EMT Salary

Roanoke vs Williamsburg: Emergency Medical Technician Salary (2026)

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

Roanoke, VA
$44,116
$21.21/hr
Williamsburg, VA
$44,536
$21.41/hr

Side-by-Side Comparison

MetricRoanoke, VAWilliamsburg, VA
Median Salary$44,116$44,536
Hourly Rate$21.21$21.41
Entry Level (P10)$37,746$35,201
25th Percentile$42,974$38,023
75th Percentile$49,471$47,388
Top Earner (P90)$55,492$60,469
Total Employed1705
Side-by-side bar chart comparing Roanoke ($44,116) and Williamsburg ($44,536) emergency medical technician salaries.RoanokeWilliamsburgMedian Salary$44,116$44,536Entry Level (P10)$37,746$35,201Top Earner (P90)$55,492$60,469US Median $47,058

Verdict

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

The salary gap between Roanoke and Williamsburg is $420 (0.95%). Williamsburg's median is -5.36% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $17,746,Williamsburg spans $25,268. Williamsburg has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Roanoke
P10 (Entry)$37,746
P25$42,974
Median$44,116
P75$49,471
P90 (Top)$55,492
Williamsburg
P10 (Entry)$35,201
P25$38,023
Median$44,536
P75$47,388
P90 (Top)$60,469

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($47,123 effective) pays 9.20% more than Williamsburg ($43,155 effective).

Roanoke
Nominal: $44,116
CoL Index: 93.618
Adjusted: $47,123
Williamsburg
Nominal: $44,536
CoL Index: 103.2
Adjusted: $43,155

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

Which City Is Right for You?

Choose Roanoke if…

  • Larger job market (170 employed)
  • Better purchasing power (CoL-adjusted: $47,123)
  • You prefer the Virginia area and lifestyle

Choose Williamsburg if…

  • Higher median salary ($44,536/year)
  • Better top-earner potential ($60,469)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Roanoke grew 43.9% from 2021 to 2025, compared to 13.3% growth in Williamsburg over the same period.

Roanoke, VA

+43.9%

$28,980 (2021) → $41,690 (2025)

Williamsburg, VA

+13.3%

$37,136 (2024) → $42,087 (2025)

View Full Salary Data

Frequently Asked Questions

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

Williamsburg has a higher median emergency medical technician salary at $44,536/year, compared to Roanoke at $44,116/year — a difference of $420 (0.95%).

What is the hourly rate difference between Roanoke and Williamsburg?

Roanoke emergency medical technicians earn $21.21/hr while Williamsburg hygienists earn $21.41/hr (2026 est.).

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

Consider more than just salary when comparing Roanoke and Williamsburg. Factor in cost of living (CoL-adjusted: Roanoke = $47,123, Williamsburg = $43,155), job availability (170 vs 5 employed), commute, and career growth potential.

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

Entry-level (10th percentile) emergency medical technicians earn $37,746 in Roanoke and $35,201 in Williamsburg. 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