EMT Salary

Senior Emergency Medical Technician Salary in Williston, ND: $55,982 (2026)

Quick Answer:The top tier of emergency medical technicians working in Williston, ND — those at or above the 90th percentile — pull in $55,982/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2042. Strip back Williston's price premium (BEA RPP 92.0, 8% below national) and that top-decile pay carries the same buying power as $60,850 in average-cost America. The 36% spread above city median typically rewards 7+ years of practice or specialty credentials.

$55,982
Top 10% Earn
$26.91/hr
Top Hourly Rate
$45,938
75th Percentile
$55,982
90th Percentile

Based on BLS state-level estimates · View source

Emergency Medical Technician Senior Salary in Williston, ND — 2026 est., based on 2025 BLS
Williston, ND emergency medical technician senior salary overview (2026 est., based on 2025 BLS)

Reaching the upper pay scales as an experienced emergency medical technician in Williston, ND, requires both dedication and experience. Projections for 2026 indicate that top earners in this field can expect a salary of $55,982, while those in the 75th percentile earn around $45,938. This represents a significant earnings potential, particularly when compared to the local median annual salary of $41,311. The experience premium in Williston is noteworthy; as professionals accumulate more than seven years of experience, the salary gap widens, emphasizing the value placed on advanced skills and expertise. Achieving this top-tier pay often necessitates specialization in advanced areas of emergency medical services, as well as a commitment to continual education and professional development.

About the Williston Market

Salary estimated from North Dakota average ($38,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in Williston

Vertical bar chart of 10th through 90th percentile salaries for emergency medical technicians in Williston. The median salary is $41,311, compared to the national median of $47,058.$30.1K$37.3K$44.4K$51.6K$58.8K$33.4K10th Pctl$36.0K25th Pctl$41.3KMedian$45.9K75th Pctl$56.0K90th PctlUS Median$47.1K

Experienced emergency medical technicians at the top of the pay scale in Williston earn between $45,938 and $55,982 per year (2026 est.). This $22,546 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Williston median of $41,311 sits 12.21% below the US median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of emergency medical technician pay in the Williston metro area.

Top EMT Salary Comparison

LevelWillistonNational
Median (P50)$41,311$47,058
75th Percentile$45,938$53,016
90th Percentile (Top 10%)$55,982$66,138

In Williston, experienced emergency medical technicians (P90) earn 35.51% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Emergency Medical Technician Pay in Williston

1

Advanced Certifications in North Dakota

ND emergency medical technicians with additional specialty certifications within the emergency medical services field earn significantly above the $41,311 median. Expanded-scope credentials are increasingly valued by Williston employers.

2

Specialty Focus

Emergency Medical Technicians focusing on high-acuity or specialty areas within the emergency medical services field in Williston command premium compensation, often reaching the $45,938–$55,982 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the Williston metro area often pay above-market rates for experienced emergency medical technicians who demonstrate efficiency and leadership.

4

Employer Loyalty & Patient Relationships

Long-tenured emergency medical technicians in Williston with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.

5

Continuing Education & Leadership

Emergency Medical Technicians in North Dakota who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.

Emergency Medical Technician Career & Wage Growth Path in Williston

Clinical Emergency Medical Technician

0-5 years
$33,436 – $41,311

Senior/Lead Emergency Medical Technician

5-10 years
$41,311 – $45,938

Emergency Medical Technician Department Manager

10+ years
$45,938+

Educator / Specialty Leadership

Advanced
Varies by role

Williston ranks #7 of 8 North Dakota cities for top earner emergency medical technician salary (90th percentile: $55,982).

Top 10% emergency medical technician compensation in Williston ($55,982) is 19.66% below the North Dakota average P90 ($69,679).

2021 BLS Actual

$40,274

2025 BLS Actual

$52,903

2026 Current Est.

$55,982

2021–2027 Growth

+47.1%

Salary Trajectory for Emergency Medical Technicians in Williston (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.

BLS Actual Estimated Projected
Salary trajectory chart for emergency medical technicians in Williston. Baseline $40,274 in 2025, projected to $59,240 by 2027.$36.5K$43.1K$49.8K$56.4K$63.0K20212022202320242025202620272025 BLS$40.3K$48.2K$50.3K$47.3K$52.9K$56.0K$59.2K
YearAnnual SalaryStatus
2021$40,274Actual
2022$48,154Actual
2023$50,271Actual
2024$47,303Actual
2025$52,903Actual
2026(current)$55,982Estimated
2027$59,240Projected

Top-earning emergency medical technicians (90th percentile) in Williston saw their compensation grow 31.4% from $40,274 in 2021 to $52,903 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 5.82% annual growth rate, senior-level pay is projected to reach $59,240 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20212025) are actual BLS OEWS figures for the Williston metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 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.

Maximizing Your Emergency Medical Technician Earnings in Williston

The demand for specific skill sets significantly influences senior emergency medical technician pay in Williston. Unique specializations such as tactical EMS, wilderness EMT, and flight EMT roles can command higher salaries, sometimes markedly above the standard pay rates. The type of employer also plays a substantial role, with municipal fire departments typically offering more competitive compensation compared to private ambulance services due to union contracts that favor cross-trained personnel. Additionally, pursuing advanced credentials like the EMT-to-paramedic bridge or certifications in tactical or wilderness medicine can enhance one’s earning potential. Non-salary compensation factors, including shift differentials, overtime, and the prestige of working in areas like oil-field medicine, can further elevate earnings beyond base rates. As the industry continues to evolve, staying informed about emerging opportunities and specialized training can contribute to a successful and lucrative EMT career in Williston.

Frequently Asked Questions

How much do experienced emergency medical technicians make in Williston in 2026?

Top-earning emergency medical technicians in Williston (90th percentile) make $55,982/year, based on estimated 2026 salary (projected from 2025 BLS data at 5.82% annual growth). This is $14,671 more than the area median of $41,311 — representing a significant experience premium. Senior emergency medical technicians typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher emergency medical technician pay in Williston?

Higher emergency medical technician pay in Williston is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost emergency medical technician salary in Williston?

The most impactful salary-boosting certifications for emergency medical technicians in Williston include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $41,311, especially when combined with experience at specialty practices.

Can experienced emergency medical technicians make six figures in Williston?

The 90th percentile in Williston is $55,982. Reaching six figures in this market may require combining clinical work at multiple practices with additional income from education, consulting, product sales, or relocating to a higher-paying metro area. Advanced certifications and specializations can help close the gap.

How much does emergency medical technician salary increase over time in Williston?

In Williston, the gap between entry level ($33,436) and top earners ($55,982) is $22,546, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

Related Pages

Nearby Cities in North Dakota

AP

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.

Clinically reviewed by Carlos Mendoza, EMT-BData verified by Fatima Ali, EMT-I

Methodology & Data Source

Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $52,903 for emergency medical technicians in the Williston metro area. A 5.82% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.

Data Sources & Methodology

Salary data for Williston is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

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

Last verified: