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Career profile · 29-1124

Radiation Therapists

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.

What the work can involve

  • 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.

Selected core tasks from O*NET 31.0. Responsibilities vary by employer, specialization and experience.

Preparation and entry routes

O*NET Job Zone 3: Medium preparation

This broad O*NET group commonly involves vocational training, related experience or an associate-level route. It does not mean every course in a related subject meets the requirements.

Check the route for the specific occupation where you plan to work. Education, employer experience requirements, occupational licensing and industry certification can be separate steps.

Understand the different credentials →

Skills used in this occupation

  • Active Listening
  • Reading Comprehension
  • Critical Thinking
  • Monitoring
  • Speaking

Selected from the highest importance ratings available in O*NET 31.0. These describe the occupation, not a particular school's curriculum.

Knowledge to build

  • Customer and Personal Service
  • English Language
  • Medicine and Dentistry
  • Physics
  • Mathematics

Selected from the highest importance ratings available in O*NET 31.0. These describe the occupation, not a particular school's curriculum.

Common work activities

  • Assisting and Caring for Others
  • Controlling Machines and Processes
  • Inspecting Equipment, Structures, or Materials
  • Documenting/Recording Information
  • Identifying Objects, Actions, and Events

Selected from the highest importance ratings available in O*NET 31.0. These describe the occupation, not a particular school's curriculum.

Training subjects to investigate

The federal education-to-occupation crosswalk connects this role to the subjects below. These links do not endorse a school or guarantee that any particular award qualifies a graduate for the job.

Working conditions to consider

These are the most common published responses to selected O*NET work-setting questions. They describe occupation-level survey findings, not every employer or a particular job.

Work-setting questionMost common responseShare giving that response
Contact With OthersConstant contact with others98.2%07/2013 · sample 36
Exposed to ContaminantsNever31.6%07/2013 · sample 36
Exposed to Disease or InfectionsEvery day87.1%07/2013 · sample 36
Exposed to Hazardous ConditionsNever52.0%07/2013 · sample 36
Spend Time SittingLess than half the time73.5%07/2013 · sample 34
Spend Time StandingMore than half the time36.9%07/2013 · sample 36
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or ControlsContinually or almost continually61.1%07/2013 · sample 36
Time PressureEvery day71.5%07/2013 · sample 36
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life JacketsEvery day35.2%07/2013 · sample 35
Work SchedulesRegular (established routine, set schedule)95.3%07/2013 · sample 36

O*NET 31.0 Work Context, selected topics. Only unsuppressed source responses with sample size at least 10 are shown. A most-common response need not be a majority. Sampling uncertainty applies; source dates vary. Ask employers about actual schedules, accessibility, protective equipment and working conditions.

Software used in the workplace

Use these O*NET examples to ask how a course builds practical digital skills. They are workplace examples, not a required shopping list or confirmation of a school’s curriculum.

  • Development environment software: Eclipse IDE
  • Graphics or photo imaging software: Image processing software
  • Internet browser software: Web browser software
  • Medical software: Beam analysis software, Dose unit calculation software, Electronic medical record EMR software, Epic Systems
  • Office suite software: Microsoft Office software
  • Spreadsheet software: Microsoft Excel
  • Word processing software: Microsoft Word

Selected categories and examples from O*NET 31.0 Software Skills. Products and employer requirements change. These examples are not endorsements; check the complete official occupation profile.

Pay & employment outlook

Salary estimates for radiation therapists

National median annual wage$105,310May 2025 · existing wage and salary workers
National median hourly wage$50.63May 2025 · where BLS publishes hourly pay
Middle 50% of annual wages$92,060–$126,34025th–75th percentile · not an entry-level pay range
Estimated employment17,070May 2025 · excludes self-employed workers

The median divides workers into two equally sized groups by pay. It is not a starting salary, a school’s graduate outcome or a promise of employment. Lower percentiles are not automatically new graduates.

National outlook: 2025–2035

Projected employment change+2.8%17,400 to 17,900 jobs
Projected openings per year700Annual average · growth plus replacement needs
Typical education for entry
Associate's degree
Related work experience
None
Typical on-the-job training
None

BLS national employment projections, 2025–2035. Openings include people leaving occupations or the labor force; these are not advertised vacancies. Education categories describe typical entry, not legal eligibility or a guarantee that any specific program is sufficient.

Compare wages across 46 state/DC estimates
May 2025 cross-industry wage estimates for Radiation Therapists
StateAnnual medianHourly medianEmployment
Alabama$87,330$41.99120
Arizona$108,760$52.29410
Arkansas$78,950$37.9680
California$166,450$80.021,720
Colorado$108,020$51.93320
Connecticut$116,170$55.85110
District of Columbia$100,250$48.2070
Florida$100,920$48.521,280
Georgia$94,460$45.41470
Hawaii$125,520$60.35Not published
Idaho$99,660$47.92100
Illinois$124,600$59.91Not published
Indiana$96,690$46.49360
Iowa$81,610$39.24120
Kansas$108,830$52.32240
Kentucky$97,760$47.00170
Louisiana$94,710$45.54230
Maine$101,980$49.03140
Maryland$107,120$51.50250
Massachusetts$106,300$51.10330
Michigan$95,890$46.10450
Minnesota$98,000$47.11210
Mississippi$88,100$42.3670
Missouri$99,890$48.03420
Montana$105,400$50.6750
Nebraska$98,670$47.44120
Nevada$92,990$44.71110
New Hampshire$106,270$51.0960
New Jersey$129,460$62.24600
New Mexico$100,010$48.08100
New York$129,620$62.32820
North Carolina$99,250$47.72710
Ohio$98,650$47.43690
Oklahoma$98,390$47.30120
Oregon$131,600$63.27160
Pennsylvania$100,540$48.34560
South Carolina$100,790$48.46200
South Dakota$97,470$46.86Not published
Tennessee$83,520$40.15350
Texas$105,770$50.851,000
Utah$107,660$51.7670
Vermont$101,060$48.5950
Virginia$103,310$49.67500
Washington$125,880$60.52540
West Virginia$71,590$34.42120
Wisconsin$93,600$45.00550

Metropolitan and nonmetropolitan wages

Search the 77 published local-area estimates for this occupation. Metropolitan areas can cross state lines; a city’s postal name is not necessarily the statistical area’s name.

Sources: BLS May 2025 OEWS public downloads and 2025–2035 employment projections, retrieved September 9, 2026. Unpublished estimates stay unavailable. “+” means BLS’s upper reporting threshold ($239,200 annually or $115 hourly). Wages exclude self-employment and nonwage benefits. How to interpret these figures.

Compare the route and prepare for work

Questions to test the fit

  1. What does an entry-level working day look like, and how does it differ from the experienced role described here?
  2. Which tasks, work environments and schedules would I enjoy or find difficult?
  3. What education, supervised practice and credentials do local employers actually request?
  4. Can I speak with someone in the occupation or arrange a suitable workplace visit?
  5. How does the complete training cost compare with my realistic budget and available routes?
Use the career-change checklist →

Related occupations to compare

Related through shared training-subject mappings. Entry requirements can differ substantially.

Sources and attribution

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 CC BY 4.0. Trade School Guides selects and organizes the material and adds explanatory guidance. USDOL/ETA has not approved, endorsed or tested these modifications. Occupation code: 29-1124.00.

Training connections: CIP 2020–SOC 2018 crosswalk. Snapshot: September 8, 2026. See the methodology.