#20ROI
#13AI Resistance
#16Highest Paying

Radiation Therapist

Radiation Therapists are highly skilled healthcare professionals who play a critical role in cancer treatment by administering precise doses of radiation therapy to destroy tumor cells while protecting healthy tissue.

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Getting Started

How to Become a Radiation Therapist

At 4.3 years to get started, this is faster than the 4.9 years average for Bachelor's Degree-level careers.

1

Complete Education

Earn your Bachelor's Degree (typically 4.3 years) at an estimated cost of $69k–$145k.

2

Get Licensed or Certified

Complete any state-required licensing or certification exams for radiation therapist practice.

3

Begin Working

Radiation Therapist earn a median salary of $102k/yr, with entry-level positions starting somewhat lower.

Education costs from College Scorecard. Training timelines from BLS Occupational Outlook Handbook.

Pathway quick answers

  • How do you become a Radiation Therapist?Complete required education, licensing, and supervised training for Radiation Therapist.
  • How long does it take?Typical path to first paid role: 4.3 years.
  • How much does it cost?Estimated education and training cost range: $69k-$145k (living expenses excluded).

Estimates use College Scorecard tuition data plus cited pathway and licensing requirements.

Overview

What Does a Radiation Therapist Do?

Radiation Therapists are highly skilled healthcare professionals who play a critical role in cancer treatment by administering precise doses of radiation therapy to destroy tumor cells while protecting healthy tissue. Working as vital members of the oncology team alongside radiation oncologists, medical physicists, dosimetrists, and nurses, they operate sophisticated equipment like linear accelerators to deliver life-saving treatments to patients facing serious illnesses. Beyond the technical expertise required to operate complex machinery and utilize advanced technologies like Image-Guided Radiation Therapy (IGRT) and Stereotactic Body Radiation Therapy (SBRT), radiation therapists provide essential emotional support and education to patients and families navigating cancer treatment.

On the Job

Operate linear accelerators and other radiation therapy equipment to deliver prescribed treatment doses
Position and immobilize patients using custom devices to ensure reproducible setup for each treatment session
Perform CT simulations to localize tumors and create treatment planning images
Verify treatment accuracy using Image-Guided Radiation Therapy (IGRT) systems like Cone-Beam CT and Surface-Guided Radiation Therapy
Conduct daily quality assurance checks on radiation therapy equipment to ensure safety and accuracy
Explain treatment procedures and potential side effects to patients and their families
Monitor patients for physical and emotional responses to treatment and provide supportive care
Maintain detailed radiation oncology medical records documenting doses, patient observations, and treatment verification

Compensation

How Much Does a Radiation Therapist Make?

At $102k/yr, radiation therapist earn more than most Bachelor's Degree-level careers, where the average is $69k/yr.

$102k/yr

median annual salary

10th percentile90th percentile
$61k/yr$102k/yr median$153k/yr

How It Compares

CareerMedian Salary
Radiation Therapist$102k/yr
EKG/ECG Technician$67k/yr
Ultrasound Technician$89k/yr
Diagnostic Medical Sonographer$89k/yr
Cardiovascular Technician$67k/yr

Source: Bureau of Labor Statistics, May 2024

After investing roughly $107k in education, radiation therapist typically begin earning within 4.3 years. Based on entry-level salaries of $76k/yr growing toward a $102k/yr median. The average education cost for Bachelor's Degree-level careers is $110k.

Radiation Therapist ROI

Net earnings over 20 years

$1.4M

Pre-tax 20-year estimate after required education and training costs; taxes and living expenses excluded.

How the 20-year estimate is calculated

Gross earnings$1.5M
Education/training costs-$107k
Net earnings$1.4M

Radiation Therapist Career ROI (20-year net earnings)

Track how education costs and earnings typically accumulate from enrollment through year 20.

EducationTraining/LicensingCareer

Cumulative net earnings (USD)

The full chart keeps 20-year context. The detail chart below zooms in on early pathway years.

Sources: BLS, Accreditor, AccreditorSee Sources and methods.

Early-years detail

Years 0-8

Years 0-8. Scaled to early-year values. Black markers show key checkpoints.

Quick answers

  • Is becoming a Radiation Therapist financially worth it?Typical 20-year net estimate: $1.4M (pre-tax, living expenses excluded).
  • How much does training cost for a Radiation Therapist?Estimated required education and licensing cost to become a Radiation Therapist: $107k (range used: $69k-$145k). Breakdown: Bachelor's Degree in Radiation Therapy: $106k; ARRT Radiation Therapy Certification: $225; State Licensure: $200.
  • How long does it take to become a Radiation Therapist?Typical time to first paycheck is about 4.3 years. Typical time to enter the target Radiation Therapist role is about 4.3 years.
  • How do you become a Radiation Therapist?See How to Become for pathway steps, timing, and credential requirements.
Detailed math

How 20-year net is built from each training and career phase.

PhaseTime windowGross earningsEducation/training costNet contributionSources

Bachelor's Degree in Radiation Therapy

Education

Years 0-3 (m0-m47)$0-$106,324-$106,324

ARRT Radiation Therapy Certification

Training/Licensing

Year 4 (m50-m50)$0-$225-$225

State Licensure

Training/Licensing

Year 4 (m52-m52)$0-$200-$200

Entry-Level Radiation Therapist

Career

Years 4-19 (m52-m239)$1,540,096$0$1,540,096

Model reconciliation

Reconciliation

Years 0-20 (m0-m239)-$63$0-$63None
20-year totals$1,540,033-$106,749$1,433,284Matches 20-year ROI formula
Sources and methods

Assumptions

  • Pathway sequence and timing follow the cited training and licensing pathway for this role.BLS
  • Earnings benchmarks come from cited occupation wage references.BLS
  • Education and training cost uses College Scorecard tuition and cited pathway fees when needed.College Scorecard
  • Cost allocation follows a model rule: short completed steps post in completion year; longer tuition steps are spread across phase years.Model ruleBLSCollege Scorecard
  • Taxes and living expenses are excluded from this estimate.Model rule

Future-Proofing

Radiation Therapist Job Outlook (2024–2034)

Employment Growth

The BLS projects 1.2% growth over the next decade — slower than the 5.5% average for Bachelor's Degree-level careers.

10-Year Growth

1.2%

Little or no change

Current Employment

18,700

jobs nationwide

AI Impact

Moderate AI Impact

Radiation Therapist roles have moderate AI impact — roughly average AI exposure among Bachelor's Degree-level careers. AI tools augment several tasks, but core duties still require human expertise. Core responsibilities like state licensing requirements require human presence and judgment that AI cannot replicate.

Why It's Safe

  • +Assisting and caring for others
  • +Establishing and maintaining interpersonal relationships
  • +Performing general physical activities
  • +Handling and moving objects
  • +Developing and building teams
State Licensed

What Could Be Automated

  • Controlling machines and processes
  • Documenting/recording information
  • Performing for or working directly with the public
  • Working with computers
  • Getting information

Based on evidence-based AI impact methodology and Bureau of Labor Statistics projections

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Sources

These references are used to build salary, training-path, and job-outlook estimates shown on this page.

Advanced Methodology

Education cost source id: college_scorecard_2025

Source update dates: BLS OEWS: 2024-05 · BLS Projections: 2024-09 · O*NET: 2024-12