Side by side
| EMT | Paramedic | |
|---|---|---|
| Program | Less than 1 year for EMT-Basic | Community college or university programs |
| Entry requirements | Usually a diploma and CPR/BLS | EMT-Intermediate certification |
| Skills | Patient assessment, emergencies, field equipment | More advanced care, including EKG interpretation |
| License | All states | All states |
| Median pay (BLS, May 2025) | $44,470 | $60,600 |
| Median hourly | $21.38 | $29.13 |
| Employed in the U.S. | 180,510 | 100,610 |
| Projected growth, 2025–35 | 5.8% | 5.7% |
| Typical entry education (BLS) | Postsecondary nondegree award | Postsecondary nondegree award |
Who earns more in your state
EMT levels
EMT-Basic programs typically take less than a year. EMT-Intermediate programs can take up to 2 years and add advanced skills such as complex airway devices, intravenous fluids and some medications.
Becoming a paramedic
Paramedic programs come after EMT certification and usually lead to a nondegree award or an associate degree. Some universities offer a bachelor's degree. Field experience is built into most programs.
Questions people ask
How much more do paramedics make than EMTs?
The national medians were $60,600 for paramedics and $44,470 for EMTs in May 2025.
Do you have to be an EMT before becoming a paramedic?
Yes. The BLS notes that paramedic programs require applicants to have EMT-Intermediate certification.
Do EMTs need a license?
Yes. All states require EMTs and paramedics to be licensed, and the requirements vary by state.
Sources
General information, not career advice. Scope of practice and licensing differ by state: confirm them with your state board.