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EMT Salaries in Iowa — 2026 Overview

BLS 2026

How much does a emt make in Iowa? The Bureau of Labor Statistics reports a median salary of $39,260/yr ($18.88/hr), with around 1,210 people working in this field statewide.

EMT salaries in Iowa are below the national average by approximately $2,085. Iowa has a state income tax rate of up to 6%.

Iowa's manufacturing base and stable economy provide steady employment for emts.

Iowa EMT Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in Iowa after federal tax, Social Security and Medicare. Iowa has a state income tax rate of up to 6%.

Your annual gross salary ($)
Gross Annual
$39,260
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$32,261

Estimate based on 2026 federal tax brackets, single filer, standard deduction. Iowa has a state income tax rate of up to 6%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — Iowa EMT Check

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Enter your current salary to see how it compares to the Iowa median of $39,260.

Your annual salary ($)

EMT Salary by Experience — Iowa

Entry Level (0–2 years)$24,300/yr · $11.68/hr
Beginning career, developing core skills under supervision in Iowa.
Mid-Level (3–6 years)$34,941/yr · $16.80/hr
Established professional working independently in Iowa. Pursuing advanced certifications.
Experienced (7–12 years)$43,578/yr · $20.95/hr
Senior professional with specialised skills commanding above-average pay in Iowa.
Senior / Expert (12+ years)$56,500+/yr · $27.16/hr
Top earner. Leadership, management or highly specialised role in Iowa.
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EMT Salary Trend in Iowa — 2021 to 2026

5-Year Data

Five-year wage growth for emts in Iowa: 13.9% — a useful benchmark when negotiating pay or planning a career move. The growth reflects broader workforce and economic conditions in Iowa's emergency medical services.

2021
$34,470
2022
$36,472
+5.8%
2023
$38,160
+4.6%
2024
$38,788
+1.6%
2026
$39,260
+1.2%

EMT Salary by City — Iowa

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Des Moines$43,600$20.96+11.1%423
Cedar Rapids$41,600$20.00+6.0%338
Davenport$40,450$19.45+3.0%217
Sioux City$37,700$18.12-4.0%108
Iowa City$35,750$17.19-8.9%72
Waterloo$34,150$16.42-13.0%50

Tip: Des Moines offers the highest emt salaries in Iowa at $43,600/yr — +11.1% above the state average.

Iowa vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, Iowa sits in the mid-range for emts.

Iowa — 6.0% state income tax$39,260 gross~$32,261 take-home
Minnesota — 9.85%$45,690 gross+16.4% vs IA
Wisconsin — 7.65%$43,340 gross+10.4% vs IA
Illinois — 4.95%$40,780 gross+3.9% vs IA

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Iowa has a state income tax rate of up to 6%.

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EMT Job Outlook in Iowa

BLS Projections
+10%Job growth 2026–33
1,210Currently employed
121+New jobs projected

Employment for emts in Iowa is projected to grow over the next decade, driven by strong demand across the Iowa job market. Iowa's manufacturing base and stable economy provide steady employment for emts.

How to Earn More as an EMT in Iowa

1. Pursue advanced certification or licensing. Moving from entry to senior level as an emt in Iowa typically adds $32,200 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.

2. Target the highest-paying city. Des Moines pays emts $43,600/yr — +11.1% above the Iowa average. Simply relocating within Iowa can meaningfully increase your income without changing careers.

3. Specialise in high-demand areas. EMTs who specialise in emergency medical services typically command premium rates in Iowa. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Minnesota pays emts $45,690/yr — 16.4% vs Iowa.

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Frequently Asked Questions

What's the average emt salary in Iowa?
The average emt salary in Iowa is $39,260 per year, or $18.88 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $24,300 while experienced professionals earn $56,500 or more.
What city in Iowa pays emts the most?
Des Moines pays emts the most in Iowa at an average of $43,600 per year — +11.1% above the state average.
Is emt pay in Iowa above or below the US average?
Iowa emt salaries are below the calculated national average by approximately $2,085. Iowa has a state income tax rate of up to 6%.
What's the after-tax salary for emts in Iowa?
A emt earning the Iowa average of $39,260 takes home approximately $32,261 per year after federal income tax, Social Security and Medicare. Iowa has a state income tax rate of up to 6%.
Should you become an emt in Iowa?
Yes. EMT is a strong career choice in Iowa with steady demand projected over the next decade. Iowa's manufacturing base and stable economy provide steady employment for emts.
How do you get an emt licence in Iowa?
In Iowa, emts are licensed through the State EMS Licensing Board. Requirements vary by specialisation level — contact the State EMS Licensing Board for current examination and experience requirements.
DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.