EMT Salary

Modesto vs San Francisco: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Modesto, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

Modesto, CA
$49,905
$23.99/hr
San Francisco, CA
$54,476
$26.19/hr

Side-by-Side Comparison

MetricModesto, CASan Francisco, CA
Median Salary$49,905$54,476
Hourly Rate$23.99$26.19
Entry Level (P10)$41,185$48,804
25th Percentile$46,275$49,079
75th Percentile$66,656$75,989
Top Earner (P90)$81,619$92,794
Total Employed4403,580
Side-by-side bar chart comparing Modesto ($49,905) and San Francisco ($54,476) emergency medical technician salaries.ModestoSan FranciscoMedian Salary$49,905$54,476Entry Level (P10)$41,185$48,804Top Earner (P90)$81,619$92,794US Median $47,058

Verdict

San Francisco, CA offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Modesto.

The salary gap between Modesto and San Francisco is $4,571 (9.16%). San Francisco's median is +15.76% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Modesto spans $40,434,San Francisco spans $43,990. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Modesto
P10 (Entry)$41,185
P25$46,275
Median$49,905
P75$66,656
P90 (Top)$81,619
San Francisco
P10 (Entry)$48,804
P25$49,079
Median$54,476
P75$75,989
P90 (Top)$92,794

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Modesto ($47,936 effective) pays 1.73% more than San Francisco ($47,119 effective).

Modesto
Nominal: $49,905
CoL Index: 104.108
Adjusted: $47,936
San Francisco
Nominal: $54,476
CoL Index: 115.613
Adjusted: $47,119

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

Which City Is Right for You?

Choose Modesto if…

  • Better purchasing power (CoL-adjusted: $47,936)
  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($54,476/year)
  • Better top-earner potential ($92,794)
  • Larger job market (3,580 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Modesto grew 58.9% from 2021 to 2025, compared to 20.2% growth in San Francisco over the same period.

Modesto, CA

+58.9%

$29,670 (2021) → $47,160 (2025)

San Francisco, CA

+20.2%

$42,840 (2021) → $51,480 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Modesto or San Francisco?

San Francisco has a higher median emergency medical technician salary at $54,476/year, compared to Modesto at $49,905/year — a difference of $4,571 (9.16%).

What is the hourly rate difference between Modesto and San Francisco?

Modesto emergency medical technicians earn $23.99/hr while San Francisco hygienists earn $26.19/hr (2026 est.).

Should I relocate from Modesto to San Francisco as a emergency medical technician?

Consider more than just salary when comparing Modesto and San Francisco. Factor in cost of living (CoL-adjusted: Modesto = $47,936, San Francisco = $47,119), job availability (440 vs 3,580 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Modesto vs San Francisco?

Entry-level (10th percentile) emergency medical technicians earn $41,185 in Modesto and $48,804 in San Francisco. The San Francisco 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