Salary · NC · SOC 29-2043

Paramedic salary in North Carolina, per year and per hour

BLS data for May 2025. Median, mean, and percentile pay for paramedics in North Carolina, with every metro area BLS publishes.

Source: BLS Occupational Employment and Wage Statistics, May 2025 estimates, released May 15, 2026. Publisher page

Quick answer

The median pay for paramedics in North Carolina was $57,320 a year, or $27.56 an hour, in May 2025 (BLS). The middle 80% earned $44,730 to $75,170. About 5,660 were employed.

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Paramedic pay in North Carolina vs the US

Paramedic wages in North Carolina and the US, May 2025
Measure	NC annual	NC hourly	US annual
Median (50th percentile)	$57,320	$27.56	$60,600
Mean (average)	$57,320	$27.56	$63,360
10th percentile	$44,730	$21.51	$44,230
25th percentile	$48,630	$23.38	$49,660
75th percentile	$63,820	$30.69	$73,470
90th percentile	$75,170	$36.14	$84,850

Employment in North Carolina: 5,660. Location quotient: 1.77 (1.0 = the national share of jobs).

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

Paramedic salary by metro area in North Carolina

Paramedic median wage by metro area, North Carolina
Metro area	Median annual	Median hourly	Employed
Charlotte-Concord-Gastonia, NC-SC	$61,660	$29.64	1,180
Raleigh-Cary, NC	$65,220	$31.36	470
Winston-Salem, NC	$58,110	$27.94	420
Greensboro-High Point, NC	$58,980	$28.36	320
Asheville, NC	$63,480	$30.52	280
Durham-Chapel Hill, NC	$64,310	$30.92	230
Wilmington, NC	$61,060	$29.36	210
Hickory-Lenoir-Morganton, NC	$49,460	$23.78	180
Fayetteville, NC	$68,220	$32.80	130
Rocky Mount, NC	$52,470	$25.23	130
Greenville, NC	$53,210	$25.58	120
Virginia Beach-Chesapeake-Norfolk, VA-NC	$64,120	$30.83	400

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

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Paramedic salary in North Carolina

Median pay: $57,320 a year ($27.56 an hour)

Middle 80% earn $44,730 to $75,170 a year

Employed: 5,660

BLS OEWS, May 2025. Source: Rivvi

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<div style="font:14px/1.45 system-ui,sans-serif;color:#222;border:1px solid #E6E6EE;border-radius:12px;padding:14px 16px;max-width:360px;background:#fff"><div style="font-weight:600;font-size:15px;margin-bottom:6px">Paramedic salary in North Carolina</div><div style="margin:2px 0">Median pay: <strong>$57,320</strong> a year ($27.56 an hour)</div><div style="margin:2px 0">Middle 80% earn $44,730 to $75,170 a year</div><div style="margin:2px 0">Employed: 5,660</div><div style="margin-top:8px;font-size:12px;color:#555">BLS OEWS, May 2025. Source: <a href="https://rivvi.ai/salary/paramedic/nc" style="color:#3C38C9">Rivvi</a></div></div>

Questions

How much does a Paramedic make per hour in North Carolina?

The median hourly wage was $27.56 in May 2025, per BLS. The 10th percentile was $21.51 and the 90th was $36.14.

What is the average Paramedic salary in North Carolina?

BLS reports a mean (average) of $57,320 a year and a median of $57,320 for May 2025. The median is the middle wage; the mean is pulled up by the highest earners.

Do paramedics in North Carolina earn more than the US median?

The North Carolina median of $57,320 is 5% lower than the US median of $60,600 (BLS, May 2025).

How does North Carolina rank for paramedic pay?

North Carolina ranks 36 of 51 states (plus DC) by median annual wage for paramedics (BLS, May 2025).

Where do these numbers come from?

The BLS Occupational Employment and Wage Statistics survey, May 2025 estimates, SOC 29-2043. Figures BLS did not publish are left out.