Bristol vs Roanoke: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Bristol, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Bristol, VA | Roanoke, VA |
|---|---|---|
| Median Salary | $39,708 | $44,116▲ |
| Hourly Rate | $19.09 | $21.21▲ |
| Entry Level (P10) | $32,439 | $37,746▲ |
| 25th Percentile | $34,667 | $42,974▲ |
| 75th Percentile | $43,814 | $49,471▲ |
| Top Earner (P90) | $52,707 | $55,492▲ |
| Total Employed | 6 | 170▲ |
Verdict
Roanoke, VA offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Bristol.
The salary gap between Bristol and Roanoke is $4,408 (11.10%). Roanoke's median is -6.25% compared to the US national median of $47,058.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Bristol spans $20,268,Roanoke spans $17,746. Bristol has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Roanoke ($47,123 effective) pays 22.47% more than Bristol ($38,477 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Bristol if…
- ✓You prefer the Virginia area and lifestyle
Choose Roanoke if…
- ✓Higher median salary ($44,116/year)
- ✓Better top-earner potential ($55,492)
- ✓Larger job market (170 employed)
- ✓Better purchasing power (CoL-adjusted: $47,123)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Bristol grew -0.5% from 2024 to 2025, compared to 43.9% growth in Roanoke over the same period.
Bristol, VA
$37,711 (2024) → $37,524 (2025)
Roanoke, VA
$28,980 (2021) → $41,690 (2025)
View Full Salary Data
Bristol, VA
Roanoke, VA
Frequently Asked Questions
Which city pays emergency medical technicians more: Bristol or Roanoke?
What is the hourly rate difference between Bristol and Roanoke?
Should I relocate from Bristol to Roanoke as a emergency medical technician?
What do entry-level emergency medical technicians earn in Bristol vs Roanoke?
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.
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