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How Much Does an EMT Make in Rapid City, SD in 2026?

Typical pay for EMTs in Rapid City, from federal wage data (May 2025), with the ten-year trend and how the city compares across South Dakota.

$39,440
Typical pay a year
$18.96
Typical pay an hour
+7%
vs South Dakota · -11% vs US
150
EMTs employed in the area
Where EMT pay falls in Rapid City
from starting out to the top earners
$32,290
Starting out
$34,630
First years
$39,440
Typical
$45,130
Experienced
$47,550
Top 10%

BLS OES May 2025 · Rapid City metro area

A typical EMT in Rapid City, South Dakota earns $18.96 per hour, or $39,440 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $3,287 a month. Entry-level positions typically offer around $32,290, and the top 10% of earners make over $47,550.

That pay is 7% above the South Dakota figure of $36,800 and 11% below the national figure of $44,470. Rapid City ranks 1st of 2 metro areas in South Dakota for EMT pay. About 150 EMTs work in the Rapid City area.

EMT pay in Rapid City at a glance

  • Typical pay is $18.96 an hour, or $39,440 a year.
  • That is 7% above the South Dakota figure, ranking 1st of 2 metro areas in the state.
  • Entry-level positions typically offer around $32,290; the top 10% make over $47,550.

BLS OES May 2025

How much does an EMT make in Rapid City?

Pay in Rapid City runs from entry-level positions at around $15.53 an hour to more than $22.86 for the top 10% of earners. The table sets each career stage against the South Dakota and national figures.

EMT pay by career stage in Rapid City

EMT pay by career stage in Rapid City
Career stageRapid CitySouth DakotaUnited States
Starting out$32,290$15.53 an hour$31,130$14.97 an hour$34,130$16.41 an hour
First years$34,630$16.65 an hour$34,780$16.72 an hour$37,960$18.25 an hour
Typical EMT$39,440$18.96 an hour$36,800$17.69 an hour$44,470$21.38 an hour
Experienced$45,130$21.70 an hour$43,570$20.95 an hour$50,100$24.09 an hour
Top 10%$47,550$22.86 an hour$48,460$23.30 an hour$62,500$30.05 an hour

BLS OES May 2025 · city figures cover the Rapid City area as BLS defines it

EMT pay growth in Rapid City

$39,440
2025 typical annual pay
+$2,680 vs 2024
2021
2022
2023
2024
2025

Typical (median) annual wage for EMTs in the Rapid City area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change

In 2021, typical EMT pay in Rapid City was $36,330 a year. By 2025 it had reached $39,440.

How Rapid City compares with other South Dakota cities

Rapid City pays EMTs the most of any metro area in South Dakota. The lowest-paying area in the state is Sioux Falls at $36,800.

Typical EMT pay by metro area in South Dakota
#CityTypical payHourlyVs Rapid CityEMTs employed
1Rapid City$39,440$18.96this city150
2Sioux Falls$36,800$17.69-7%120

Every metro area in South Dakota with EMT wage data · BLS OES May 2025 · South Dakota typical pay $36,800

Is Rapid City a good place to work as an EMT?

-11%
vs national pay · +7% vs South Dakota
150
EMTs employed in the Rapid City area
2.0
EMT jobs per 1,000 jobs, vs about 1.2 nationally

EMTs in Rapid City earn less than the national figure: typical pay is $39,440 a year, 11% below the national rate. For every 1,000 jobs in the Rapid City area, about 2.0 are EMT positions; nationally, the figure is closer to 1.2. That makes the local economy more reliant on EMTs than most places, and turnover keeps positions opening through the year.

Frequently asked questions

How much does an EMT make in Rapid City, SD?
A typical EMT in Rapid City earns $39,440 a year, or $18.96 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $32,290 and the top 10% earn over $47,550.
How much does an EMT make an hour in Rapid City?
Typical hourly pay for EMTs in Rapid City is $18.96. Entry-level hourly pay runs about $15.53, and the top 10% earn over $22.86 an hour.
What is the starting pay for an EMT in Rapid City?
Entry-level EMT positions in Rapid City typically offer around $15.53 an hour, or $32,290 a year.
Is EMT pay in Rapid City higher than in the rest of South Dakota?
Rapid City pay is 7% above the South Dakota figure of $36,800 a year, ranking 1st of 2 metro areas in the state.

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