Paramedic Salary in South Dakota (2026)

Official state-level BLS pay data for Paramedics in South Dakota, plus how it compares with the rest of the country.

Official BLS state wage data · Unknown vintage
South Dakota Median
$48,830
per year
Hourly Rate
$23.48
based on 2,080 hrs/yr
vs National
-19% vs US median
US median $60,600
State Rank
#48 of 51
280 employed here

How much does a Paramedic make in South Dakota?

A Paramedic working in South Dakota earns a median salary of $48,830 per year, or about $23.48 per hour. That is 19% below the national median of $60,600 for this occupation.

Within South Dakota, entry-level pay starts around $30,950 while the top 10% make $58,380 or more. The middle 50% of earners fall between $42,710 and $51,490 a year.

Paramedic salary range in South Dakota

Pay levelAnnual salaryHourly rate
10th percentile (entry level)$30,950$14.88
25th percentile (early career)$42,710$20.53
50th percentile (median)$48,830$23.48
75th percentile (experienced)$51,490$24.75
90th percentile (top earners)$58,380$28.07

How South Dakota compares

South Dakota ranks 48th out of 51 states and territories for Paramedic pay. The top 5 best-paying states:

RankStateMedian salary
1Washington$104,310
2New Jersey$86,630
3Hawaii$81,280
4District of Columbia$78,550
5Connecticut$77,480

Working as a Paramedic in South Dakota

Nationally, about 101,000 people work as Paramedics in the United States. A bachelor's degree (about 4 years of college) is the standard entry requirement.

Considering a move? Compare South Dakota pay ($48,830) against the highest-paying state above, and weigh the difference against housing and everyday costs — a smaller paycheck in a cheaper state can stretch further.

Frequently asked questions

How much does a Paramedic make in South Dakota?
The median Paramedic salary in South Dakota is $48,830 per year, or about $23.48 per hour, per official BLS state wage estimates. Salaries typically range from $30,950 at the entry level to $58,380 for the top 10% of earners.
How does South Dakota pay compare to the national average?
South Dakota pays Paramedics about 19% less than the national median of $60,600. South Dakota ranks 48th out of 51 states and territories reporting this occupation.
Is South Dakota a good state for Paramedics?
Pay runs below the national median here, at $48,830 a year. About 280 Paramedics are employed in South Dakota. A lower cost of living can offset the smaller paycheck, so compare take-home value, not just salary.
What are the highest-paying jobs in South Dakota?
The highest-paying occupations in South Dakota include Radiologist ($586,010), Emergency Medicine Physician ($393,870), Obstetricians and Gynecologists ($297,610), based on median annual pay in official BLS state estimates.

← See the national Paramedic salary report

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Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), Unknown vintage. Education requirements: O*NET (U.S. Department of Labor). State figures are official BLS state-level wage estimates. Where BLS suppresses a state percentile, it is scaled from the official national distribution. Individual pay varies by employer, metro area, and experience.