Ambulance Driver and Attendant Salary Guide 2025: $35,450 Median, 1,400 Openings per Year
The median salary for Ambulance Drivers and Attendants, Except Emergency Medical Technicians is $35,450 per year, according to the latest U.S. Bureau of Labor Statistics data. That works out to about $17 an hour. The typical range runs from $27,350 at the 10th percentile to $45,960 at the 90th, so most workers earn between these figures. Around 12,630 people held this job nationwide in 2024.
How much Ambulance Drivers and Attendants, Except Emergency Medical Technicians earn
The mean annual wage across all U.S. workers in this occupation is $36,210, or roughly $17.41 per hour. Half of all workers earn more than $35,450; half earn less. Entry-level positions (10th percentile) pay $27,350, while experienced workers at the 90th percentile can earn up to $45,960. These figures come from the BLS Occupational Employment and Wage Statistics survey. Unlike EMTs, these workers primarily drive and assist patients, without providing advanced medical care — which is why pay is lower than EMT salaries.
- National median: $35,450/yr ($17/hr)
- Mean annual: $36,210
- Typical range (10th–90th): $27,350 to $45,960
Pay by state
Pay varies dramatically by location. The highest-paying state is Connecticut, where the average annual wage reaches $73,730 — more than double the national median. Other top states include Oregon ($40,900), Massachusetts ($39,480), Maryland ($38,410), and North Dakota ($37,690). On the low end, West Virginia pays $26,240, Mississippi $25,170, and Alabama just $24,420. If you're aiming for the highest earnings, Connecticut offers the most lucrative market by far.
- Top state: Connecticut ($73,730)
- Other high: Oregon ($40,900), Massachusetts ($39,480), Maryland ($38,410), North Dakota ($37,690)
- Lowest: Alabama ($24,420), Mississippi ($25,170), West Virginia ($26,240)
How to become Ambulance Drivers and Attendants, Except Emergency Medical Technician
This role sits below EMT certification on the emergency medical services ladder. Most employers require a high school diploma or equivalent and a valid driver's license with a clean record. You'll likely need to complete a state-approved driver training program for ambulances, which covers defensive driving, vehicle safety checks, and patient handling. Many positions also require a basic first aid/CPR card. Unlike EMTs, you won't need national or state EMT certification, though some employers may prefer it. On-the-job training under a senior driver or EMT is common for new hires. Typical steps: earn your diploma, get CPR certified, pass a driving record check, and apply to ambulance services, hospitals, or fire departments.
- 1. Earn a high school diploma or GED.
- 2. Obtain a valid driver's license with a clean record.
- 3. Complete a state-approved ambulance driver training program (often provided by employer).
- 4. Get certified in CPR and basic first aid.
- 5. Apply to ambulance companies, hospitals, or municipal emergency services.
Job outlook
Employment of Ambulance Drivers and Attendants (non-EMT) is projected to decline 1.3% from 2024 to 2034, according to the BLS. That means the occupation is shrinking slightly, primarily because many services are upgrading to staffed EMTs or paramedics. However, about 1,400 openings are expected each year, mostly to replace workers who retire or leave the field. Competition will be strongest for jobs with fire departments and hospitals that still use dedicated drivers. Growth is better for EMTs and paramedics, which are projected to grow 5% over the same period.
- Projected growth (2024–2034): -1.3% (Decline)
- Annual openings: ~1,400 (mostly replacement)
Frequently asked questions
What is the median salary for Ambulance Drivers and Attendants, Except Emergency Medical Technicians?
The national median salary is $35,450 per year, about $17 per hour. Half earn more, half less. The mean is $36,210.
How many jobs are there for Ambulance Drivers and Attendants, Except Emergency Medical Technicians?
There were 12,630 jobs in the U.S. in 2024. About 1,400 openings occur each year, but the occupation is projected to decline 1.3% over the next decade.
Which state pays the highest salary for ambulance drivers and attendants (non-EMT)?
Connecticut pays the highest at $73,730 on average. Other high-paying states include Oregon ($40,900), Massachusetts ($39,480), Maryland ($38,410), and North Dakota ($37,690).
How do you become an ambulance driver or attendant without being an EMT?
You typically need a high school diploma, a valid driver's license, a clean driving record, and CPR/first aid certification. Many employers provide on-the-job training or require a state-approved ambulance driver course. No EMT certification is required, but it can help.
Is the demand for ambulance drivers and attendants growing or shrinking?
Demand is shrinking: employment is projected to decline 1.3% from 2024 to 2034. However, about 1,400 openings per year will still arise due to turnover. Better job prospects exist for EMTs and paramedics.
Salary figures are U.S. Bureau of Labor Statistics estimates (OEWS / Employment Projections). For informational purposes only; not career or financial advice. See the full Ambulance Drivers and Attendants, Except Emergency Medical Technicians data.