Rochester vs Troy: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Rochester, NY and Troy, NY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Rochester, NY | Troy, NY |
|---|---|---|
| Median Salary | $45,852 | $47,613▲ |
| Hourly Rate | $22.04 | $22.89▲ |
| Entry Level (P10) | $39,545▲ | $36,320 |
| 25th Percentile | $41,100▲ | $40,120 |
| 75th Percentile | $48,021 | $53,931▲ |
| Top Earner (P90) | $50,952 | $67,050▲ |
| Total Employed | 650▲ | 11 |
Verdict
Troy, NY offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Rochester.
The salary gap between Rochester and Troy is $1,761 (3.84%). Troy's median is +1.18% 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,Troy spans $30,730. Troy has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Rochester ($47,253 effective) pays 15.02% more than Troy ($41,081 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Rochester if…
- ✓Larger job market (650 employed)
- ✓Better purchasing power (CoL-adjusted: $47,253)
- ✓You prefer the New York area and lifestyle
Choose Troy if…
- ✓Higher median salary ($47,613/year)
- ✓Better top-earner potential ($67,050)
- ✓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 -16.4% growth in Troy over the same period.
Rochester, NY
$29,910 (2021) → $43,330 (2025)
Troy, NY
$53,826 (2024) → $44,994 (2025)
View Full Salary Data
Rochester, NY
Frequently Asked Questions
Which city pays emergency medical technicians more: Rochester or Troy?
What is the hourly rate difference between Rochester and Troy?
Should I relocate from Rochester to Troy as a emergency medical technician?
What do entry-level emergency medical technicians earn in Rochester vs Troy?
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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