How accurate is this US take-home pay calculator?

This calculator provides estimates based on 2026 federal tax brackets, FICA payroll tax rates, and estimated state income tax rates. Actual paycheck amounts may vary depending on deductions, credits, benefits, and employer-specific withholdings.

Does this paycheck calculator include Social Security and Medicare?

Yes. The calculator includes FICA payroll taxes, which consist of Social Security and Medicare contributions, to estimate your net pay accurately.

Does this calculator include 401(k) or health insurance deductions?

No. Retirement contributions, health insurance premiums, and other voluntary pre-tax benefits are not automatically included unless entered manually.

Can I compare take-home pay between different states?

Yes. Because state income taxes vary widely, this calculator allows you to compare net income estimates across different U.S. states.

Radiation Therapist Take-Home Pay Calculator

Calculate your net salary after taxes • ARRT certified, hospital vs outpatient, on-call optimized • Updated for 2026

💡 Quick Answer: The median radiation therapist salary is $101,990/year (BLS 2024). After federal taxes, FICA, and average state taxes, typical take-home pay ranges from $73,000–$82,500 annually ($6,080–$6,875/month). ARRT-certified therapists in hospitals, academic centers, or travel assignments often net $8,000–$22,000 more after certification premiums, on-call pay, and location differentials. [[5]][[31]]

💰 Calculate Your Radiation Therapist Take-Home Pay

Annual Gross Salary ($)

Work State

🔬 Radiation Therapy Premiums & Deductions

Primary Work Setting

✅ I hold ARRT(R) certification (required in most states) [[47]]

✅ I receive on-call/emergency radiation pay (+$40–$95/call)

✅ I specialize in SBRT/IMRT/proton therapy (+$3K–$8K)

✅ I work regular overtime (qualifies for $12,500 OBBBA deduction)

✅ I am self-employed / 1099 contractor (travel/locum)

📊 Radiation Therapist Salary Facts (2026)

Median Annual Wage: $101,990 / $49.03/hour (BLS May 2024) [[5]]
Salary Range: $71,340 (entry) to $142,750+ (senior/specialized/travel) [[5]]
ARRT Certification: Required in 38 states; certified therapists earn $5K–$15K more than non-certified peers [[47]]
Setting Pay Differences: Academic centers +$6K–$13K; Hospitals +$4K–$9K; Travel +$12K–$28K vs. outpatient base [[31]]
Specialty Premiums: SBRT, IMRT, proton therapy, and pediatric radiation add $3,000–$8,000 annually [[31]]
On-Call Pay: Emergency radiation procedures often pay $40–$95/call + overtime rates; can add $2,500–$9,000/year [[32]]
State Licensure: 38 states require licensure beyond ARRT; renewal fees $75–$350/year (deductible if self-employed) [[15]]
Job Growth: +7% projected 2024–2034 (faster than average) due to aging population and advances in radiation oncology [[1]]

🏆 Top-Paying States for Radiation Therapists

State	Avg. Salary	Est. Take-Home*	Key Advantage
California	$132,450	~$91,200	Major academic centers + high demand
New York	$124,890	~$86,400	High-volume cancer centers (MSK, Columbia)
Washington	$118,340	~$96,800	✅ No state income tax + Fred Hutch/Seattle Cancer Care
Texas	$106,720	~$93,400	✅ No state income tax + MD Anderson/UT Southwestern
Florida	$103,180	~$90,500	✅ No state income tax + high senior population demand

*Estimates include federal tax (2026 brackets), 7.65% FICA, and average state tax. Self-employed contractors pay 15.3% SE tax but deduct 50% of it. Actual results vary by deductions, filing status, ARRT certification, and work setting.

💡 Maximize Your Radiation Therapist Take-Home Pay

✨ Radiation Therapy-Specific Premiums and Deductions

ARRT Certification ROI: The American Registry of Radiologic Technologists (ARRT) Radiation Therapy certification is required in 38 states. Certified therapists earn $5,000–$15,000 more annually. Exam fee (~$225) and continuing education requirements are deductible for self-employed therapists. [[47]]
Work Setting Impact: Academic/research centers and major hospital systems typically pay $4,000–$13,000 more than outpatient cancer centers due to complex cases, research protocols, and teaching responsibilities. Travel assignments add $12,000–$28,000+ with tax-free stipends. [[31]]
Specialty Technique Premiums: Therapists certified in SBRT (Stereotactic Body Radiation Therapy), IMRT (Intensity-Modulated RT), proton therapy, or pediatric radiation earn $3,000–$8,000 more annually due to specialized training and higher liability. [[31]]
On-Call/Emergency Pay Strategy: Emergency radiation procedures (spinal cord compression, superior vena cava syndrome) often pay $40–$95/call plus overtime rates. Over a year, this can add $2,500–$9,000 to gross pay—most flows to net pay at your marginal rate. [[32]]
OBBBA 2026 Overtime Deduction: Non-exempt radiation therapists receiving overtime may qualify to exclude up to $12,500 of this income from federal taxable income—potentially saving ~$2,750 in federal taxes. [[47]]
Self-Employed Deductions: Independent contractor radiation therapists (common in travel/locum roles) can deduct vehicle mileage ($0.67/mile in 2026), ARRT fees, state licensure, CEUs, liability insurance, home office, and 50% of self-employment tax—often reducing taxable income by $5,000–$15,000/year. [[33]]
Retirement Strategy: Contribute to a Solo 401(k) or SEP-IRA to reduce taxable income while building savings for long-term healthcare career.

💰 Real Example: An ARRT-certified hospital-based radiation therapist in Texas earning $108,000 base + $7,500 academic center premium + $4,000 SBRT certification + $3,200 on-call pay + $5,000 overtime:
• Gross: $127,700
• Taxable after OBBBA overtime deduction: ~$115,200
• Estimated net: ~$94,800 annually vs. ~$73,400 for outpatient, no-premium peer at median wage. That’s $21,400+ more net pay by leveraging setting, specialty certification, on-call strategy, and overtime optimization.

❓ Radiation Therapist Pay: FAQs

How much do radiation therapists take home after taxes?

On the $101,990 median salary, take-home pay typically ranges $73,000–$82,500 annually after federal tax, FICA (7.65%), and state tax. ARRT-certified therapists in academic centers, hospitals, or travel assignments often net $8,000–$22,000 more after certification premiums, on-call pay, and location differentials. [[5]][[31]]

Which work setting pays radiation therapists the most?

Academic/research centers and major hospital systems typically pay the most. Academic centers add $6,000–$13,000 due to research protocols and teaching responsibilities. Travel assignments add $12,000–$28,000+ with tax-free stipends. Outpatient cancer centers often pay base rates but offer better work-life balance. [[31]]

Does ARRT certification increase radiation therapist salary?

Yes. ARRT(R) certification is required in 38 states and typically adds $5,000–$15,000 annually. Many employers offer automatic pay increases upon certification, and specialized roles (SBRT, proton therapy) often require ARRT credentials for hire or promotion. ROI is often achieved within 12–18 months. [[47]]

Do radiation therapists get paid for on-call or emergency procedures?

Yes. Emergency radiation procedures (spinal cord compression, SVC syndrome, bleeding tumors) often pay $40–$95/call plus overtime rates (1.5x–2x). On-call pay can add $2,500–$9,000+ to annual gross income depending on call frequency, region, and employer policy. [[32]]

🔄 Compare Other Healthcare Salaries

See take-home pay for related roles:

Occupational Therapy Assistant Physical Therapy Assistant Nurse Calculator Hub Trade Salaries Main Calculator →