How Much Does an EMT Make in Nevada in 2026?

A typical EMT in Nevada earns about $18.06 per hour, or $37,560 per year, according to the latest government wage data (May 2025). Calculated from that annual figure, pay works out to roughly $3,130 a month and $722 a week. Those figures reflect Nevada's typical EMT paycheck across all experience levels and settings.

That figure sits 16 percent below the national typical pay of $44,470 a year, according to the same May 2025 data. Nevada ranks 40th out of 51 states and Washington, D.C. for EMT pay. About 1,530 EMTs work across the state, a modest workforce next to the national total of 180,510. Lower pay in Nevada tends to track lower living costs in much of the state compared with higher-cost coastal markets.

Entry-level EMTs in Nevada typically start around $13.97 an hour, or about $29,060 a year, according to May 2025 data. That's the typical starting point for someone newly certified. Pay usually rises as EMTs gain experience, moving toward the statewide typical figure of $18.06 an hour, or $37,560 a year, within a few years on the job.

Experienced EMTs in Nevada often earn upwards of $23.49 an hour, and the top 10 percent make over $59,000 a year, or about $28.37 an hour. That leaves a spread of $29,940 between entry-level and top-earning EMTs in the state. Setting, years on the job, and city all play into where an individual EMT falls within that range, with the Reno area generally paying more than the Las Vegas metro.

Nevada's typical EMT pay has moved from $28,980 in 2021 to $37,560 in 2025, according to government wage data. That's a gain of $8,580, or about 30 percent, over that span. The increase wasn't a straight line: pay rose sharply through 2023, dipped slightly in 2025 after peaking at $38,980 in 2024, and still finished well above where it started.

Nationally, typical EMT pay rose about 25 percent over a comparable stretch, meaning Nevada's gain outpaced the national trend. For someone starting an EMT career in Nevada now, that history shows pay has moved upward in recent years, though nothing about future pay is guaranteed.

Reno pays Nevada's EMTs the most, with typical pay of $43,220 a year ($20.78 an hour), about 15 percent above the statewide figure. These figures reflect each city's full metro area rather than city limits alone. Las Vegas, Henderson, and North Las Vegas cluster together in the same metro area and post identical typical pay of $36,900 a year.

North Las Vegas posts the lowest typical pay among Nevada's tracked cities, at $36,900 a year ($17.74 an hour), though it shares that figure with the broader Las Vegas metro. The gap between Reno and the lowest city runs $6,320 a year. Las Vegas itself carries the largest EMT workforce in the state, with 1,030 workers. Reno's higher pay tends to track its higher cost of living compared with the rest of Nevada.

Nevada's neighbors mostly pay EMTs more. Oregon's typical pay of $49,270 a year runs 31 percent above Nevada's figure, and California's $46,380 sits 23 percent above it. Arizona ($39,500), Utah ($38,930), and Idaho ($38,840) pay closer to Nevada's level, each within about 5 percent higher. EMT licensure earned in Nevada can often be transferred or endorsed into a neighboring state, which can simplify a move across state lines.

Nevada's EMTs typically earn $37,560 a year as of the latest government wage data (May 2025), up from $28,980 in 2021. Pay varies by city, with Reno running higher and the Las Vegas metro area lower. Readers considering the field can check Nevada's EMS licensing and registry requirements for certification steps, and the city-level pages here for local figures in Reno, Las Vegas, and beyond.