Paramedics pay in North Carolina
$57,320avg. a year
$27.56 an hour · 5,660 employed
Paramedics in North Carolina earn an average of $57,320 a year. That is $6,040 (10%) less than the U.S. average of $63,360. The best-paying metro area is Fayetteville, NC at $66,630.
$57,320Median pay
$27.56Average hourly
+35%Avg. pay since 2021
#38Of 50 states + D.C.
Top-paying North Carolina metro areas
Average pay for paramedics by metro area. Swipe to see all 12.
1130 jobs
Fayetteville, NC
$66,630
$32.04 an hour
2400 jobs
Virginia Beach-Chesapeake-Norfolk, VA-NC
$64,500
$31.01 an hour
3470 jobs
Raleigh-Cary, NC
$64,390
$30.96 an hour
4230 jobs
Durham-Chapel Hill, NC
$64,290
$30.91 an hour
51,180 jobs
Charlotte-Concord-Gastonia, NC-SC
$63,240
$30.41 an hour
6280 jobs
Asheville, NC
$61,910
$29.77 an hour
7210 jobs
Wilmington, NC
$60,210
$28.95 an hour
8320 jobs
Greensboro-High Point, NC
$56,750
$27.28 an hour
9420 jobs
Winston-Salem, NC
$55,680
$26.77 an hour
10120 jobs
Greenville, NC
$54,060
$25.99 an hour
11130 jobs
Rocky Mount, NC
$52,470
$25.22 an hour
12180 jobs
Hickory-Lenoir-Morganton, NC
$51,340
$24.69 an hour
Why people trust JobPayFacts
Official government dataEvery number comes from the U.S. Bureau of Labor Statistics wage survey of employers, not self-reported salaries.
Every state and city830 jobs across all 50 states, D.C. and 199 large metro areas.
Updated every yearNew figures each spring when BLS releases them. This site uses May 2025 data.
Paramedics pay in North Carolina, charted
Pay over time
North Carolina, annual wage, May of each year
AverageMedian
Where North Carolina paramedics work
Employment by metro area, May 2025
Average pay by state
May 2025 · North Carolina highlighted · tap a state
AKMEWIVTNHWAIDMTNDMNILMINYMAORNVWYSDIAINOHPANJCTRICAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCDCOKLAMSALGAHITXFL
Under $55k$55k–$62k$62k–$71k$71k+North Carolina
North Carolina vs. neighbors
Average pay, May 2025
| Area | Avg. pay | Hourly |
|---|---|---|
| United States | $63,360 | $30.46 |
| North Carolina | $57,320 | $27.56 |
| Virginia | $60,150 | $28.92 |
| Tennessee | $59,870 | $28.78 |
| Georgia | $58,010 | $27.89 |
| South Carolina | $55,130 | $26.51 |
Related jobs in North Carolina
Average pay, North Carolina, May 2025
Bureau of Labor Statistics OEWS
Questions and answers
How much do paramedics make in North Carolina?
The average is $57,320 a year, and the median is $57,320. That is $6,040 (10%) less than the U.S. average of $63,360.
What is the hourly wage in North Carolina?
$27.56 an hour on average; the median is $27.56.
Where in North Carolina do they earn the most?
Fayetteville, NC ($66,630), followed by Virginia Beach-Chesapeake-Norfolk, VA-NC ($64,500). The lowest average among 12 metro areas with data is Hickory-Lenoir-Morganton, NC ($51,340).
How does North Carolina rank?
North Carolina ranks #38 of 51 states (including D.C.) with published data for this job, by average pay.
Sources and notes. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (trend: May 2021–May 2025), occupation code 29-2043. State rank compares average pay across states with published data. Metro figures cover metropolitan statistical areas; a metro area can cross state lines. See also the national paramedics page. Wages are gross pay before taxes and don't include overtime premiums, tips, bonuses or benefits; self-employed workers aren't included. Year-to-year changes can partly reflect survey method changes, so treat the trend as a guide. How we use the data. JobPayFacts isn't affiliated with BLS.