Updated for 2026

Radiation Therapist Salary in 2026

This Radiation Therapist salary guide for 2026 centers on Careerclev's modeled national salary benchmark, built from the latest official BLS wage baseline and extended with wage trend history, employment outlook, and tech-market signals where available. It covers average salary, hourly pay, experience bands, salary by city, salary by state, industry premiums, in-demand skills, and long-term job outlook so readers can compare what drives higher compensation.

Last updated: 202618,700 employment estimateFull salary breakdown12 min read
Average Salary
$118K
per year (USA)
Entry Level
$89.8K
starting range
Senior Level
$139K
upper percentile
Top Earners
$183K+
lead / principal
Hourly Rate
$56
avg. equivalent
Salary figures projected to 2026  from May 2024BLS OEWS baseline·  Projections use wage history, employment outlook, and tech-market signals where available
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What Does a Radiation Therapist Earn?

Careerclev's modeled 2026 benchmark places Radiation Therapist pay at $117,515 per year in the United States. On the latest official 2024 BLS wage baseline, the lower end of the Radiation Therapist salary range starts around $77,860.0, while experienced professionals and top earners can reach $141,550 or more.

That national figure is only the starting point. In practice, pay for this role changes quickly once location, industry, experience level, and specialization enter the picture. A Radiation Therapist working in San Jose, CA or a stronger salary industry like Wholesale Trade may see a very different salary path than someone in a lower-cost market, especially when skills like role-specific skills and advanced tools define the role.

Key 2026 BenchmarkThe national median Radiation Therapist salary is $117,515, with an estimated hourly equivalent of $56.

What Radiation Therapist Professionals Do

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.

Typical Responsibilities

Position patients for treatment with accuracy, according to prescription.
Core
Administer prescribed doses of radiation to specific body parts, using radiation therapy equipment according to established practices and standards.
Core
Follow principles of radiation protection for patient, self, and others.
Core
Review prescription, diagnosis, patient chart, and identification.
Core
Conduct most treatment sessions independently, in accordance with the long-term treatment plan and under the general direction of the patient's physician.
Core
Enter data into computer and set controls to operate or adjust equipment or regulate dosage.
Core
Related job titlesComputed Tomography Simulation Therapist (CT Simulation Therapist), Dosimetrist, Radiation Therapist (RT), Radiation Therapy Technologist (RTT), Registered Radiation Therapist, Staff Radiation Therapist

Radiation Therapist Salary by Experience Level

Experience is one of the strongest salary drivers for Radiation Therapist roles. Entry-level workers usually sit closer to the lower salary band while senior, lead, and principal-level professionals move into higher ranges as they take on ownership, decision-making, mentoring, and more specialized work.

That progression matters because the headline median can hide how wide the real pay ladder is. For some roles, early-career pay stays close to the middle; for others, the gap between first-job pay and senior pay is large enough to change how attractive the path looks over time.

LevelExperienceAvg. Base SalaryEstimated Total PayGrowth vs Previous
Entry Level Radiation Therapist0-2 years$89,758.0$94.2K - $105KN/A
Mid Level Radiation Therapist3-5 years$117,527$109K - $151K+30.9%
Senior Level Radiation Therapist6-10 years$138,727$133K - $184K+18.0%
Lead / Principal Radiation Therapist10+ years$163,154$162K - $214K+17.6%
How to read the experience tableThe cards show the quick salary story, while the table gives a more detailed view of how Radiation Therapistpay can move from entry-level work into senior and lead responsibility.

Radiation Therapist Salary by City

City salary differences matter because Radiation Therapist jobs are tied to local employer demand, cost of living, and industry concentration. Markets like San Jose, CA and San Francisco, CA can pay very differently even when the job title looks the same on paper.

That is why city pages are often more useful than national averages once you are actively job searching. They show whether a stronger nominal salary comes from a genuinely better market, a more specialized employer mix, or simply a more expensive metro.

United States — City Comparison

CityProjected SalaryVs. National BenchmarkCost of Living Signal
San Jose, CA$187,700+60%High salary market
San Francisco, CA$184,470+57%High salary market
Sacramento, CA$168,410+43%High salary market
California$160,040+36%High salary market
San Diego, CA$159,600+36%High salary market
Los Angeles, CA$155,360+32%High salary market
Seattle, WA$132,230+13%Competitive
New York, NY$131,490+12%Competitive
Washington$129,100+10%Competitive
Oregon$125,680+7%Competitive
City salary pictureA higher Radiation Therapist salary in a major metro does not always mean higher take-home value. Housing, taxes, commuting, and remote-work flexibility can change the real outcome.
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Radiation Therapist Salary by Industry

Industry can change a Radiation Therapist salary as much as geography. Employers in Wholesale Trade may pay more when the role sits close to revenue, regulated operations, complex infrastructure, or scarce technical expertise.

IndustryProjected SalaryBonus PotentialJob SecurityGrowth Pace
Wholesale Trade$126,980HighStrongFast
Educational Services$105,610HighStrongFast
Administrative, Support, Waste Management, and Remediation Services$104,880HighStrongFast
Government, Schools, Hospitals, and Postal Service$102,380ModerateStrongFast
Health Care and Social Assistance$101,940ModerateStrongModerate
Professional, Scientific, and Technical Services$81,480.0ModerateModerateModerate

The strongest-paying industries for Radiation Therapist roles usually combine higher budgets with urgent business needs. Use this table to compare not only salary, but also the tradeoff between upside, stability, and long-term growth.

Radiation Therapist Salary by Skill Specialization

Skills shape salary because they tell employers what kind of problems a Radiation Therapist can solve. Strong signals around role-specific skills, advanced tools, tools, platforms, analysis, communication, and domain knowledge can help candidates move from average pay into stronger compensation bands.

Common tool stackO*NET maps Radiation Therapist work to tools such as eClinicalWorks EHR software, Microsoft Excel, Image processing software, and Eclipse IDE.
role-specific skills can raise the ceilingThe most valuable Radiation Therapist skills are the ones connected to business-critical work, scarce tools, and hard-to-fill responsibilities. Pairing role-specific skills with advanced tools can make a candidate easier to price at the top of the salary range.

Remote vs Onsite vs Hybrid — Salary Comparison

Remote, onsite, and hybrid pay can shift the salary story for Radiation Therapist jobs. Remote roles often widen the hiring market, while onsite roles may pay more in expensive metros when employers need local availability, team coverage, or specialized workplace access.

Work TypeAvg. BaseExperienceBenefitsFlexibility
Remote Radiation Therapist$117,515Market dependentVariableHigh
Hybrid Radiation Therapist$121,040Metro dependentStrongMedium
Onsite Radiation Therapist$118,690Location dependentStrongLower

Hybrid roles can carry a small premium in high-cost cities, while fully remote roles can be especially powerful for workers outside the most expensive labor markets. The best comparison is total pay after location, taxes, commuting, and lifestyle costs.

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How to Become a Radiation Therapist

The most common path into Radiation Therapist work is to pair the expected baseline education with early hands-on practice and proof that you can handle the core responsibilities of the role. Candidates move faster when they can connect training, projects, internships, or prior adjacent work to the exact kinds of tasks employers hire radiation therapist professionals to do.

If you want the fuller step-by-step version, open the full How to Become a Radiation Therapist guide.

Practical shortcutThe strongest early candidates for Radiation Therapist jobs usually show job-relevant work samples, clear fundamentals, and evidence that they can contribute with limited supervision.
Knowledge areas employers associate with this roleCustomer and Personal Service, English Language, Medicine and Dentistry, and Physics.

Radiation Therapist Work Environment

Work environment can shape job fit just as much as salary. For Radiation Therapist, the day-to-day experience may vary based on employer type, digital vs on-site workflows, collaboration intensity, schedule predictability, and how much independent judgment the role requires.

Common work-style signalsO*NET highlights Attention to Detail, Cooperation, Empathy, and Dependability for Radiation Therapist work.
Contact With Others
How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?
Physical Proximity
To what extent does this job require the worker to perform job tasks physically close to other people?
Importance of Being Exact or Accurate
How important is being very exact or highly accurate in performing this job?
Exposed to Disease or Infections
How often does this job require exposure to disease/infections?
E-Mail
How frequently does your job require you to use E-mail?
Face-to-Face Discussions with Individuals and Within Teams
How frequently does your job require face-to-face discussions with individuals and within teams?

Entry-Level Radiation Therapist Salary Expectations

Entry-level Radiation Therapist salary expectations should be viewed as a starting range, not a ceiling. New workers in this role often earn around $89,758.0, with pay rising as they build practical experience, stronger judgment, better tools, and a clearer track record of delivering work without close supervision.

Internship / Trainee
$43/hr
$67.3K - $103K annualized
Early practical exposure, supervised assignments, portfolio building, and conversion into a first full-time role.
New Grad / Junior
$89.8K
$89.8K - $99.7K base
First full-time Radiation Therapist roles reward candidates who can show useful work, reliable fundamentals, and coachability.

Typical Promotion Timeline

Promotions usually follow the move from supervised work to independent delivery, then to broader ownership. Switching employers can sometimes accelerate salary growth when the current role has a narrow pay band.

StageTypical TimelineSalary JumpKey Milestone
Intern → JuniorInternship → first role$16.2K - $28.7KFirst full-time offer
Junior → Mid18-30 months$14.1K - $25.9KDeliver work independently
Mid → Senior2-4 years$16.6K - $30.5KOwn larger outcomes
Senior → Lead3-6 years$19.6K - $40.8KInfluence teams or strategy

Radiation Therapist Career Progression & Salary Path

This step is useful because experience level and career progression are related, but not identical. The pay path below shows how compensation tends to widen as the work moves from narrower execution into broader ownership and leadership scope.

1
Intern / Trainee
$59.2K$79.6K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.
2
Junior
$73.4K$96.9K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.
3
Mid Level
$91.8K$114K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.
4
Senior
$110K$143K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.
5
Lead
$131K$165K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.
6
Principal / Architect
$153K$209K
Radiation Therapist compensation at this stage usually reflects broader responsibility, stronger judgment, and more independent ownership of outcomes.

Factors That Affect a Radiation Therapist's Salary

A Radiation Therapist salary is rarely determined by job title alone. Employers also price the role based on education, certifications, tools used, industry setting, workplace responsibility, and how difficult it is to find qualified candidates with the same mix of skills.

Years of Experience
Salary usually rises as the role moves from entry-level execution to independent ownership, mentoring, and broader decision-making.
Location and Cost of Living
Local salary ranges vary by labor market, employer density, and household-income context.
Industry
Industry pay can vary when employers in higher-margin or harder-to-staff sectors compete for the same occupation.
Specialized Skills
O*NET marks high-demand role-specific skills as relevant skills for this role, making them useful anchors for specialization and salary-growth content.

Radiation Therapist Job Demand & Market Outlook

The Radiation Therapist job outlook matters because demand affects hiring, salary growth, and how much leverage qualified workers have. The current projection points to 1.9% employment change from 2024 to 2034, which helps explain whether employers are likely to keep competing for qualified talent.

Salary is easier to interpret when it sits next to a demand signal. Strong wages in a shrinking field can tell a very different story from strong wages in a role where openings, replacement demand, and market expansion are all still active.

BLS Employment ProjectionEmployment is projected to change by 1.9% from 2024 to 2034.
About averageAnnual openings: 0.9 thousand.
Metric2026 Status
Projected employment19.2k → 19.6k
Typical educationMost occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
Related experiencePrevious work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
Remote job availabilityMeaningful for roles with portable work and digital workflows
Salary market signalMedian pay of $117,515 suggests a high-value compensation track.

How to Increase Your Radiation Therapist Salary

The most reliable way to increase a Radiation Therapist salary is to make your value easier for employers to measure. That usually means building stronger evidence around outcomes, expanding into higher-value skills, moving toward better-paying industries, and negotiating with current market salary data in hand.

StrategyAvg. Salary ImpactTimelineEffort Level
Benchmark against stronger markets+15-30%1-3 monthsHigh ROI
Build a visible specialization$14.1K - $32.9K3-9 monthsMedium
Target higher-paying industries$9.4K - $21.2K2-6 monthsMedium
The fastest salary liftFor many Radiation Therapist professionals, the fastest path is a focused mix of stronger proof, higher-value skills, and better market selection. Salary gains usually come faster when candidates combine a clear portfolio with targeted applications and negotiation.

Radiation Therapist vs Similar Career Salaries

Comparing Radiation Therapist salary with Family Medicine Physician and other nearby careers helps show whether this job title is underpaid, fairly priced, or part of a stronger salary path. These comparisons are useful when choosing between roles, planning a career move, or deciding which skills to build next.

Family Medicine Physician
$238K
Related role
Above baseline
General Internal Medicine Physician
$236K
Related role
Above baseline
Urologist
$236K
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Prosthodontist
$234K
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Psychiatrist
$227K
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Neurologist
$224K
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Nurse Anesthetist
$223K
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Above baseline
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Frequently Asked Questions

These questions usually come up after readers compare the national salary, experience bands, and city differences. Together they clarify how to read the salary data and what to pay attention to when you compare this role with nearby careers.

What is the average Radiation Therapists salary?
The latest national baseline for Radiation Therapists is about $102,000 per year, based on the current BLS-derived salary facts in CareerClev.
What is the entry-level Radiation Therapists salary?
Entry-level estimates for Radiation Therapists are modeled around the lower BLS percentile range, currently about $77,900 per year nationally.
How much can senior Radiation Therapists professionals earn?
Senior Radiation Therapists estimates are modeled from upper percentile wage bands and currently sit around $120,400 per year nationally.
Does location affect Radiation Therapists salary?
Yes. CareerClev stores salary facts by national, state, and metro locations, so location-specific pages should use the closest available geography instead of a single national number.
Which skills matter for Radiation Therapists salary growth?
CareerClev uses O*NET skill importance and level scores to identify role-relevant skills. These are useful for recommendations, but should not be presented as measured salary premiums unless enriched compensation data exists.
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Data Sources & Methodology
Updated using 2024 BLS OEWS salary facts, O*NET occupation-skill data, Census location context where available, ILOSTAT country benchmarks where mapped, BLS Employment Projections where imported, and Stack Overflow Developer Survey enrichment for mapped tech roles.
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