
How Much? Respiratory Therapist Salary: What to Expect?
The vital role respiratory therapists (RTs) play in healthcare is often understated. These medical professionals are essential for diagnosing, treating, and managing patients with breathing difficulties and other cardiopulmonary disorders. But beyond the fulfilling nature of the work, a crucial question arises: How much do respiratory therapists actually earn? Understanding the salary expectations for this profession is vital for both aspiring RTs and those already working in the field seeking career advancement or relocation.
Factors Influencing Respiratory Therapist Salaries

Several factors influence the salary a respiratory therapist can command. These include experience, education, certifications, location, and the type of healthcare facility. Let's delve into each of these:
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Experience: Like most professions, experience is a significant driver of salary. Entry-level RTs typically earn less than those with several years of experience. With time, RTs gain specialized skills and knowledge, making them more valuable to employers. Years in practice are a good indication of expertise and practical knowledge, commanding higher pay.
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Education and Certifications: The minimum educational requirement to become a respiratory therapist is an associate's degree in respiratory therapy. However, a bachelor's degree often leads to higher earning potential. Advanced certifications, such as Certified Respiratory Therapist (CRT) and Registered Respiratory Therapist (RRT), offered by the National Board for Respiratory Care (NBRC), also boost salary prospects. Specialties like neonatal/pediatric respiratory care or critical care can also increase earning potential.
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Location: Geographic location plays a substantial role in salary determination. States with a higher cost of living, such as California, New York, and Hawaii, generally offer higher salaries to compensate for the increased expenses. Rural areas may have lower salaries compared to metropolitan cities. The demand for RTs in a specific region also influences salary levels. Places with healthcare worker shortages may offer higher wages to attract talent.
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Type of Healthcare Facility: Respiratory therapists work in various healthcare settings, including hospitals, nursing homes, rehabilitation centers, and home healthcare agencies. Hospitals generally offer the highest salaries, followed by nursing homes and rehabilitation centers. Home healthcare agencies may have lower salaries, but they often provide flexibility and other benefits. Larger, urban hospitals, due to increased patient volume and complexity of cases, may offer the most competitive compensation packages.
National Salary Averages and Regional Variations
According to the U.S. Bureau of Labor Statistics (BLS), the median annual wage for respiratory therapists in May 2023 was around $77,910. However, this is just an average, and actual salaries can vary significantly. The BLS reports that the highest 10 percent earned more than $99,470, while the lowest 10 percent earned less than $60,000.
Looking at regional variations, states like California, Alaska, and Nevada consistently report higher average salaries for respiratory therapists. For example, California often has one of the highest average salaries due to the high cost of living and strong demand for healthcare professionals. Conversely, states in the Southeast or Midwest may have lower average salaries. These differences are often related to local economic conditions, healthcare regulations, and union influence.
Factors That Can Increase Your Earning Potential
There are several steps that respiratory therapists can take to increase their earning potential:
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Pursue Advanced Education: Earning a bachelor's or master's degree in respiratory therapy can open doors to higher-paying positions, such as clinical specialists, supervisors, or managers. A formal education provides comprehensive expertise and analytical skills that are highly valued in the healthcare field.
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Obtain Advanced Certifications: Obtaining advanced certifications like the Registered Respiratory Therapist (RRT) credential demonstrates a higher level of competency and can lead to salary increases. Specialization certifications, such as those in neonatal/pediatric respiratory care or critical care, can further enhance earning potential.
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Gain Experience in High-Demand Specialties: Certain specialties within respiratory therapy, such as critical care or neonatal care, are in high demand. Gaining experience in these areas can make you a more valuable asset to employers and lead to higher salaries. Focusing on niche skills like ECMO (Extracorporeal Membrane Oxygenation) or ventilator management can drastically improve employment prospects and salary.
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Negotiate Your Salary: Don't be afraid to negotiate your salary when accepting a job offer. Research the average salaries for respiratory therapists in your area and be prepared to justify your desired salary based on your experience, education, and certifications. Having solid data and a clear understanding of your value helps tremendously in salary negotiations.
The Future Outlook for Respiratory Therapists
The job outlook for respiratory therapists is projected to grow faster than the average for all occupations. The BLS projects a growth rate of 14 percent from 2021 to 2031, which means there will be plenty of job opportunities for qualified RTs. This growth is driven by the aging population, the increasing prevalence of respiratory diseases such as asthma and COPD, and advances in medical technology. As the population ages, the demand for respiratory care services is likely to increase.
Beyond the Salary: The Rewards of Being a Respiratory Therapist
While salary is an important consideration, it's also important to remember the intrinsic rewards of being a respiratory therapist. RTs play a critical role in helping patients breathe easier and improving their quality of life. The ability to make a positive difference in someone's life is a powerful motivator and a source of great satisfaction. The profession provides opportunities for continuous learning and professional growth, and the chance to work as part of a multidisciplinary healthcare team.
In conclusion, the salary of a respiratory therapist is influenced by numerous factors, including experience, education, location, and the type of healthcare facility. While salary expectations may vary, the demand for respiratory therapists is expected to remain strong in the coming years, making it a promising career choice for those passionate about helping others and dedicated to respiratory care. By investing in education, certifications, and specialized skills, RTs can increase their earning potential and enjoy a fulfilling and rewarding career.