EMT Salary

Raleigh vs Wilmington: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Raleigh, NC and Wilmington, NC. All figures are 2026 estimates projected from BLS 2025 data.

Raleigh, NC
$52,021
$25.01/hr
Wilmington, NC
$56,984
$27.40/hr

Side-by-Side Comparison

MetricRaleigh, NCWilmington, NC
Median Salary$52,021$56,984
Hourly Rate$25.01$27.40
Entry Level (P10)$38,836$38,307
25th Percentile$46,931$38,307
75th Percentile$60,053$56,984
Top Earner (P90)$68,540$69,016
Total Employed600240
Side-by-side bar chart comparing Raleigh ($52,021) and Wilmington ($56,984) emergency medical technician salaries.RaleighWilmingtonMedian Salary$52,021$56,984Entry Level (P10)$38,836$38,307Top Earner (P90)$68,540$69,016US Median $47,058

Verdict

Wilmington, NC offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Raleigh.

The salary gap between Raleigh and Wilmington is $4,963 (9.54%). Wilmington's median is +21.09% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Raleigh spans $29,704,Wilmington spans $30,709. Wilmington has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Raleigh
P10 (Entry)$38,836
P25$46,931
Median$52,021
P75$60,053
P90 (Top)$68,540
Wilmington
P10 (Entry)$38,307
P25$38,307
Median$56,984
P75$56,984
P90 (Top)$69,016

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Wilmington ($59,099 effective) pays 11.51% more than Raleigh ($52,998 effective).

Raleigh
Nominal: $52,021
CoL Index: 98.157
Adjusted: $52,998
Wilmington
Nominal: $56,984
CoL Index: 96.422
Adjusted: $59,099

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Raleigh if…

  • Larger job market (600 employed)
  • You prefer the North Carolina area and lifestyle

Choose Wilmington if…

  • Higher median salary ($56,984/year)
  • Better top-earner potential ($69,016)
  • Better purchasing power (CoL-adjusted: $59,099)
  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Raleigh grew 33.5% from 2021 to 2025, compared to 53.0% growth in Wilmington over the same period.

Raleigh, NC

+33.5%

$36,830 (2021) → $49,160 (2025)

Wilmington, NC

+53.0%

$35,200 (2022) → $53,850 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Raleigh or Wilmington?

Wilmington has a higher median emergency medical technician salary at $56,984/year, compared to Raleigh at $52,021/year — a difference of $4,963 (9.54%).

What is the hourly rate difference between Raleigh and Wilmington?

Raleigh emergency medical technicians earn $25.01/hr while Wilmington hygienists earn $27.40/hr (2026 est.).

Should I relocate from Raleigh to Wilmington as a emergency medical technician?

Consider more than just salary when comparing Raleigh and Wilmington. Factor in cost of living (CoL-adjusted: Raleigh = $52,998, Wilmington = $59,099), job availability (600 vs 240 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Raleigh vs Wilmington?

Entry-level (10th percentile) emergency medical technicians earn $38,836 in Raleigh and $38,307 in Wilmington. The Raleigh area offers higher starting salaries.

Related Comparisons

AP

Written by Aisha Patel, EMT-P

Career Analyst

Aisha has 10 years of experience as an emergency medical technician. She specializes in pre-hospital care and triage. Aisha works primarily in urban emergency services.

Clinically reviewed by Carlos Mendoza, EMT-BData verified by Fatima Ali, EMT-I

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.82% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, EMT-P, a licensed emergency medical technician with 10+ years of clinical experience. · View source data at BLS.gov