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COL-adjusted ranking

Best Cities for Radiation Therapists by Take-Home Pay

The cities that pay Radiation Therapists the most on paper aren't usually the best deals once rent and prices are factored in. San Jose-Sunnyvale-Santa Clara ranks first with a COL-adjusted equivalent of $186,877/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $206,350. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$206,350
#2 San Francisco-Oakland-Fremont$205,670
#3 Sacramento-Roseville-Folsom$182,240

Best purchasing power

#1 San Jose-Sunnyvale-Santa Clara$186,877
#2 San Francisco-Oakland-Fremont$177,900
#3 Sacramento-Roseville-Folsom$170,845

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed radiation therapists excluded.

Rank
Metro
Nominal
COL-adj.
#1
$206,350
$186,877
#2
$205,670
$177,900
#3
$182,240
$170,845
#4
$171,500
$153,276
#5
$169,150
$148,939
#6
Kansas City
14% rent burden
$117,280
$126,734
#7
$128,650
$122,036
#8
$135,550
$120,425
#9
$133,410
$120,049
#10
$119,960
$116,977
#11
$117,050
$113,542
#12
St. Louis
14% rent burden
$105,310
$110,748
#13
Cincinnati
16% rent burden
$102,520
$107,497
#14
$105,300
$107,372
#15
$105,770
$107,239
#16
Milwaukee-Waukesha
16% rent burden
$103,180
$106,437
#17
Cleveland
15% rent burden
$99,200
$105,622
#18
Columbus
17% rent burden
$100,720
$105,499
#19
$110,050
$105,321
#20
$103,140
$105,309
#21
Phoenix-Mesa-Chandler
20% rent burden
$108,770
$105,275
#22
$99,250
$101,952
#23
$100,530
$100,229
#24
$99,860
$99,800
#25
$108,450
$99,605

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Radiation Therapists?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $206,350 in a city with RPP 120 has the same purchasing power as $171,958 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A radiation therapists in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Radiation Therapists?

Kansas City has one of the lowest rent burdens for Radiation Therapists in this dataset. HUD FMR for a 2-bedroom is $1,358/month, with a median salary of $117,280.

Where do Radiation Therapists get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $206,350/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Radiation TherapistsView →How to become a radiation therapistsGuide →Compare two cities side by sideCompare →