Radiation Therapist vs Radiology Tech: pay, outlook, education and work, side by side.
Every row comes from one named source and says which career leads on that one dimension. There is no overall score.
Radiation Therapist vs Radiology Tech: BLS classifies them as different occupations (SOC 29-1124 and 29-2034). The national median annual wage is $105,310 for radiation therapists and $80,110 for radiology techs (BLS, May 2025). BLS projects national employment to change +2.8% for radiation therapists and +5.0% for radiology techs from 2025 to 2035. Typical entry-level education: Associate's degree vs Associate's degree. Which fits better depends on what you value; the table shows who leads on each dimension, with no overall winner.
Side by side
Data Differences smaller than a stated threshold read “About the same” (pay 5%, growth 2 points, openings 10%, one education level, ORS 10 points, O*NET 0.2).
Pick what matters to you; the matching rows are highlighted. Nothing is combined into a score.
| Dimension · source | Radiation TherapistSOC 29-1124 | Radiology TechSOC 29-2034 | Leads on this dimension |
|---|---|---|---|
| Median annual wageBLS OEWS, May 2025 (national) | $105,310 | $80,110 | Radiation Therapist |
| EmploymentBLS OEWS, May 2025 | 17,070 | 230,490 | Not ranked |
| Projected employment change, 2025–35BLS Employment Projections (national) | +2.8% | +5.0% | Radiology Tech |
| Projected numeric change in jobs, 2025–35BLS Employment Projections (national) · A count, not a rate: it scales with the size of the occupation. | +500 jobs | +11,800 jobs | Not ranked |
| Projected openings (annual average)BLS Employment Projections, 2025–35 | 700 a year | 13,000 a year | Radiology Tech |
| Typical entry-level educationBLS Employment Projections · typical, not a legal requirement | Associate's degree | Associate's degree | About the same |
| Typical work experience in a related occupationBLS Employment Projections | None | None | About the same |
| Typical on-the-job trainingBLS Employment Projections | None | None | Not ranked |
| Pressure level (O*NET, 1–5; lower = less)O*NET® 31.0 work context | 4.04 | 4.00 | About the same |
| Social-contact level (O*NET, 1–5)O*NET® 31.0 work context · not ranked: neither direction is better | 4.48 | 4.37 | Not ranked |
| Freedom to make decisions (O*NET, 1–5)O*NET® 31.0 work context | 4.14 | 3.89 | Radiation Therapist |
| Work styles O*NET rates most importantO*NET® 31.0 work styles (occupation ratings, not a personality test) | Attention to Detail, Cooperation, Empathy | Attention to Detail, Dependability, Cautiousness | Not ranked |
Choose based on what matters to you
Data Each line restates a measured difference from the table; nothing here predicts how you will feel about a job.
- higher median pay matters most ($105,310 vs $80,110)
- more decision-making freedom matters (4.14 vs 3.89)
- faster projected national growth matters (+5.0% vs +2.8%)
Which skills each one leans on
Data O*NET 31.0 skill ratings: level (0–7) and importance.
Skill-profile match: 43% (similarity of the two O*NET skill profiles, importance × level; 100% = identical).
- Operations Analysis (+2.6 on O*NET's 0–7 skill-level scale)
- Equipment Maintenance (+1.5 on O*NET's 0–7 skill-level scale)
- Science (+1.2 on O*NET's 0–7 skill-level scale)
- Repairing (+1.2 on O*NET's 0–7 skill-level scale)
No skill is rated meaningfully higher than for Radiation Therapist.
What each career involves
Data Core tasks from O*NET 31.0.
Radiation Therapist
- 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.
Radiology Tech
- Explain procedures and observe patients to ensure safety and comfort during scan.
- Process exposed radiographs using film processors or computer generated methods.
- Record, process, and maintain patient data or treatment records and prepare reports.
- Prepare contrast material, radiopharmaceuticals, or anesthetic or antispasmodic drugs under the direction of a radiologist.
Largest employing industries
Data Share of all jobs in each occupation, BLS Employment Matrix 2025.
Radiation Therapist
- Hospitals; state, local, and private (60.0% of all jobs in this occupation)
- Ambulatory healthcare services (35.5% of all jobs in this occupation)
- Administrative and support services (1.9% of all jobs in this occupation)
Radiology Tech
- Hospitals; state, local, and private (59.5% of all jobs in this occupation)
- Ambulatory healthcare services (31.7% of all jobs in this occupation)
- Administrative and support services (3.3% of all jobs in this occupation)
Moving between these careers
Data The comparison shows which; the career-change guides show how.
- Radiation Therapist → Radiology Tech: skills to build: no skill rated half a point higher.
- Radiology Tech → Radiation Therapist: skills to build: Operations Analysis, Equipment Maintenance, Science.
Go deeper
Radiation Therapist career hub · Radiation Therapist salary · Radiation Therapist how to become · Radiology Tech career hub · Radiology Tech salary · Radiology Tech how to become
Common questions
Which pays more, Radiation Therapist or Radiology Tech?
Which is growing faster?
Which is better?
How this page is built
BLS classifies them as different occupations (SOC 29-1124 and 29-2034). Pay: BLS OEWS May 2025 national median for each occupation's SOC code. Outlook: BLS Employment Projections 2025–35 (growth, numeric change and annual openings are separate metrics). Requirements rows: 2025 preliminary BLS Occupational Requirements Survey, shown only when both roles have detailed-occupation estimates. Work environment: O*NET 31.0 work context. 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 the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. TryHired has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications. Searches this page answers include “radiation therapist vs radiology tech”, “radiation therapist vs radiology tech salary”, “radiation therapist vs rad tech” (Ahrefs, U.S.).
- Any one employer's pay, schedule or culture.
- Job security, ease of hiring or work-life balance: these are not measured here.
- Which career you will prefer: the rows describe the occupations, not you.
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates (public domain).
- U.S. Bureau of Labor Statistics, Employment Projections program, 2025–35 national projections (growth, openings, typical entry-level education and experience).
- O*NET 31.0 Database, U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. TryHired selected, ranked and combined the data; O*NET is not responsible for these pages.
- U.S. Bureau of Labor Statistics, Occupational Requirements Survey, 2025 estimates (preliminary: two of the third wave's samples, collected August 2023 to July 2025; released January 16, 2026), public domain.
- U.S. Bureau of Labor Statistics, Employment Projections program, 2025–35 National Employment Matrix (all jobs, including self-employed).