Emergency Medical Technician Salary in Lexington, MA: $46,190 (2026)
Quick Answer:A full-time emergency medical technician in Lexington, MA earns a median $46,190/year (≈ $22.21/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2042). Once you factor in Lexington's price level (9% above national, BEA RPP 108.5), that paycheck buys what $42,571 would nationally. Nominal pay sits 4.3% below the Massachusetts state average.
Based on BLS state-level estimates · View source
In Lexington, Massachusetts, the projected median annual salary for emergency medical technicians (EMTs) in 2026 is $46,190. This places them slightly below the national median of $47,058, with salaries ranging from $37,427 at the lower end to $62,988 for the highest earners in the field. These figures are estimates based on data from 2025 BLS sources, taking into account regional price parities and local economic conditions. Although the overall compensation for EMTs is competitive, it reflects the unique job landscape in Lexington, where opportunities may vary significantly between private ambulance services and municipal fire departments.
About the Lexington Market
Salary estimated from Massachusetts average ($48,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $37,427 | $17.99 |
| Lower Range (P25) | $40,477 | $19.46 |
| Median (P50)(typical) | $46,190 | $22.21 |
| Upper Range (P75) | $51,463 | $24.74 |
| Top Earners (P90) | $62,988 | $30.29 |
Median Salary Position
1.84% below the national average
2026 Salary Percentile Distribution in Lexington
In Lexington, MA, the emergency medical technician salary spread from the 10th to 90th percentile is $25,561 (2026 est.). At $46,190, the local median is 1.84% below the national median of $47,058.
Salary Calculator
At 40 hours/week in Lexington: You'd be in the lower-middle range
How Lexington Emergency Medical Technician Pay Compares
Lexington median: $46,190/year (2026)
| Compared To | Median Salary | Lexington Pays |
|---|---|---|
| Massachusetts Average | $48,266 | -4.30% less |
| National Average | $47,058 | -1.84% less |
Emergency Medical Technicians in Lexington, MA earn a median of $46,190 per year (2026 est.), which is 1.84% lower than the national median of $47,058 and 4.30% below the Massachusetts state average of $48,266.
Cost-of-Living Adjusted Salary
Lexington has a cost of living 8.50% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lexington, MA has a cost-of-living index of 108.5 (above the national average of 100). While the nominal salary of $46,190 is competitive, the higher cost of living reduces purchasing power to an effective $42,571 — a 7.84% reduction.
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2021 BLS Actual
$34,816
2025 BLS Actual
$43,650
2026 Current Est.
$46,190
2021–2027 Growth
+40.4%
Salary Trajectory for Emergency Medical Technicians in Lexington (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $34,816 | Actual |
| 2022 | $36,004 | Actual |
| 2023 | $38,212 | Actual |
| 2024 | $49,853 | Actual |
| 2025 | $43,650 | Actual |
| 2026(current) | $46,190 | Estimated |
| 2027 | $48,879 | Projected |
Based on 5 years of BLS OEWS data for the Lexington metropolitan area, the median emergency medical technician salary grew 25.4% from $34,816 (2021) to $43,650 (2025). At a 5.82% compound annual growth rate, salaries are projected to reach $48,879 by 2027 — a total increase of $14,063 (40.39%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Lexington 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $37,427 – $40,477 |
| 3-5 years (Mid Career) | $40,477 – $46,190 |
| 5+ years (Experienced) | $46,190 – $51,463 |
| 10+ years (Top Earner) | $51,463 – $62,988 |
EMT salary ranges estimated from BLS percentile data. Individual emergency medical technician compensation varies by employer, certifications, and specialization.
Emergency Medical Technician Job Market in Lexington
Currently, there are only six emergency medical technicians employed in Lexington, indicating a compact job market that may have competitive advantages for employers. The city's cost-of-living index stands at 108.5, which is slightly above the national average, impacting the effective purchasing power of salaries. Among the local employers, fire departments tend to offer higher wages, significantly outpacing private ambulance companies, where pay often lags behind due to budget constraints. This disparity may also be influenced by union contracts and the available benefits from fire department employment. For those looking to maximize their compensation in Lexington, pursuing additional certifications such as the EMT-to-paramedic bridge pathway or seeking opportunities in higher-paying sectors like industrial or oil-field medic roles can enhance financial prospects in this evolving field.
More salary data for Lexington, MA:
Frequently Asked Questions
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $43,650 for emergency medical techniciansin the Lexington metropolitan area. A 5.82% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Lexington 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