How Much Does a EMT and Paramedic Make in North Carolina (NC) in 2026? (Hourly & After-Tax Salary)
Median Annual & Hourly Wage in North Carolina (NC)
$45,240/yr ($21.75/hr · $36,679 After-Tax)
Entry-Level (25th Pct)$35,280 ($16.96/hr)
Experienced (90th Pct)$61,070 ($29.36/hr)
Bi-Weekly Net Paycheck$1,410.72
Overtime Rate (1.5x)$32.62/hr
Gross vs. Net After-Tax Pay by Experience Level (2026)
| Level | Hourly | Gross Annual | Federal + FICA + State Tax | Net Take-Home | Bi-Weekly Net |
|---|---|---|---|---|---|
| Entry-Level | $16.96/hr | $35,280 | −$6,180.92 | $29,099.08 | $1,119.20 |
| Median (Mid-Career) | $21.75/hr | $45,240 | −$8,561.36 | $36,678.64 | $1,410.72 |
| Senior / Top 10% | $29.36/hr | $61,070 | −$12,344.74 | $48,725.26 | $1,874.05 |
Compare Wage Across All 50 U.S. States
Texas ($22.44/hr)California ($27.02/hr)Florida ($21.75/hr)New York ($26.56/hr)Illinois ($23.59/hr)Arizona ($22.21/hr)New Jersey ($25.65/hr)Georgia ($21.98/hr)North Carolina ($21.75/hr)Washington ($26.33/hr)Pennsylvania ($22.67/hr)Ohio ($21.53/hr)Nevada ($22.44/hr)Colorado ($24.27/hr)Virginia ($24.04/hr)Massachusetts ($26.79/hr)Michigan ($21.98/hr)Tennessee ($21.07/hr)Indiana ($21.30/hr)Maryland ($24.73/hr)Minnesota ($23.82/hr)Missouri ($21.07/hr)Wisconsin ($22.21/hr)Oregon ($24.04/hr)Connecticut ($25.42/hr)Utah ($22.21/hr)South Carolina ($20.84/hr)Alabama ($20.15/hr)Louisiana ($20.38/hr)Kentucky ($20.38/hr)Oklahoma ($20.38/hr)Kansas ($21.07/hr)Iowa ($21.30/hr)New Mexico ($21.07/hr)Arkansas ($19.92/hr)Mississippi ($19.46/hr)Nebraska ($21.53/hr)Idaho ($21.30/hr)Hawaii ($24.73/hr)New Hampshire ($23.59/hr)Maine ($21.75/hr)Rhode Island ($23.36/hr)Montana ($21.07/hr)Delaware ($23.13/hr)South Dakota ($20.84/hr)North Dakota ($21.75/hr)Alaska ($24.96/hr)Vermont ($22.44/hr)West Virginia ($19.69/hr)Wyoming ($21.75/hr)