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Respiratory therapists in the US earn $70,540 on average — with critical care and travel positions commanding significantly higher pay.

Average Respiratory Therapist Salary in 2026

Metric Amount
Average RT salary $70,540
Median RT salary $66,250
Entry level (0-2 years) $54,000
Mid-career (5-10 years) $68,000-$78,000
Experienced (10+ years) $78,000-$95,000
Top 10% earn $95,000+
Hourly rate (average) $33.91

Respiratory Therapist Salary by Experience

Experience Level Average Salary
New Grad (0-1 year) $54,000
Early Career (1-3 years) $60,000
Mid-Career (4-7 years) $68,000
Experienced (8-12 years) $78,000
Senior/Expert (12+ years) $85,000+
RT Manager/Director $90,000-$120,000

RT Salary by Work Setting

Setting Average Salary Notes
Travel RT $85,000-$120,000 + housing stipend
Hospital ICU/Critical Care $72,000-$90,000 Highest hospital pay
Neonatal/Pediatric ICU $70,000-$85,000 Specialized
General Hospital $65,000-$78,000 Base hospital
Home Health/DME $55,000-$70,000 Less acute
Sleep Lab $58,000-$72,000 Regular hours
Pulmonary Rehab $60,000-$75,000 Outpatient
Long-term Acute Care $68,000-$82,000 Complex patients

Why Critical Care Pays More

ICU and critical care respiratory therapists earn premiums because:

  • High-acuity patient management
  • Ventilator expertise required
  • Night/weekend shift differentials
  • Life-or-death decisions
  • Advanced certifications expected

RT Salary by State (Highest Paying)

State Average Salary Cost of Living
California $92,000 Very High
Nevada $82,000 High
Hawaii $80,000 Very High
Alaska $78,000 High
Washington $76,000 High
Oregon $74,000 High
New York $73,000 Very High
Connecticut $73,000 High
New Jersey $72,000 High
Massachusetts $72,000 High

Lowest Paying States

State Average Salary
Alabama $52,000
Mississippi $53,000
Arkansas $54,000
West Virginia $55,000
Oklahoma $55,000

RT Salary by Certification/Specialty

Certification Average Salary Premium
RRT (Registered Respiratory Therapist) $70,540 Base
RRT + ACCS (Adult Critical Care) $78,000 +10-15%
RRT + NPS (Neonatal/Pediatric) $75,000 +8-12%
RRT + SDS (Sleep Disorders) $68,000 +5%
RRT-NPS + ACCS (Dual specialty) $82,000 +15-20%
CPFT (Pulmonary Function) $65,000

RT Salary by Metro Area

Metro Area Average Salary
San Francisco $105,000
San Jose $100,000
Los Angeles $88,000
Sacramento $85,000
Seattle $80,000
New York City $78,000
Las Vegas $76,000
Boston $75,000
Denver $72,000
Phoenix $68,000

Shift Differentials for RTs

Shift Typical Differential
Night shift (7pm-7am) +$3-6/hour
Weekend +$2-4/hour
Holiday +$5-10/hour or time-and-a-half
On-call +$2-5/hour standby

Night shift RTs can earn $5,000-$12,000 more annually through differentials.

RT Salary After Taxes

Gross Salary Federal Tax FICA State Tax (avg) Take-Home
$55,000 $5,000 $4,208 $2,200 $43,592
$70,540 $8,400 $5,396 $2,822 $53,922
$85,000 $11,900 $6,503 $3,400 $63,197
$100,000 $15,000 $7,650 $4,000 $73,350

How to Increase RT Salary

  1. Become a travel RT — Earn $85K-$120K+ with housing
  2. Get ACCS certification — Critical care specialists earn 10-15% more
  3. Work night shift — $5K-$12K annual premium
  4. Move to high-paying states — California pays $92K average
  5. Pursue leadership — RT managers earn $90K-$120K
  6. Specialize in NICU/PICU — Pediatric specialists earn more
  7. Get dual certifications — ACCS + NPS for maximum pay

Job Outlook for Respiratory Therapists

Metric Data
Projected growth (2022-2032) 14% (much faster than average)
Annual job openings 8,100
Demand drivers Aging population, chronic respiratory disease, COVID long-term effects
Hot areas ICU, Home care, Sleep medicine

RT vs Other Healthcare Salaries

Role Average Salary Education
Respiratory Therapist $70,540 Associate/Bachelor’s
Registered Nurse $81,220 Associate/Bachelor’s
Radiology Tech $65,140 Associate
Surgical Tech $54,620 Associate/Certificate
Physical Therapist Assistant $61,180 Associate

Is Respiratory Therapy a Good Career?

Pros:

  • Strong salary ($70K average)
  • Excellent job growth (14%)
  • Associate degree entry point
  • Critical role in patient care
  • Travel RT option for high earners
  • Multiple specialization paths

Cons:

  • Shift work (nights, weekends, holidays)
  • High-stress situations
  • Physical demands (long hours on feet)
  • Exposure to illness
  • Emotionally challenging (ICU patients)

RT Education & Licensing Costs

Expense Cost
RT Associate Degree $20,000-$50,000
RT Bachelor’s Degree $40,000-$100,000
TMC/RRT Exam $200-$300
State License $50-$200/year
ACCS Certification $300
CEU Requirements $200-$500/year

Bottom Line

Respiratory therapists earn $70,540/year on average, with travel RTs and critical care specialists earning $85,000-$120,000+. The profession offers excellent job growth (14%), relatively affordable education (associate degree), and multiple pathways to increase earnings through certifications, shift differentials, and travel positions.

Sources

  • U.S. Bureau of Labor Statistics. “Occupational Employment and Wage Statistics, May 2024.” bls.gov/oes

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