 01, 2026, the average salary for an ALS EMT in the United States is $39,461 per year, which breaks down to an hourly rate of $19.

However, an ALS EMT's salary can vary significantly. Here’s a look at the typical salary range:

Top Earners (90th percentile): $43,224
Majority Range (25th-75th percentile): $36,962 to $41,431
Entry-Level (10th percentile): $34,686

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ALS EMT Salaries by Percentile

	Annual Salary	Monthly Pay	Weekly Pay	Hourly Wage
75th Percentile	$41,431	$3,453	$797	$20
Average	$39,461	$3,288	$759	$19
25th Percentile	$36,962	$3,080	$711	$18

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Key Factors That Influence ALS EMT Salaries

An ALS EMT's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, education and company size can directly affect your earning potential.

How Do ALS EMT Salaries Vary from State to State?

Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract ALS EMTs. For example, consider the average annual salaries in these key locations:

District of Columbia: $43,692.
California: $43,526.
Massachusetts: $42,946.

District of Columbia $43,692

California $43,526

Massachusetts $42,946

Washington $42,788

New Jersey $42,772

Alaska $42,717

Connecticut $42,172

New York $41,951

Hawaii $41,245

Rhode Island $40,914

Maryland $40,689

Minnesota $40,381

Colorado $40,262

Illinois $40,223

Oregon $40,073

Delaware $39,963

New Hampshire $39,893

Virginia $39,738

Pennsylvania $39,284

Nevada $39,055

North Dakota $38,980

Michigan $38,862

Wisconsin $38,818

Vermont $38,731

Texas $38,491

Maine $38,475

Arizona $38,451

Ohio $38,424

Georgia $38,061

Indiana $37,879

Wyoming $37,843

Utah $37,788

Iowa $37,765

Kansas $37,575

Louisiana $37,520

North Carolina $37,500

Missouri $37,492

Florida $37,338

Montana $37,256

Nebraska $37,177

Kentucky $37,133

South Carolina $36,975

Tennessee $36,877

Idaho $36,837

New Mexico $36,549

Oklahoma $36,486

Alabama $36,253

South Dakota $35,863

Arkansas $35,649

West Virginia $35,535

Mississippi $35,192

Top Paying Cities for ALS EMTs

Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:

San Jose: $49,773
San Francisco: $49,228
Oakland: $48,190

San Jose, CA $49,773

San Francisco, CA $49,228

Oakland, CA $48,190

New York, NY $45,435

Paramus, NJ $44,883

Queens Village, NY $44,881

Passaic, NJ $44,844

Bergenfield, NJ $44,840

Stamford, CT $44,753

Huntington, NY $44,737

Newark, NJ $44,445

Bridgeport, CT $44,362

Vallejo, CA $44,284

New Brunswick, NJ $44,268

Petaluma, CA $44,244

Middlesex, NJ $44,169

Somerset, NJ $44,142

Santa Cruz, CA $44,090

Boston, MA $43,850

Monterey, CA $43,711

Seattle, WA $43,621

Santa Rosa, CA $43,613

Los Angeles, CA $43,601

Juneau, AK $43,498

Washington, DC $43,455

Orange, CA $43,314

Santa Ana, CA $43,210

Long Beach, CA $43,171

Anaheim, CA $43,163

Anchorage, AK $43,143

Santa Maria, CA $43,025

Everett, WA $43,017

Danbury, CT $42,878

Bremerton, WA $42,824

Tacoma, WA $42,681

New Suffolk, NY $42,681

Sacramento, CA $42,670

Santa Barbara, CA $42,626

Trenton, NJ $42,583

San Diego, CA $42,583

Brockton, MA $42,539

Fairbanks, AK $42,443

Lompoc, CA $42,342

Lowell, MA $42,310

Ventura, CA $42,303

Nashua, NH $42,295

Stockton, CA $42,291

Modesto, CA $42,003

Poughkeepsie, NY $41,916

Olympia, WA $41,841

Kennewick, WA $41,841

New Haven, CT $41,825

Lawrence, MA $41,683

Hartford, CT $41,644

Riverside, CA $41,636

New Bedford, MA $41,596

Richland, WA $41,596

Bakersfield, CA $41,541

San Bernardino, CA $41,525

New Britain, CT $41,521

Atlantic City, NJ $41,521

New London, CT $41,506

Norwich, CT $41,494

Portsmouth, NH $41,486

Boulder, CO $41,402

Portland, OR $41,348

Worcester, MA $41,344

Minneapolis, MN $41,221

Philadelphia, PA $41,166

Honolulu, HI $41,036

Saint Paul, MN $41,017

Vineland, NJ $41,008

Providence, RI $40,894

Chicago, IL $40,779

Bellingham, WA $40,732

Springfield, MA $40,700

Baltimore, MD $40,689

Chico, CA $40,590

Pittsfield, MA $40,483

Manchester, NH $40,408

Spokane, WA $40,235

Denver, CO $40,231

Albany, NY $40,045

Troy, NY $40,030

Nassau, NY $39,987

Schenectady, NY $39,947

Wilmington, DE $39,915

Burlington, VT $39,860

Salem, OR $39,844

Portland, ME $39,722

Yakima, WA $39,682

Rochester, MN $39,560

Reno, NV $39,540

Fresno, CA $39,540

Milwaukee, WI $39,505

Detroit, MI $39,465

Ann Arbor, MI $39,459

Allentown, PA $39,454

Colorado Springs, CO $39,386

Syracuse, NY $39,367

Carson City, NV $39,367

Houston, TX $39,311

Eugene, OR $39,292

Gary, IN $39,244

Springfield, OR $39,213

Bismarck, ND $39,205

Galveston, TX $39,177

Medford, OR $39,118

Fort Collins, CO $39,102

Concord, NH $39,083

Austin, TX $39,071

Mesa, AZ $38,988

Reading, PA $38,984

Phoenix, AZ $38,980

Dallas, TX $38,968

Saint Cloud, MN $38,930

Madison, WI $38,877

Utica, NY $38,771

Rochester, NY $38,708

Des Moines, IA $38,704

Raleigh, NC $38,700

Atlanta, GA $38,641

Battle Creek, MI $38,629

Salt Lake City, UT $38,617

Lancaster, PA $38,558

Harrisburg, PA $38,502

Kansas City, MO $38,463

Champaign, IL $38,455

Kansas City, KS $38,455

Fort Worth, TX $38,451

Columbus, OH $38,444

Boca Raton, FL $38,435

Pittsburgh, PA $38,420

Richmond, VA $38,404

Indianapolis, IN $38,396

Cleveland, OH $38,392

Las Vegas, NV $38,345

Cincinnati, OH $38,345

Petersburg, VA $38,285

Huntsville, AL $38,226

Lansing, MI $38,200

Lebanon, PA $38,195

Pueblo, CO $38,191

Appleton, WI $38,179

Buffalo, NY $38,163

Dayton, OH $38,151

Racine, WI $38,143

Charlotte, NC $38,139

Saint Louis, MO $38,128

York, PA $38,104

Elkhart, IN $38,104

Gastonia, NC $38,096

Billings, MT $38,087

Beaumont, TX $38,076

Lorain, OH $38,068

Benton Harbor, MI $38,061

Toledo, OH $38,053

Binghamton, NY $38,033

Rock Hill, SC $38,029

Rockford, IL $38,009

Springfield, IL $37,993

Elyria, OH $37,989

Fargo, ND $37,989

Flagstaff, AZ $37,962

Fort Lauderdale, FL $37,938

Duluth, MN $37,915

Miami, FL $37,915

Cheyenne, WY $37,887

Grand Forks, ND $37,887

Bangor, ME $37,800

Cedar Rapids, IA $37,757

Durham, NC $37,740

Louisville, KY $37,737

Grand Rapids, MI $37,729

Hialeah, FL $37,725

Casper, WY $37,670

Scranton, PA $37,622

New Orleans, LA $37,611

Virginia Beach, VA $37,607

Akron, OH $37,587

Peoria, IL $37,536

Sarasota, FL $37,528

Nashville, TN $37,500

Omaha, NE $37,500

Green Bay, WI $37,500

Baton Rouge, LA $37,480

Charleston, SC $37,473

Jamestown, NY $37,453

Davenport, IA $37,453

Tucson, AZ $37,433

Saint Petersburg, FL $37,409

Tampa, FL $37,402

Evansville, IN $37,378

Port Arthur, TX $37,378

Bradenton, FL $37,362

Santa Fe, NM $37,291

Orlando, FL $37,220

Clearwater, FL $37,208

Canton, OH $37,125

La Crosse, WI $37,125

Albuquerque, NM $37,102

Newport News, VA $37,098

High Point, NC $37,086

Ogden, UT $37,070

Corpus Christi, TX $37,038

Norfolk, VA $37,015

Laramie, WY $37,015

Rock Island, IL $36,991

Saginaw, MI $36,983

Jacksonville, FL $36,979

Salisbury, NC $36,971

Boise, ID $36,963

Moline, IL $36,944

Fort Myers, FL $36,932

Memphis, TN $36,924

Tulsa, OK $36,904

Waterloo, IA $36,881

Spartanburg, SC $36,841

Lincoln, NE $36,821

Fort Wayne, IN $36,814

Provo, UT $36,810

Cedar Falls, IA $36,762

San Antonio, TX $36,746

Greensboro, NC $36,731

South Bend, IN $36,727

Savannah, GA $36,683

Muskegon, MI $36,668

Birmingham, AL $36,664

Winston Salem, NC $36,644

Lake Charles, LA $36,549

Anderson, IN $36,541

Lexington, KY $36,529

Augusta, GA $36,518

Greenville, SC $36,518

Lima, OH $36,486

Wichita, KS $36,482

Tuscaloosa, AL $36,482

Columbia, SC $36,447

Springfield, OH $36,439

Asheville, NC $36,376

Bloomington, IN $36,348

Knoxville, TN $36,206

Shreveport, LA $36,202

Wilmington, NC $36,151

Roanoke, VA $36,151

Topeka, KS $36,080

Frankfort, KY $36,075

Oklahoma City, OK $36,048

Chillicothe, OH $36,032

Longview, TX $36,028

Melbourne, FL $36,024

Sioux Falls, SD $35,961

Mobile, AL $35,957

Terre Haute, IN $35,941

Altoona, PA $35,918

Amarillo, TX $35,890

Killeen, TX $35,878

Fayetteville, AR $35,847

Chattanooga, TN $35,835

Sioux City, IA $35,799

Idaho Falls, ID $35,791

Lynchburg, VA $35,760

Gainesville, FL $35,709

Portsmouth, OH $35,689

Little Rock, AR $35,681

Lafayette, LA $35,665

Youngstown, OH $35,665

Daytona Beach, FL $35,642

Clarksville, TN $35,638

Pensacola, FL $35,634

Temple, TX $35,631

Hopkinsville, KY $35,515

Erie, PA $35,507

Florence, SC $35,492

Charleston, WV $35,428

Great Falls, MT $35,409

Macon, GA $35,353

Tallahassee, FL $35,350

Fayetteville, NC $35,342

Waco, TX $35,334

Helena, MT $35,306

Pine Bluff, AR $35,291

Vincennes, IN $35,243

Lubbock, TX $35,227

Alamogordo, NM $35,204

Twin Falls, ID $35,168

Rapid City, SD $35,156

Jackson, MS $35,085

Huntington, WV $35,082

Greenville, MS $35,081

Parkersburg, WV $35,041

Montgomery, AL $35,034

Wichita Falls, TX $34,994

Springfield, MO $34,994

Biloxi, MS $34,975

Monroe, LA $34,935

Johnstown, PA $34,908

Sumter, SC $34,892

Columbus, GA $34,888

Pascagoula, MS $34,813

Abilene, TX $34,813

Kingsport, TN $34,710

Albany, GA $34,710

Gulfport, MS $34,698

Alexandria, LA $34,568

Fort Smith, AR $34,470

El Paso, TX $34,363

Las Cruces, NM $34,185

Harlingen, TX $34,085

Pocatello, ID $34,079

Florence, AL $34,028

Brownsville, TX $34,020

Mcallen, TX $33,937

Dothan, AL $33,882

Columbus, MS $33,647

Altus, OK $33,463

Lawton, OK $33,388

Pierre, SD $33,246

What Skills Can Increase an ALS EMT's Salary?

Demanded Skills for the Role:

Customer Service (Mentioned in 28.07% Job Postings): Customer service is the provision of service to customers before, during and after a purchase. The perception of success of such interactions is dependent on employees "who can adjust themselves to the personality of the guest". Customer service concerns the priority an organization assigns to customer service relative to components such as product innovation and pricing. In this sense, an organization that values good customer service may spend more money in training employees than the average organization or may proactively interview customers for feedback. From the point of view of an overall sales process engineering effort, customer service plays an important role in an organization's ability to generate income and revenue. From that perspective, customer service should be included as part of an overall approach to systematic improvement. One good customer service experience can change the entire perception a customer holds towards the organization.
Food Service (Mentioned in 2.71% Job Postings): The foodservice or catering industry includes the businesses, institutions, and companies which prepare meals outside the home.
CCTV (Mentioned in 1.54% Job Postings):

See More Skills

Skills	Demand Percentage
Customer Service	28.07%
Food Service	2.71%
CCTV	1.54%

What skills can make your compensation higher?

Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on an ALS EMT's salary.

Diversity and Inclusion: Can increase your salary by up to 6%.
Problem Solving: Can increase your salary by up to 6%.
Accountability: Can increase your salary by up to 4%.

Skill	Salary	Salary % Increase
Diversity and Inclusion	$41,829	6%
Problem Solving	$41,829	6%
Accountability	$41,040	4%
Leadership	$41,040	4%
Physical Security	$41,040	4%
Commitment	$40,645	3%

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How Education impacts an ALS EMT's Salary?

Your level of education can impact your salary potential. While many ALS EMTs enter the field with a High School Diploma or Technical Certificate degree, higher education can lead to more specialized and higher-paying roles.

According to our 100% employer-reported salary data, the median salary for an ALS EMT with a High School Diploma or Technical Certificate is between $35,608 and $37,922).

ALS EMT Salaries by Degree Level

Typical Education for ALS EMT

No Diploma 2.0%

High School 60.0%

Associates 16.9%

Bachelors 18.8%

Masters 1.9%

Doctorate 0.4%

view as table

Degree Level	% of user with this level of education
No Diploma	2.0%
High School	60.0%
Associates	16.9%
Bachelors	18.8%
Masters	1.9%
Doctorate	0.4%

view as graph

ALS EMT Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how an ALS EMT's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.

Last Updated on May 01, 2026

$36,962

Average $39,461/year

$41,431

$3,080

Average $3,288/month

$3,453

$711

Average $759/week

$797

$18

Average $19/hour

$20

	Annual Salary	Monthly Pay	Weekly Pay	Hourly Wage
75th Percentile	$41,431	$3,453	$797	$20
Average	$39,461	$3,288	$759	$19
25th Percentile	$36,962	$3,080	$711	$18

Salaries of jobs related to ALS EMT

Salary Trends for ALS EMT

Salaries for an ALS EMT can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $37,221 in 2023 to around $36,510 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of ALS EMT salary trends, .

Average Annual Salary of ALS EMT Over Time

2022

$???

2023

$37,221

2024

$37,028

2025

$36,510

2026

$???

2027

$???

Year	Average Annual Salary
2022	View More
2023	$37,221
2024	$37,028
2025	$36,510
2026	View More
2027	View More

Most common benefits for ALS EMT

Social Security

401(k)

Disability

Healthcare

Pension

Time Off (days)

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Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

With the most extensive online, real-time compensation data available, Salary.com helps you pinpoint your exact pay target.

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