Career comparison

Radiation Therapist vs. Radiologic Technologist

Side-by-side pay, training, growth and day-to-day duties to help you choose between two related careers.

Updated By the Career Education Institute Curriculum Team
Radiation Therapist vs. Radiologic Technologist: the short answer

Radiation therapists earn more at the median ($105,310 vs. $80,110), while radiation therapists usually get to work faster (2–4 years of training). Radiation therapists deliver radiation treatments to patients with cancer. Radiologic technologists take the X-rays and diagnostic images doctors use to find fractures, disease and injuries.

Pay data: BLS OEWS, May 2025 · Outlook: BLS 2025–35 · Checked October 15, 2026

Radiation TherapistRadiologic Technologist
Median pay$105,310 ($50.63/hr)$80,110 ($38.52/hr)
Pay range (10th–90th)$80,560 – $156,710$55,980 – $118,660
Job growth, 2025–35+2.8% (about as fast as average)+5.0% (faster than average)
Openings per year70013,000
Typical entry educationAssociate's degreeAssociate's degree
Training time2–4 years2 years
Key credentialARRT Radiation Therapy certificationARRT Radiography (R)
Work settingRadiation therapists work in hospitals and cancer treatment centers..Technologists work in hospital radiology departments, emergency departments, imaging centers and clinics.

What each job does

Radiation Therapist

  • Position patients for treatment
  • Use imaging to verify setup
  • Operate linear accelerators
  • Deliver prescribed radiation doses
  • Monitor patients during treatment

Radiologic Technologist

  • Review imaging orders and confirm patient identity
  • Explain procedures and answer patient questions
  • Position patients and equipment for the correct views
  • Set exposure factors and capture diagnostic images
  • Apply radiation protection for patients, staff and yourself

How they’re similar

Both careers involve helping others, high-pay, indoor work, and teamwork. Both are part of the healthcare field, so many skills transfer between them.

Which should you choose?

Choose radiation therapist if…

  • I want to help cancer patients
  • I’m precise
  • I like technology

Choose radiologic technologist if…

  • I’m interested in anatomy and how the body works
  • I like technology and equipment
  • I can stay calm with patients in pain

Still torn? Take the Radiation Therapist fit quiz and the Radiologic Technologist fit quiz, or the full Career Match Quiz.

Quick comparisons

Which pays more, radiation therapist or radiologic technologist?

Radiation Therapists earn more at the median: $105,310 versus $80,110 for radiologic technologists, based on BLS May 2025 data.

Which takes less time to train for?

Radiation Therapists typically train faster (2–4 years) than radiologic technologists (2 years).

Which career has better job growth?

BLS projects radiologic technologists to grow +5.0% from 2025–35, compared with +2.8% for radiation therapists.