Prevailing Wage for Ambulance Drivers and Attendants, Except Emergency Medical Technicians

Prevailing wage requirements for ambulance attendant roles are set by DOL using regional Occupational Employment and Wage Statistics surveys. Whether you're filing as an ambulance driver or in a broader attendant capacity, DOL assigns four experience levels, each with a different wage floor. The floor varies significantly by worksite city, so location matters as much as job title.

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Level 1Entry
National median
$27K
$13.18/hr

Entry-level ambulance attendants with limited experience, typically under one year, performing routine patient transport tasks under direct supervision. Workers at this level follow established protocols without independent judgment and are still building foundational skills.

Level 2Qualified
National median
$32K
$15.14/hr

Qualified ambulance attendants with one to three years of experience handling standard transport assignments with moderate supervision. Level 2 is the most common filing level for this occupation, reflecting the practical, hands-on nature of most sponsored positions.

Level 3Experienced
National median
$36K
$17.07/hr

Experienced ambulance drivers and attendants with three or more years in the role, capable of handling complex transport situations with minimal supervision. These workers often mentor newer staff and manage non-emergency calls independently.

Level 4Fully Competent
National median
$40K
$19.17/hr

Fully competent senior ambulance attendants with broad experience, including lead responsibilities, specialized transport protocols, or coordination duties. These workers operate autonomously and may oversee scheduling, compliance, or training for a transport team.

Prevailing Wage for Ambulance Drivers and Attendants, Except Emergency Medical Technicians by OES area

Each shape is a DOL OES area, the unit prevailing wage is published for.

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$18K/yr$45K/yr

What’s an OES area?

The Department of Labor publishes prevailing wages for geographic zones called OES areas. Every U.S. county belongs to exactly one, and the wage floor applies across the whole area. A worker in Oakland gets the San Francisco metro wage, not a separate Oakland wage.

Top 10 cities · Level 1

1
Seattle, WA
Seattle-Tacoma-Bellevue, WA metro
$41K$19.50/hr
2
Boston, MA
Boston-Cambridge-Newton, MA-NH metro
$39K$18.59/hr
3
Nashville, TN
Nashville-Davidson--Murfreesboro--Franklin, TN metro
$37K$17.89/hr
4
San Francisco, CA
San Francisco-Oakland-Fremont, CA metro
$37K$17.66/hr
5
Baltimore, MD
Baltimore-Columbia-Towson, MD metro
$36K$17.48/hr
6
Salisbury, MD
Salisbury, MD metro
$36K$17.38/hr
7
New York, NY
New York-Newark-Jersey City, NY-NJ metro
$35K$17.02/hr
8
Worcester, MA
Worcester, MA metro
$35K$16.99/hr
9
Los Angeles, CA
Los Angeles-Long Beach-Anaheim, CA metro
$35K$16.63/hr
10
Indianapolis, IN
Indianapolis-Carmel-Greenwood, IN metro
$34K$16.25/hr

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Prevailing Wage Guide for Ambulance Drivers and Attendants, Except Emergency Medical Technicians

Watch for title mismatches on LCA filings

Employers sometimes file LCAs under EMT-related SOC codes rather than SOC 53-3011. If your role does not involve emergency medical response, confirm your petition uses the ambulance attendant or ambulance driver classification to match the correct prevailing wage floor.

Factor in metro wage gaps before accepting an offer

Ambulance attendant wages vary sharply by city. A position in the Seattle or Boston metro carries a substantially higher prevailing wage floor than a comparable role in Puerto Rico markets, so comparing your offer to the national median alone can mislead your negotiation.

Check which employers have sponsored ambulance drivers before

Migrate Mate shows historical visa sponsorship counts by employer for this occupation, so you can see which transport companies and hospital systems have actually filed for ambulance attendant roles rather than relying on employer assurances alone.

Confirm your worksite city drives the wage determination

For ambulance attendant roles, the worksite on the LCA is the location where you physically operate, not the employer's headquarters. If you rotate across service areas or cover multiple counties, your employer must use the highest applicable prevailing wage among your regular worksites.

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Prevailing Wage by Reported Job Title

DOL classifies these titles under SOC 53-3011.00 alongside Ambulance Drivers and Attendants, Except Emergency Medical Technicians, so the same four-tier wage schedule applies to each. Tap a title to see the full breakdown.

Ambulance Attendant Prevailing Wage

Ambulance Attendant positions fall under SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Ambulance Driver Prevailing Wage

When a U.S. employer sponsors a Ambulance Driver for a work visa or green card, DOL applies the prevailing wage schedule for SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). Wage level reflects the role's experience and responsibility, not the title itself.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Chair Car Driver Prevailing Wage

Chair Car Driver is an O*NET-reported job title within SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

CPR Ambulance Driver (Cardio Pulmonary Resuscitation Ambulance Driver) Prevailing Wage

CPR Ambulance Driver (Cardio Pulmonary Resuscitation Ambulance Driver) positions fall under SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Driver Prevailing Wage

When a U.S. employer sponsors a Driver for a work visa or green card, DOL applies the prevailing wage schedule for SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). Wage level reflects the role's experience and responsibility, not the title itself.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Driver Medic Prevailing Wage

Driver Medic is an O*NET-reported job title within SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Emergency Care Attendant (ECA) Prevailing Wage

Emergency Care Attendant (ECA) positions fall under SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

EMS Driver (Emergency Medical Services Driver) Prevailing Wage

When a U.S. employer sponsors a EMS Driver (Emergency Medical Services Driver) for a work visa or green card, DOL applies the prevailing wage schedule for SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). Wage level reflects the role's experience and responsibility, not the title itself.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

First Responder Prevailing Wage

First Responder is an O*NET-reported job title within SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Medical Van Driver (Medi-Van Driver) Prevailing Wage

Medical Van Driver (Medi-Van Driver) positions fall under SOC 53-3011.00 (Ambulance Drivers and Attendants, Except Emergency Medical Technicians). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.

Level 1
Entry
$27K
$13.18/hr
Level 2
Qualified
$32K
$15.14/hr
Level 3
Experienced
$36K
$17.07/hr
Level 4
Fully Competent
$40K
$19.17/hr

Frequently Asked Questions

How does DOL set the prevailing wage for ambulance attendant roles?

DOL derives prevailing wages for ambulance attendants from Bureau of Labor Statistics Occupational Employment and Wage Statistics surveys, collected at the metropolitan and nonmetropolitan area level. OFLC publishes these figures annually. Employers sponsoring an ambulance attendant must pay at least the DOL-determined prevailing wage for the relevant experience level and worksite location before the LCA can be certified.

What do the four wage levels mean and how do I identify mine?

DOL assigns ambulance attendant positions to one of four levels based on experience and supervision. Level 1 covers entry-level workers under close supervision. Level 2 reflects qualified workers handling standard assignments, and is the most common level employers file at for this occupation. Level 3 applies to experienced workers with significant independent judgment. Level 4 covers fully competent workers with lead or senior scope. Your employer selects the level based on actual job duties.

Why does the prevailing wage for the same ambulance attendant role vary so much by city?

OFLC uses regional BLS surveys to set wages, so the prevailing wage reflects local labor market conditions rather than a single national figure. Employers must list the actual worksite on the LCA, and that worksite determines which metropolitan area wage applies. Markets with higher costs of living or stronger union density tend to produce higher survey medians, while lower-wage regions produce a lower floor for the same occupational classification.

What happens if an offer is below the prevailing wage for a sponsored ambulance attendant position?

If the offered wage falls below the DOL prevailing wage for the applicable level and worksite, OFLC will not certify the LCA. Without a certified LCA, the employer cannot file the H-1B petition with USCIS. If a certification was already issued and a wage violation is later found, the employer faces back-pay liability and potential debarment from future sponsorships. The prevailing wage floor is a hard compliance threshold, not a guideline.

How do I find the prevailing wage for an ambulance attendant role in a specific U.S. location?

Use the OFLC Wage Search tool to look up SOC code 53-3011 for your target metro area. Select the experience level that matches the job duties described in your offer. OFLC updates wage data annually, so confirm you are viewing the current program year figures. O*NET also provides occupation detail for this SOC code. For finding employers with a track record of sponsoring this role, Migrate Mate filters by occupation and sponsorship history.

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