EMT Salary

Rochester vs Rome: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Rochester, NY and Rome, NY. All figures are 2026 estimates projected from BLS 2025 data.

Rochester, NY
$45,852
$22.04/hr
Rome, NY
$45,102
$21.68/hr

Side-by-Side Comparison

MetricRochester, NYRome, NY
Median Salary$45,852$45,102
Hourly Rate$22.04$21.68
Entry Level (P10)$39,545$36,956
25th Percentile$41,100$39,686
75th Percentile$48,021$48,715
Top Earner (P90)$50,952$61,763
Total Employed6506
Side-by-side bar chart comparing Rochester ($45,852) and Rome ($45,102) emergency medical technician salaries.RochesterRomeMedian Salary$45,852$45,102Entry Level (P10)$39,545$36,956Top Earner (P90)$50,952$61,763US Median $47,058

Verdict

Rochester, NY offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Rome.

The salary gap between Rochester and Rome is $750 (1.66%). Rochester's median is -2.56% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rochester spans $11,407,Rome spans $24,807. Rome has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Rochester
P10 (Entry)$39,545
P25$41,100
Median$45,852
P75$48,021
P90 (Top)$50,952
Rome
P10 (Entry)$36,956
P25$39,686
Median$45,102
P75$48,715
P90 (Top)$61,763

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rochester ($47,253 effective) pays 21.43% more than Rome ($38,915 effective).

Rochester
Nominal: $45,852
CoL Index: 97.035
Adjusted: $47,253
Rome
Nominal: $45,102
CoL Index: 115.9
Adjusted: $38,915

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

Which City Is Right for You?

Choose Rochester if…

  • Higher median salary ($45,852/year)
  • Larger job market (650 employed)
  • Better purchasing power (CoL-adjusted: $47,253)
  • You prefer the New York area and lifestyle

Choose Rome if…

  • Better top-earner potential ($61,763)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Rochester grew 44.9% from 2021 to 2025, compared to -16.7% growth in Rome over the same period.

Rochester, NY

+44.9%

$29,910 (2021) → $43,330 (2025)

Rome, NY

+-16.7%

$51,187 (2024) → $42,621 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Rochester or Rome?

Rochester has a higher median emergency medical technician salary at $45,852/year, compared to Rome at $45,102/year — a difference of $750 (1.66%).

What is the hourly rate difference between Rochester and Rome?

Rochester emergency medical technicians earn $22.04/hr while Rome hygienists earn $21.68/hr (2026 est.).

Should I relocate from Rochester to Rome as a emergency medical technician?

Consider more than just salary when comparing Rochester and Rome. Factor in cost of living (CoL-adjusted: Rochester = $47,253, Rome = $38,915), job availability (650 vs 6 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Rochester vs Rome?

Entry-level (10th percentile) emergency medical technicians earn $39,545 in Rochester and $36,956 in Rome. The Rochester 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