How Much Does an EMT Make in New Hampshire in 2026?

A typical EMT in New Hampshire earns about $22.50 per hour, or $46,790 per year, according to the latest government wage data (May 2025). That works out to roughly $3,899 a month and about $900 a week, both figures calculated from the annual pay. This is what a typical EMT in the state can expect to earn.

New Hampshire's typical pay runs about 5% above the national figures for EMTs, which stand at $21.38 an hour and $44,470 a year, based on the same May 2025 data. That places the state 13th out of 51 states and the District of Columbia. New Hampshire employs around 1,010 EMTs, compared with 180,510 nationwide.

Entry-level positions in New Hampshire typically offer around $17.94 an hour, or about $37,320 a year, with many newcomers earning closer to $18.87 an hour ($39,240 a year) as they gain initial experience. Pay tends to move toward the typical rate of $22.50 an hour within the first few years on the job. Certification level and employer type both play a role in how quickly that happens.

Experienced EMTs in the state often earn upwards of $24.30 to $28.69 an hour, and the top 10% of earners make over $59,670 a year. That leaves a spread of $22,350 between entry-level and top pay. Setting, years of experience, and which city an EMT works in all contribute to where someone lands within that range.

New Hampshire EMT pay has risen over the past five years, from $34,220 in 2021 to $46,790 in 2025, according to the same wage data. That is a gain of $12,570, or about 37%, in five years. Pay rose each year over that period, with the sharpest jump between 2022 and 2023.

That increase outpaces the 25% national rise in EMT pay recorded over the same period. The gain reflects what already happened, not a promise about future pay. Someone starting as an EMT in New Hampshire today is entering the field at a higher starting point than someone who started in 2021.

Pay runs highest in the Boston-Cambridge-Newton metro area, which stretches into southern New Hampshire; EMTs there typically earn $50,560 a year ($24.31 an hour), about 8% above the state figure. That area also employs the most EMTs among the state's metro listings, with 3,410 workers. The Manchester-Nashua metro area, which covers central New Hampshire, pays somewhat less.

Manchester and Nashua, both part of the same southern New Hampshire metro area, post typical pay of $48,250 a year ($23.20 an hour) for EMTs, the lowest figure among the state's metro areas. That leaves a spread of $2,310 between the highest- and lowest-paying areas of the state. Cost of living factors into that gap; areas with higher pay generally cost more to live in.

New Hampshire EMTs earn less than their counterparts in Massachusetts, where typical pay reaches $50,230 a year, about 7% higher. Maine pays close to New Hampshire's figure, at $46,340 a year, about 1% lower, and Vermont trails at $45,600, roughly 3% below New Hampshire. EMT certification earned in one New England state can often be transferred or endorsed into a neighboring one, easing a move across the region.

A typical EMT in New Hampshire earns $46,790 a year, up 37% over the past five years. Pay compares favorably with the national figure and varies modestly by metro area within the state. Readers weighing a move into the field can check New Hampshire's EMT certification and registry requirements through the state's EMS office, and compare local figures on city-specific pay pages for a fuller picture.