EMT Salary

Birmingham vs Madison: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Birmingham, AL and Madison, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$41,185
$19.80/hr
Madison, AL
$39,133
$18.81/hr

Side-by-Side Comparison

MetricBirmingham, ALMadison, AL
Median Salary$41,185$39,133
Hourly Rate$19.80$18.81
Entry Level (P10)$32,540$30,793
25th Percentile$34,095$33,680
75th Percentile$51,312$44,176
Top Earner (P90)$60,656$54,859
Total Employed4209
Side-by-side bar chart comparing Birmingham ($41,185) and Madison ($39,133) emergency medical technician salaries.BirminghamMadisonMedian Salary$41,185$39,133Entry Level (P10)$32,540$30,793Top Earner (P90)$60,656$54,859US Median $47,058

Verdict

Birmingham, AL offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Madison.

The salary gap between Birmingham and Madison is $2,052 (5.24%). Birmingham's median is -12.48% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $28,116,Madison spans $24,066. Birmingham has a wider pay range, meaning more potential for high earners but also more variation.

Birmingham
P10 (Entry)$32,540
P25$34,095
Median$41,185
P75$51,312
P90 (Top)$60,656
Madison
P10 (Entry)$30,793
P25$33,680
Median$39,133
P75$44,176
P90 (Top)$54,859

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Birmingham ($44,940 effective) pays 0.94% more than Madison ($44,520 effective).

Birmingham
Nominal: $41,185
CoL Index: 91.644
Adjusted: $44,940
Madison
Nominal: $39,133
CoL Index: 87.9
Adjusted: $44,520

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

Which City Is Right for You?

Choose Birmingham if…

  • Higher median salary ($41,185/year)
  • Better top-earner potential ($60,656)
  • Larger job market (420 employed)
  • Better purchasing power (CoL-adjusted: $44,940)
  • You prefer the Alabama area and lifestyle

Choose Madison if…

  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Birmingham grew 33.0% from 2021 to 2025, compared to 34.8% growth in Madison over the same period.

Birmingham, AL

+33.0%

$29,260 (2021) → $38,920 (2025)

Madison, AL

+34.8%

$27,425 (2024) → $36,981 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Birmingham or Madison?

Birmingham has a higher median emergency medical technician salary at $41,185/year, compared to Madison at $39,133/year — a difference of $2,052 (5.24%).

What is the hourly rate difference between Birmingham and Madison?

Birmingham emergency medical technicians earn $19.80/hr while Madison hygienists earn $18.81/hr (2026 est.).

Should I relocate from Birmingham to Madison as a emergency medical technician?

Consider more than just salary when comparing Birmingham and Madison. Factor in cost of living (CoL-adjusted: Birmingham = $44,940, Madison = $44,520), job availability (420 vs 9 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Birmingham vs Madison?

Entry-level (10th percentile) emergency medical technicians earn $32,540 in Birmingham and $30,793 in Madison. The Birmingham area offers higher starting salaries.
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