EMT/Paramedic Salary in South Dakota
The median emt/paramedic salary in South Dakota is $34,258 per year, which is 12% below the national median of $38,930.
EMT/Paramedic Salary Overview in South Dakota (2026)
South Dakota ranks #43 out of 50 states for emt/paramedic compensation. EMT/Paramedic salaries in South Dakota are below the national median, though the lower cost of living can offset the difference. At $34,258 per year, emt/paramedics in South Dakota earn $4,672 less than the national median of $38,930.
A key advantage of working in South Dakota is its below-average cost of living (88% of the national index). This means the $34,258 salary has the purchasing power of roughly $38,930 in an average-cost area.
The salary spread in South Dakota is significant: emt/paramedics at the 10th percentile earn $22,880, while those at the 90th percentile bring home $54,560 — a $31,680 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in South Dakota for this role is Sioux Falls, where the median reaches $35,816.
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 South Dakota by Experience
In South Dakota, an entry-level emt/paramedic earns around $24,640, while experienced professionals earn up to $51,040 per year. The cost of living index in South Dakota is 88% of the national average.
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Check Your Rate — No Credit Impact →Salary Percentiles in South Dakota
| Percentile | SD Salary |
|---|---|
| 10th Percentile | $22,880 |
| 25th Percentile | $27,280 |
| Median (50th) | $34,258 |
| 75th Percentile | $44,000 |
| 90th Percentile | $54,560 |
EMT/Paramedic Salary by City in South Dakota
The largest employment areas for emt/paramedics in South Dakota include Sioux Falls, Rapid City, Aberdeen, and Brookings. Salaries vary by city based on local cost of living and demand.
How to Become a EMT/Paramedic in South Dakota
Education
Most emt/paramedic positions require a postsecondary nondegree award. South Dakota has several accredited institutions offering relevant programs.
Key Skills
Job Outlook in South Dakota
Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). South Dakota's demand may vary based on local industry trends.
Stand Out from the Competition
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