EMT Salary

Louisville vs Paducah: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Louisville, KY and Paducah, KY. All figures are 2026 estimates projected from BLS 2025 data.

Louisville, KY
$45,816
$22.03/hr
Paducah, KY
$39,302
$18.90/hr

Side-by-Side Comparison

MetricLouisville, KYPaducah, KY
Median Salary$45,816$39,302
Hourly Rate$22.03$18.90
Entry Level (P10)$32,520$30,116
25th Percentile$37,121$31,852
75th Percentile$52,632$45,100
Top Earner (P90)$66,630$49,153
Total Employed13280
Side-by-side bar chart comparing Louisville ($45,816) and Paducah ($39,302) emergency medical technician salaries.LouisvillePaducahMedian Salary$45,816$39,302Entry Level (P10)$32,520$30,116Top Earner (P90)$66,630$49,153US Median $47,058

Verdict

Louisville, KY offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Paducah.

The salary gap between Louisville and Paducah is $6,514 (16.57%). Louisville's median is -2.64% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Louisville spans $34,110,Paducah spans $19,037. Louisville has a wider pay range, meaning more potential for high earners but also more variation.

Louisville
P10 (Entry)$32,520
P25$37,121
Median$45,816
P75$52,632
P90 (Top)$66,630
Paducah
P10 (Entry)$30,116
P25$31,852
Median$39,302
P75$45,100
P90 (Top)$49,153

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville ($51,306 effective) pays 12.38% more than Paducah ($45,655 effective).

Louisville
Nominal: $45,816
CoL Index: 89.3
Adjusted: $51,306
Paducah
Nominal: $39,302
CoL Index: 86.084
Adjusted: $45,655

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

Which City Is Right for You?

Choose Louisville if…

  • Higher median salary ($45,816/year)
  • Better top-earner potential ($66,630)
  • Larger job market (132 employed)
  • Better purchasing power (CoL-adjusted: $51,306)
  • You prefer the Kentucky area and lifestyle

Choose Paducah if…

  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Louisville grew 39.0% from 2024 to 2025, compared to 36.7% growth in Paducah over the same period.

Louisville, KY

+39.0%

$31,155 (2024) → $43,296 (2025)

Paducah, KY

+36.7%

$27,161 (2024) → $37,140 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Louisville or Paducah?

Louisville has a higher median emergency medical technician salary at $45,816/year, compared to Paducah at $39,302/year — a difference of $6,514 (16.57%).

What is the hourly rate difference between Louisville and Paducah?

Louisville emergency medical technicians earn $22.03/hr while Paducah hygienists earn $18.90/hr (2026 est.).

Should I relocate from Louisville to Paducah as a emergency medical technician?

Consider more than just salary when comparing Louisville and Paducah. Factor in cost of living (CoL-adjusted: Louisville = $51,306, Paducah = $45,655), job availability (132 vs 80 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Louisville vs Paducah?

Entry-level (10th percentile) emergency medical technicians earn $32,520 in Louisville and $30,116 in Paducah. The Louisville 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