Radiation therapists: Salary, Job Outlook, Education and Career Path

Provide radiation therapy to patients as prescribed by a radiation oncologist according to established practices and standards. Duties may include reviewing prescription and diagnosis; acting as liaison with physician and supportive care personnel; preparing equipment, such as immobilization, treatment, and protection devices; and maintaining records, reports, and files. May assist in dosimetry procedures and tumor localization.

Short answer: Radiation therapists earn a national median annual wage of $105,310 (BLS, May 2025). Employment is projected to change +2.8% from 2025 to 2035 (all occupations: +3.5%), with about 700 openings per year. The typical entry credential is associate's degree.

Median annual wage
$105,310
May 2025 Verified data
Projected change
+2.8%
2025 to 2035 Official projection
Openings per year
700
Average, 2025 to 2035 Official projection
Employment
17,070
OEWS, May 2025 Verified data

Radiation therapists salary

$0$50K$100K$150KUnited States$105,310
National annual wages for radiation therapists, May 2025: 10th percentile $80,560, 25th $92,060, median $105,310, 75th $126,340, 90th $156,710. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$80,560$38.73
Median (50th percentile)$105,310$50.63
Mean (average)$114,990$55.28
90th percentile$156,710$75.34

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Radiation therapists pay by state and metro area

$37.6K$166K
Median annual wage for radiation therapists by state, May 2025. Highest: California at $166,450. States in gray have no published estimate.
Table: median wage and employment for all 47 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$87,330$62,420$104,6701200.53
Arizona$108,760$83,200$133,3604101.16
Arkansas$78,950$62,300$108,910800.56
California$166,450$130,150$208,1001,7200.86
Colorado$108,020$90,970$130,7503201.02
Connecticut$116,170$84,780$155,9801100.61
District of Columbia$100,250$82,780$132,300700.96
Florida$100,920$80,910$120,7701,2801.17
Georgia$94,460$80,670$128,9104700.88
Hawaii$125,520$110,610$131,460
Idaho$99,660$81,540$126,5901001.05
Illinois$124,600$96,340$124,850
Indiana$96,690$75,750$113,3103601.04
Iowa$81,610$66,590$102,2701200.71
Kansas$108,830$85,540$166,6802401.54
Kentucky$97,760$56,010$127,4701700.78
Louisiana$94,710$76,350$107,4302301.06
Maine$101,980$85,060$142,4201401.96
Maryland$107,120$80,790$132,4302500.81
Massachusetts$106,300$83,160$133,8203300.83
Michigan$95,890$79,610$110,0304500.94
Minnesota$98,000$79,540$108,6302100.66
Mississippi$88,100$68,530$102,650700.53
Missouri$99,890$70,340$133,1904201.31
Montana$105,400$77,220$135,260500.97
Nebraska$98,670$69,620$142,8801201.07
Nevada$92,990$85,860$127,0401100.67
New Hampshire$106,270$83,310$123,900600.74
New Jersey$129,460$109,650$160,7206001.28
New Mexico$100,010$58,700$128,5401001.06
New York$129,620$88,590$163,5808200.77
North Carolina$99,250$79,780$109,2107101.31
Ohio$98,650$76,640$123,9206901.13
Oklahoma$98,390$76,310$125,5201200.64
Oregon$131,600$107,870$159,5001600.75
Pennsylvania$100,540$77,390$122,6905600.84
Puerto Rico$37,560$36,470$53,620
South Carolina$100,790$75,510$119,8902000.77
South Dakota$97,470$80,140$138,030
Tennessee$83,520$77,730$101,3403500.98
Texas$105,770$88,840$134,3201,0000.65
Utah$107,660$92,870$166,660700.39
Vermont$101,060$84,070$124,160501.51
Virginia$103,310$81,380$134,6205001.1
Washington$125,880$98,160$174,6705401.37
West Virginia$71,590$54,880$106,1401201.61
Wisconsin$93,600$77,980$114,3805501.7

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

New York-Newark-Jersey City, NY-NJ960
Los Angeles-Long Beach-Anaheim, CA480
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD390
Charlotte-Concord-Gastonia, NC-SC360
Houston-Pasadena-The Woodlands, TX350
Phoenix-Mesa-Chandler, AZ350
Miami-Fort Lauderdale-West Palm Beach, FL310
Atlanta-Sandy Springs-Roswell, GA280
Washington-Arlington-Alexandria, DC-VA-MD-WV270
Boston-Cambridge-Newton, MA-NH260

Highest paying metro areas

San Jose-Sunnyvale-Santa Clara, CA$206,350
San Francisco-Oakland-Fremont, CA$205,670
Sacramento-Roseville-Folsom, CA$182,240
San Diego-Chula Vista-Carlsbad, CA$171,500
Los Angeles-Long Beach-Anaheim, CA$169,150
New York-Newark-Jersey City, NY-NJ$135,550
Seattle-Tacoma-Bellevue, WA$133,410
Portland-Vancouver-Hillsboro, OR-WA$128,650
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD$119,960
Kansas City, MO-KS$117,280
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for radiation therapists

2025 (actual)17,4002035 (projected)17,900
BLS projects employment of radiation therapists to go from 17,400 in 2025 to 17,900 in 2035, a change of +2.8% (+500 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 700. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for radiation therapists

Typical entry education
Associate's degree
Related work experience
None
On-the-job training
None
O*NET Job Zone
Job Zone Three: Medium Preparation Needed

Highest education of people working in this occupation

Less than high school1.4%
High school diploma2.2%
Some college, no degree5%
Associate's degree23.1%
Bachelor's degree58.4%
Master's degree9.2%
Doctoral or professional0.6%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a bachelor's degree (58.4%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Degrees and programs that lead to this career

Programs officially mapped to this occupation in the NCES and BLS CIP to SOC crosswalk. A mapping means the program commonly prepares students for the occupation, not that every graduate works in it. Official crosswalk

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Skills, knowledge, and daily work

Most important skills

Reading Comprehension3.8
Active Listening3.8
Critical Thinking3.5
Speaking3.3
Monitoring3.3
Writing3.1
Active Learning3.0
Learning Strategies2.9
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Customer and Personal Service4.6
English Language4.0
Medicine and Dentistry4.0
Physics3.8
Mathematics3.6
Education and Training3.5
Computers and Electronics3.5
Therapy and Counseling3.4
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Position patients for treatment with accuracy, according to prescription.
  • Administer prescribed doses of radiation to specific body parts, using radiation therapy equipment according to established practices and standards.
  • Follow principles of radiation protection for patient, self, and others.
  • Review prescription, diagnosis, patient chart, and identification.
  • Conduct most treatment sessions independently, in accordance with the long-term treatment plan and under the general direction of the patient's physician.
  • Enter data into computer and set controls to operate or adjust equipment or regulate dosage.
  • Check radiation therapy equipment to ensure proper operation.
  • Observe and reassure patients during treatment and report unusual reactions to physician or turn equipment off if unexpected adverse reactions occur.

Technology skills

  • Eclipse IDE (hot technology)
  • Epic Systems (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft Word (hot technology)
  • eClinicalWorks EHR software (hot technology)
  • Beam analysis software
  • Dose unit calculation software
  • Electronic medical record EMR software
  • Image processing software
  • Lifeline Software RadCalc
  • Nucletron planning systems
  • Patient management software
  • Procedure scheduling software
  • Radiation dose calculation software
  • Radiation therapy equipment software

Transferable skills for career changers: Social Perceptiveness, Operations Monitoring, Coordination, Service Orientation, Complex Problem Solving, Operation and Control.

Common job titles: Computed Tomography Simulation Therapist (CT Simulation Therapist), Dosimetrist, Radiation Therapist (RT), Radiation Therapy Technologist (RTT), Registered Radiation Therapist, Staff Radiation Therapist.

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do radiation therapists make?

The national median annual wage for radiation therapists was $105,310 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $80,560 and the highest paid 10 percent earned more than $156,710. These figures cover all workers in the occupation, not only new entrants.

What education do radiation therapists need?

BLS lists associate's degree as the typical education needed to enter this occupation, with none of related work experience and none on-the-job training typically needed to become competent.

Is radiation therapists a growing career?

BLS projects employment of radiation therapists to change +2.8% from 2025 to 2035, compared with +3.5% for all occupations. About 700 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay radiation therapists the most?

By median annual wage in May 2025, the highest paying states were California ($166,450), Oregon ($131,600), New York ($129,620). Pay differences partly reflect differences in living costs.

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