Emergency Medical Technician Hourly Pay in Monroe, NC: $22.39 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Monroe, NC runs $22.39 at the median for 2026 — annualizing to $46,584 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Monroe's regional price level (BEA RPP 93.6, 6% below national), each hour of work buys what $23.92 nationally would. A 24-hour part-time schedule grosses $27,945 per year.
Based on BLS state-level estimates · View source

Emergency medical technicians (EMTs) in Monroe, North Carolina can expect a median hourly pay of $22.39, which is slightly below the national median of $22.62. This hourly rate reflects the compensation landscape in diverse work scenarios, offering significant opportunities for part-time and per-diem workers. For those seeking flexible schedules, an EMT working three days a week in various environments—such as ambulance services, fire engine medical bays, and event medical tents—can earn a competitive income. The hourly range spans from $18.38 for entry-level positions to $30.68 for top earners, highlighting the potential for growth within this role. These estimates are derived from annual salary data, but they provide a distinct perspective on what EMTs might take home for shift work in the field.
About the Monroe Market
Salary estimated from North Carolina average ($36,000) adjusted for local cost of living.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $18.38 | $147.05 |
| Lower Range (P25) | $19.75 | $157.97 |
| Median (P50) | $22.39 | $179.13 |
| Upper Range (P75) | $25.09 | $200.72 |
| Top Earners (P90) | $30.68 | $245.42 |
Estimated Annual Income by Work Schedule in Monroe
Based on $22.39/hr median hourly rate · 2026 est.
At $22.39/hr, a emergency medical technician working full-time (40 hr/wk) in Monroe, NC can expect to earn approximately $46,574 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $26,870. With a cost-of-living index of 93.60 (below the national average), these earnings stretch further in Monroe.
Hourly Rate Calculator
Schedule Comparison in Monroe
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $895.66 | $3,881 | $46,574 |
| Part-Time (24 hrs) | $537.40 | $2,329 | $27,945 |
| Per Diem (16 hrs) | $358.26 | $1,552 | $18,630 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Monroe) | $22.39 |
| Paramedic (National Avg) | $27.18 |
| Nursing Assistant (National Avg) | $18.62 |
| Firefighter (National Avg) | $26.89 |
| Medical Assistant (National Avg) | $20.25 |
Emergency Medical Technicians in Monroe, NC earn a median of $46,584 per year (2026 est.), which is 1.01% lower than the national median of $47,058 and 3.90% below the North Carolina state average of $48,475.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $22.39/hr = $27,945/year (purchasing power: $29,855).
Working 40h/week (full-time) = $46,574/year (purchasing power: $49,759).
CoL index: 93.6 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$16.88/hr
2025 BLS Actual
$21.16/hr
2026 Current Est.
$22.39/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in Monroe (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $16.88/hr | Actual |
| 2022 | $17.45/hr | Actual |
| 2023 | $18.52/hr | Actual |
| 2024 | $15.58/hr | Actual |
| 2025 | $21.16/hr | Actual |
| 2026(current) | $22.39/hr | Estimated |
| 2027 | $23.69/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Monroe grew 25.4% from $16.88/hr (2021) to $21.16/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $23.69/hr by 2027. Part-time and per-diem emergency medical technicians can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Monroe metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.82% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Emergency Medical Technician in Monroe
Looking deeper at the earning potential in Monroe, a part-time EMT working 24 hours per week will see a different financial picture compared to full-time colleagues. While full-timers enjoy benefits such as health insurance, many part-time or per-diem EMTs look to maximize their take-home pay. Per-diem emergency medical technician pay in Monroe can vary widely, with event workers often billing $20 to $32 an hour, while oil-field medics operating on remote sites can earn between $40 and $70 hourly depending on the location. The diversity of employers also impacts pay scales, with private ambulance services typically offering lower hourly rates compared to municipal fire departments, which leverage union agreements to guarantee better compensation. Prospective EMTs should consider the benefits trade-off when negotiating, as higher hourly pay often comes without the security of health benefits. For those in Monroe, honing negotiation skills specific to hourly work can lead to better pay packages, ultimately aligning compensation with the challenging demands of the job.
More salary data for Monroe, NC:
Frequently Asked Questions
What is the hourly rate for emergency medical technicians in Monroe in 2026?
How much do part-time emergency medical technicians make in Monroe?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.82% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for emergency medical technicians in Monroe. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Monroe is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.82%, derived from historical BLS wage trends for emergency medical technicians (SOC 29-2042).
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