Paramedic salary in North Carolina
Updated Updated for 2026 tax law
A paramedic in North Carolina earns a median of $57,320 a year ($27.56/hour equivalent), 5.4% below the national median of $60,600. North Carolina ranks #36 of 51 states. About 5,660 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $46,458 a year after federal, FICA and North Carolina taxes — $1,787 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $2,204.62
- Federal income tax
- −$180.71
- Social Security (6.2%)
- −$136.69
- Medicare (1.45%)
- −$31.97
- North Carolina income tax
- −$68.40
- Take-home pay
- $1,786.86
Annual breakdown
- Gross
- $57,320
- Federal
- $4,698
- FICA
- $4,385
- State + local
- $1,778
- Net
- $46,458
- Marginal federal rate
- 12.0%
- Marginal state rate
- 4.0%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $104,310 |
| #2 | New Jersey | $86,630 |
| #3 | Hawaii | $81,280 |
| #4 | District of Columbia | $78,550 |
| #5 | Connecticut | $77,480 |
| #36 | North Carolina | $57,320 |
| #49 | Alabama | $48,540 |
| #50 | West Virginia | $48,460 |
| #51 | Oklahoma | $46,790 |
See the national paramedic salary page for the full pay range and all states.
BLS occupation: Paramedics (SOC 29-2043), May 2025, state estimates.
Frequently asked questions
How much does a paramedic make in North Carolina?
The median salary is $57,320 a year and the average is $57,320 (BLS May 2025).
Is North Carolina a good state for paramedics?
North Carolina ranks #36 of 51 states for median pay in this job, 5% below the national median of $60,600.
What is $57,320 after taxes in North Carolina?
About $46,458 a year ($1,787 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.