Emergency Medical Technician Salary in Hilton Head Island, SC: $42,148 (2026)
Quick Answer:A full-time emergency medical technician in Hilton Head Island, SC earns a median $42,148/year (≈ $20.26/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2042). Once you factor in Hilton Head Island's price level (2% below national, BEA RPP 98.0), that paycheck buys what $43,001 would nationally. Nominal pay sits 0.2% below the South Carolina state average.
Official BLS data · View source

In Hilton Head Island, South Carolina, emergency medical technicians can expect a median annual salary of $42,148, which reflects a significant gap compared to their counterparts in municipal fire departments. This city’s salary range for EMTs stretches from $40,212 at the lower end (10th percentile) to $63,746 at the upper end (90th percentile), illustrating the disparity often influenced by employer type and working conditions. Data derived from the Bureau of Labor Statistics (BLS) projects this salary landscape for 2026, highlighting a local employment market where many technicians may find better opportunities and pay within cross-trained fire department roles rather than private ambulance services, which have historically lagged behind in compensation.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $40,212 | $19.33 |
| Lower Range (P25) | $42,148 | $20.26 |
| Median (P50)(typical) | $42,148 | $20.26 |
| Upper Range (P75) | $48,550 | $23.34 |
| Top Earners (P90) | $63,746 | $30.65 |
Median Salary Position
10.43% below the national average
2026 Salary Percentile Distribution in Hilton Head Island
In Hilton Head Island, SC, the emergency medical technician salary spread from the 10th to 90th percentile is $23,534 (2026 est.). At $42,148, the local median is 10.43% below the national median of $47,058.
Salary Calculator
At 40 hours/week in Hilton Head Island: You'd be in the entry-level range
How Hilton Head Island Emergency Medical Technician Pay Compares
Hilton Head Island median: $42,148/year (2026)
| Compared To | Median Salary | Hilton Head Island Pays |
|---|---|---|
| South Carolina Average | $42,233 | -0.20% less |
| National Average | $47,058 | -10.43% less |
Emergency Medical Technicians in Hilton Head Island, SC earn a median of $42,148 per year (2026 est.), which is 10.43% lower than the national median of $47,058 and 0.20% below the South Carolina state average of $42,233.
Cost-of-Living Adjusted Salary
Hilton Head Island has a cost of living 1.98% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Hilton Head Island, SC has a cost-of-living index of 98.017 (below the national average of 100). A emergency medical technician earning $42,148 nominally has purchasing power equivalent to $43,001 in an average-cost city — an effective 2.02% boost.
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2021 BLS Actual
$29,210
2025 BLS Actual
$39,830
2026 Current Est.
$42,148
2021–2027 Growth
+52.7%
Salary Trajectory for Emergency Medical Technicians in Hilton Head Island (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $29,210 | Actual |
| 2022 | $35,340 | Actual |
| 2023 | $37,560 | Actual |
| 2024 | $39,040 | Actual |
| 2025 | $39,830 | Actual |
| 2026(current) | $42,148 | Estimated |
| 2027 | $44,601 | Projected |
Based on 5 years of BLS OEWS data for the Hilton Head Island metropolitan area, the median emergency medical technician salary grew 36.4% from $29,210 (2021) to $39,830 (2025). At a 5.82% compound annual growth rate, salaries are projected to reach $44,601 by 2027 — a total increase of $15,391 (52.69%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Hilton Head Island 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) | $40,212 – $42,148 |
| 3-5 years (Mid Career) | $42,148 – $42,148 |
| 5+ years (Experienced) | $42,148 – $48,550 |
| 10+ years (Top Earner) | $48,550 – $63,746 |
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 Hilton Head Island
Analyzing the local market reveals that 90 emergency medical technicians are currently employed in Hilton Head Island. The cost of living index sits at 98.017, suggesting that take-home pay may stretch further in this region compared to national averages. Competitive salaries are most commonly found in municipal fire departments due to union contracts and the added value of being cross-trained as firefighters. In contrast, private ambulance services like AMR and GMR offer lower wages, creating a stark pay gap. Factors contributing to the range of salaries include shift differentials, overtime opportunities, and career progression strategies such as the EMT-to-paramedic pathway. To enhance earning potential within Hilton Head Island SC, technicians might benefit from pursuing additional certifications, seeking employment in higher-paying sectors like industrial medicine or event medical services, and taking advantage of any available overtime opportunities.
More salary data for Hilton Head Island, SC:
Frequently Asked Questions
How much do emergency medical technicians make in Hilton Head Island, SC in 2026?
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Can emergency medical technicians make $100K in Hilton Head Island?
What is the cost-of-living adjusted emergency medical technician salary in Hilton Head Island?
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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 $39,830 for emergency medical techniciansin the Hilton Head Island 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
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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