Sacramento vs Fresno: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Sacramento, CA and Fresno, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sacramento, CA | Fresno, CA |
|---|---|---|
| Median Salary | $52,434▲ | $40,995 |
| Hourly Rate | $25.21▲ | $19.70 |
| Entry Level (P10) | $41,280▲ | $40,995 |
| 25th Percentile | $45,862▲ | $40,995 |
| 75th Percentile | $82,815▲ | $51,852 |
| Top Earner (P90) | $89,344▲ | $76,730 |
| Total Employed | 1,250▲ | 710 |
Verdict
Sacramento, CA offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Fresno.
The salary gap between Sacramento and Fresno is $11,439 (27.90%). Sacramento's median is +11.42% compared to the US national median of $47,058.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sacramento spans $48,064,Fresno spans $35,735. Sacramento 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, Sacramento ($49,155 effective) pays 22.49% more than Fresno ($40,129 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Sacramento if…
- ✓Higher median salary ($52,434/year)
- ✓Better top-earner potential ($89,344)
- ✓Larger job market (1,250 employed)
- ✓Better purchasing power (CoL-adjusted: $49,155)
- ✓You prefer the California area and lifestyle
Choose Fresno if…
- ✓You prefer the California area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Sacramento grew 31.3% from 2021 to 2025, compared to 9.0% growth in Fresno over the same period.
Sacramento, CA
$37,740 (2021) → $49,550 (2025)
Fresno, CA
$35,540 (2021) → $38,740 (2025)
View Full Salary Data
Sacramento, CA
Fresno, CA
Frequently Asked Questions
Which city pays emergency medical technicians more: Sacramento or Fresno?
What is the hourly rate difference between Sacramento and Fresno?
Should I relocate from Sacramento to Fresno as a emergency medical technician?
What do entry-level emergency medical technicians earn in Sacramento vs Fresno?
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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