Wondering about radiation therapist salary? Get 2024 pay data, state-by-state comparisons, and tips to maximize your earnings in this growing healthcare field.

If you’re considering a career in radiation therapy, you’re likely curious about earning potential. Radiation therapists play a crucial role in cancer treatment, operating advanced equipment to deliver targeted radiation—and they’re compensated well for their specialized skills.
This guide covers everything you need to know about radiation therapist salaries, including:
✔ National average pay and highest-paying states
✔ Key factors that impact earnings (experience, certifications, location)
✔ Job outlook and long-term growth potential
✔ Strategies to increase your salary
Let’s examine the numbers and what they mean for your career path.
What Is a Radiation Therapist?
Radiation therapists are allied health professionals who:
- Administer prescribed radiation treatments to cancer patients
- Operate linear accelerators and other high-tech equipment
- Monitor patients for side effects
- Collaborate with oncologists and medical physicists
They work primarily in:
✔ Hospitals (especially cancer centers)
✔ Outpatient clinics
✔ Radiation oncology offices
This career requires an associate’s or bachelor’s degree plus certification, offering strong job security in healthcare.
Average Radiation Therapist Salary (2024 Data)
Experience Level | Hourly Wage | Annual Salary |
---|---|---|
Entry-Level (0-2 years) | $32 – $38 | $66,000 – $79,000 |
Mid-Career (3-7 years) | $39 – $47 | $81,000 – $98,000 |
Experienced (8+ years) | $48 – $58+ | $100,000 – $120,000+ |
Sources: BLS, ASRT Salary Survey, Indeed
Highest-Paying States for Radiation Therapists
- California – $115,000
- New York – $105,000
- Washington – $98,000
- Massachusetts – $96,000
- Oregon – $94,000
(Note: Salaries adjust for local cost of living)
What Affects Radiation Therapist Salaries?
1. Certification & Education
- ARRT Certification is required in most states and increases pay
- Bachelor’s degree holders earn 5-10% more than associate’s degree holders
- Specialty certifications (e.g., dosimetry) boost earnings
2. Work Setting
- Hospital-based therapists typically earn more than clinic staff
- Travel radiation therapists make $2,000-$3,000/week with housing stipends
3. Experience & Skills
- First-year therapists average $66K-$75K
- 5+ years experience can reach $90K-$110K
- Proton therapy experience commands premium pay
4. Geographic Demand
- Urban areas offer higher base salaries
- Rural locations may provide signing bonuses
Radiation Therapist Job Outlook (2024-2034)
- Projected Growth: 7% (Faster than average) (BLS)
- Key Growth Factors:
- Aging population needing cancer treatment
- Advances in radiation technology
- Increased outpatient cancer care
This makes radiation therapy a stable, recession-resistant career with strong salary potential.
How to Increase Your Radiation Therapist Salary
1. Earn Advanced Certifications
- Radiation Therapy Dosimetrist certification (+$15K-$25K)
- Quality Management specialization
2. Develop Technical Expertise
- Master new technologies like:
- IMRT (Intensity-Modulated Radiation Therapy)
- SBRT (Stereotactic Body Radiation Therapy)
3. Consider Travel Positions
- 13-week contracts pay 40-60% more than staff roles
- Great way to gain diverse experience
4. Move Into Leadership
- Chief Therapist roles reach $110K-$130K
- Education/Clinical Instructor positions offer salary bumps
Radiation Therapist Career Progression
Career Stage | Typical Salary | Next Steps |
---|---|---|
Staff Therapist | $66K-$85K | Gain ARRT certification |
Senior Therapist | $86K-$100K | Specialize in advanced modalities |
Lead Therapist | $101K-$115K | Supervise department |
Chief Therapist | $116K-$130K+ | Manage entire radiation oncology program |
Key Terms to Know
- ARRT: American Registry of Radiologic Technologists (certifying body)
- Linear Accelerator: Primary radiation delivery machine
- Dosimetrist: Plans optimal radiation doses (+higher salary)
FAQs About Radiation Therapist Salaries
❓ Do radiation therapists make more than X-ray techs?
✅ Yes! Radiation therapists earn ~30% more due to specialized training.
❓ What’s the highest-paying radiation therapist specialty?
🏆 Medical dosimetrists average $120K-$150K with certification.
❓ Is radiation therapy a stressful job?
⚠ It can be emotionally demanding but offers excellent work-life balance (typically no nights/weekends).
Challenges to Consider
⚠ Emotional Aspects: Working with cancer patients daily
⚠ Continuing Education: Required to maintain certification
⚠ Limited Advancement: Without additional certifications
Final Verdict: Is Radiation Therapy Worth It?
With strong salaries, positive job outlook, and meaningful work, radiation therapy offers an excellent healthcare career path. By specializing and gaining experience, you can earn six figures while making a real difference in patients’ lives.
Ready to start your journey? Explore accredited radiation therapy programs today!
Have more questions about radiation therapist careers? Ask below—we’ll help you plan your path!