EMT Salary

Charlottesville vs Roanoke: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Charlottesville, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Charlottesville, VA
$42,074
$20.23/hr
Roanoke, VA
$44,116
$21.21/hr

Side-by-Side Comparison

MetricCharlottesville, VARoanoke, VA
Median Salary$42,074$44,116
Hourly Rate$20.23$21.21
Entry Level (P10)$36,836$37,746
25th Percentile$42,074$42,974
75th Percentile$54,878$49,471
Top Earner (P90)$60,455$55,492
Total Employed130170
Side-by-side bar chart comparing Charlottesville ($42,074) and Roanoke ($44,116) emergency medical technician salaries.CharlottesvilleRoanokeMedian Salary$42,074$44,116Entry Level (P10)$36,836$37,746Top Earner (P90)$60,455$55,492US Median $47,058

Verdict

Roanoke, VA offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Charlottesville.

The salary gap between Charlottesville and Roanoke is $2,042 (4.85%). 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 Charlottesville spans $23,619,Roanoke spans $17,746. Charlottesville has a wider pay range, meaning more potential for high earners but also more variation.

Charlottesville
P10 (Entry)$36,836
P25$42,074
Median$42,074
P75$54,878
P90 (Top)$60,455
Roanoke
P10 (Entry)$37,746
P25$42,974
Median$44,116
P75$49,471
P90 (Top)$55,492

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($47,123 effective) pays 11.04% more than Charlottesville ($42,436 effective).

Charlottesville
Nominal: $42,074
CoL Index: 99.146
Adjusted: $42,436
Roanoke
Nominal: $44,116
CoL Index: 93.618
Adjusted: $47,123

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

Which City Is Right for You?

Choose Charlottesville if…

  • Better top-earner potential ($60,455)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Higher median salary ($44,116/year)
  • 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 Charlottesville grew 4.3% from 2021 to 2025, compared to 43.9% growth in Roanoke over the same period.

Charlottesville, VA

+4.3%

$38,120 (2021) → $39,760 (2025)

Roanoke, VA

+43.9%

$28,980 (2021) → $41,690 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Charlottesville or Roanoke?

Roanoke has a higher median emergency medical technician salary at $44,116/year, compared to Charlottesville at $42,074/year — a difference of $2,042 (4.85%).

What is the hourly rate difference between Charlottesville and Roanoke?

Charlottesville emergency medical technicians earn $20.23/hr while Roanoke hygienists earn $21.21/hr (2026 est.).

Should I relocate from Charlottesville to Roanoke as a emergency medical technician?

Consider more than just salary when comparing Charlottesville and Roanoke. Factor in cost of living (CoL-adjusted: Charlottesville = $42,436, Roanoke = $47,123), job availability (130 vs 170 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Charlottesville vs Roanoke?

Entry-level (10th percentile) emergency medical technicians earn $36,836 in Charlottesville and $37,746 in Roanoke. The Roanoke 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