Public Service North Dakota (ND) Rank #37 of 50

EMT/Paramedic Salary in North Dakota

The median emt/paramedic salary in North Dakota is $35,037 per year, which is 10% below the national median of $38,930.

Median Salary
$35,037
vs National
$-3,893
State Rank
#37 of 50
Cost of Living
90%

EMT/Paramedic Salary Overview in North Dakota (2026)

North Dakota ranks #37 out of 50 states for emt/paramedic compensation. EMT/Paramedic salaries in North Dakota are below the national median, though the lower cost of living can offset the difference. At $35,037 per year, emt/paramedics in North Dakota earn $3,893 less than the national median of $38,930.

A key advantage of working in North Dakota is its below-average cost of living (90% of the national index). This means the $35,037 salary has the purchasing power of roughly $38,930 in an average-cost area.

The salary spread in North Dakota is significant: emt/paramedics at the 10th percentile earn $23,400, while those at the 90th percentile bring home $55,800 — a $32,400 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in North Dakota for this role is Fargo, where the median reaches $36,594.

Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). This steady growth indicates stable demand for emt/paramedics across the country.

EMT/Paramedic Salary in North Dakota by Experience

In North Dakota, an entry-level emt/paramedic earns around $25,200, while experienced professionals earn up to $52,200 per year. The cost of living index in North Dakota is 90% of the national average.

Entry Level (0-2 yrs)
$25,200
$-2,800 vs national
Mid Level (3-7 yrs)
$36,000
$-4,000 vs national
Senior Level (8+ yrs)
$52,200
$-5,800 vs national

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Salary Percentiles in North Dakota

Percentile ND Salary
10th Percentile $23,400
25th Percentile $27,900
Median (50th) $35,037
75th Percentile $45,000
90th Percentile $55,800

EMT/Paramedic Salary by City in North Dakota

The largest employment areas for emt/paramedics in North Dakota include Fargo, Bismarck, Grand Forks, and Minot. Salaries vary by city based on local cost of living and demand.

How to Become a EMT/Paramedic in North Dakota

Education

Most emt/paramedic positions require a postsecondary nondegree award. North Dakota has several accredited institutions offering relevant programs.

Key Skills

Emergency MedicineCPR/ALSPatient AssessmentTrauma CareCommunicationDriving

Job Outlook in North Dakota

Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). North Dakota's demand may vary based on local industry trends.

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Frequently Asked Questions: EMT/Paramedic Salary in North Dakota

How much does a EMT/Paramedic make in North Dakota? ▼
The median emt/paramedic salary in North Dakota is $35,037 per year, which is 10% below the national median of $38,930. Salaries range from $23,400 (10th percentile) to $55,800 (90th percentile).
How much does a EMT/Paramedic make per hour in North Dakota? ▼
Based on the median annual salary of $35,037, a emt/paramedic in North Dakota earns approximately $17 per hour assuming a standard 2,080-hour work year.
Is North Dakota a good state for emt/paramedics? ▼
North Dakota ranks #37 out of 50 states for emt/paramedic pay. The cost of living index is 90% of the national average. Entry-level emt/paramedics earn $25,200, while senior professionals earn $52,200.
How does North Dakota compare to other states for emt/paramedic salary? ▼
The highest paying state for emt/paramedics is Hawaii at $66,181. North Dakota's median of $35,037 ranks #37 nationally. Nearby-ranked states include Michigan ($35,037) and Nebraska ($35,037).
What is the entry-level emt/paramedic salary in North Dakota? ▼
An entry-level emt/paramedic in North Dakota earns approximately $25,200 per year. With 3-7 years of experience, pay increases to around $36,000. Senior-level professionals with 8+ years earn up to $52,200.
What city in North Dakota pays emt/paramedics the most? ▼
Fargo is the highest paying city in North Dakota for emt/paramedics, with a median salary of $36,594. Other cities include Bismarck and Grand Forks.