Salary · SD · SOC 29-2043

Paramedic salary in South Dakota, per year and per hour

BLS data for May 2025. Median, mean, and percentile pay for paramedics in South Dakota, 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 South Dakota was $48,830 a year, or $23.48 an hour, in May 2025 (BLS). The middle 80% earned $30,950 to $58,380. About 280 were employed.

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Paramedic pay in South Dakota vs the US

Paramedic wages in South Dakota and the US, May 2025
Measure	SD annual	SD hourly	US annual
Median (50th percentile)	$48,830	$23.48	$60,600
Mean (average)	$48,290	$23.22	$63,360
10th percentile	$30,950	$14.88	$44,230
25th percentile	$42,710	$20.53	$49,660
75th percentile	$51,490	$24.76	$73,470
90th percentile	$58,380	$28.07	$84,850

Employment in South Dakota: 280. Location quotient: 0.94 (1.0 = the national share of jobs).

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

Paramedic salary by metro area in South Dakota

Paramedic median wage by metro area, South Dakota
Metro area	Median annual	Median hourly	Employed
Sioux Falls, SD-MN	$50,550	$24.31	80
Rapid City, SD	$47,810	$22.99	40
Sioux City, IA-NE-SD	$53,310	$25.63	50

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

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Paramedic salary in South Dakota

Median pay: $48,830 a year ($23.48 an hour)

Middle 80% earn $30,950 to $58,380 a year

Employed: 280

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 South Dakota</div><div style="margin:2px 0">Median pay: <strong>$48,830</strong> a year ($23.48 an hour)</div><div style="margin:2px 0">Middle 80% earn $30,950 to $58,380 a year</div><div style="margin:2px 0">Employed: 280</div><div style="margin-top:8px;font-size:12px;color:#555">BLS OEWS, May 2025. Source: <a href="https://rivvi.ai/salary/paramedic/sd" style="color:#3C38C9">Rivvi</a></div></div>

Questions

How much does a Paramedic make per hour in South Dakota?

The median hourly wage was $23.48 in May 2025, per BLS. The 10th percentile was $14.88 and the 90th was $28.07.

What is the average Paramedic salary in South Dakota?

BLS reports a mean (average) of $48,290 a year and a median of $48,830 for May 2025. The median is the middle wage; the mean is pulled up by the highest earners.

Do paramedics in South Dakota earn more than the US median?

The South Dakota median of $48,830 is 19% lower than the US median of $60,600 (BLS, May 2025).

How does South Dakota rank for paramedic pay?

South Dakota ranks 48 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.