Portsmouth vs Roanoke: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Portsmouth, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Portsmouth, VA | Roanoke, VA |
|---|---|---|
| Median Salary | $45,509▲ | $44,116 |
| Hourly Rate | $21.88▲ | $21.21 |
| Entry Level (P10) | $35,221 | $37,746▲ |
| 25th Percentile | $38,762 | $42,974▲ |
| 75th Percentile | $50,984▲ | $49,471 |
| Top Earner (P90) | $62,973▲ | $55,492 |
| Total Employed | 17 | 170▲ |
Verdict
Portsmouth, VA offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Roanoke.
The salary gap between Portsmouth and Roanoke is $1,393 (3.16%). Portsmouth's median is -3.29% compared to the US national median of $47,058.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Portsmouth spans $27,752,Roanoke spans $17,746. Portsmouth 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 6.86% more than Portsmouth ($44,098 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Portsmouth if…
- ✓Higher median salary ($45,509/year)
- ✓Better top-earner potential ($62,973)
- ✓You prefer the Virginia area and lifestyle
Choose Roanoke if…
- ✓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 Portsmouth grew 13.3% from 2024 to 2025, compared to 43.9% growth in Roanoke over the same period.
Portsmouth, VA
$37,946 (2024) → $43,006 (2025)
Roanoke, VA
$28,980 (2021) → $41,690 (2025)
View Full Salary Data
Portsmouth, VA
Roanoke, VA
Frequently Asked Questions
Which city pays emergency medical technicians more: Portsmouth or Roanoke?
What is the hourly rate difference between Portsmouth and Roanoke?
Should I relocate from Portsmouth to Roanoke as a emergency medical technician?
What do entry-level emergency medical technicians earn in Portsmouth 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