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Salary comparison

Paramedics vs. Licensed Practical and Licensed Vocational Nurses: Who Earns More?

Licensed Practical and Licensed Vocational Nurses out-earn Paramedics by $4K a year at the national median, per BLS OEWS May 2025. Paramedics land at $60,600 and Licensed Practical and Licensed Vocational Nurses at $64,400. The education gap is real: paramedic programs typically require bachelor's degree, while licensed practical and licensed vocational nurse programs require postsecondary nondegree award. Top-paying state for Paramedics is Washington ($104,310); for Licensed Practical and Licensed Vocational Nurses it's Washington ($83,150).

Paramedics
Licensed Practical and Licensed Vocational Nurses
Median salary
$60,600
$64,400
Hourly rate
$29.13/hr
$30.96/hr
Entry level (10th %)
$44,230
$49,740
Senior level (90th %)
$84,850
$83,440
Education required
Bachelor's degree
Postsecondary nondegree award
U.S. employment
100,610
648,410
Job growth (10-year)
5%
2.6%
Category
Healthcare
Healthcare
Top-paying state
Washington
Washington

Pay by state

States where both occupations have BLS data, sorted by Paramedics median pay.

State
Paramedics
Licensed Practical and Licensed Vocational Nurses
Washington
$104,310
$83,150
New Jersey
$86,630
$75,160
District of Columbia
$78,550
$75,740
Connecticut
$77,480
$73,690
Oregon
$74,840
$80,470
California
$74,590
$79,750
Alaska
$71,860
$80,800
Maryland
$66,660
$74,660
Massachusetts
$66,340
$80,220
New Hampshire
$64,210
$77,110
Colorado
$63,910
$73,880
Rhode Island
$63,550
$80,090
Illinois
$60,660
$75,000
Nevada
$59,280
$76,160
Arizona
$58,600
$77,070

Source: BLS OEWS May 2025. Highlighted value is higher in each row.

Common questions

Who earns more, Paramedics or Licensed Practical and Licensed Vocational Nurses?

Licensed Practical and Licensed Vocational Nurses earn more nationally. The median is $60,600 for Paramedics versus $64,400 for Licensed Practical and Licensed Vocational Nurses, a difference of $4K. Per BLS OEWS May 2025.

Which has better job growth, Paramedics or Licensed Practical and Licensed Vocational Nurses?

Paramedics has the better 10-year outlook at 5% projected growth, compared to 2.6% for the other field. Both are from BLS Employment Projections.

Which requires more education, Paramedics or Licensed Practical and Licensed Vocational Nurses?

Paramedics typically requires bachelor's degree. Licensed Practical and Licensed Vocational Nurses requires postsecondary nondegree award. Education requirements vary by employer and state licensing board.

Where do Paramedics get paid the most?

Washington is the top-paying state for Paramedics at $104,310/year, per BLS OEWS May 2025. Major metro areas within that state typically pay even more than the state average.

How does Paramedics vs. Licensed Practical and Licensed Vocational Nurses pay differ by state?

The gap varies significantly by state. In Washington, Paramedics earn $104,310 vs. $83,150 for Licensed Practical and Licensed Vocational Nurses. See the state comparison table on this page for the full picture.

Full Paramedics salary breakdownView →Full Licensed Practical and Licensed Vocational Nurses salary breakdownView →Best cities for Paramedics by take-home payExplore →Best cities for Licensed Practical and Licensed Vocational Nurses by take-home payExplore →How to become a paramedicsGuide →How to become a licensed practical and licensed vocational nursesGuide →