Healthcare Recruiting
Respiratory Therapist Salary by State 2026: RRT and CRT Pay Breakdown
Respiratory Therapist Salary by State 2026: RRT and CRT Pay Breakdown
The average respiratory therapist (RT) salary in 2026 is $65,000–$82,000/year for Registered Respiratory Therapists (RRT). Certified Respiratory Therapists (CRT — entry level) earn $55,000–$68,000. Specialization in neonatal/pediatric (NPS) or adult critical care/sleep (ACCS) and working in ICU or NICU settings pushes total compensation to $80,000–$100,000+. Respiratory therapy is a shortage specialty with consistent demand — the combination of aging population respiratory needs, COVID-19 awareness of ventilator management, and a relatively small training pipeline keeps RT wages growing at 2–3% annually above CPI.
Respiratory Therapist Salary by State (2026)
| State | Avg Annual Salary (RRT) | Notes |
|---|---|---|
| California | $95,000 | Highest nationally; union contracts; Kaiser, UCSF, Cedars-Sinai NICU/ICU RTs; Bay Area premium |
| Washington | $87,000 | SEIU-represented; UW Harborview (Level I trauma); Swedish neonatal; Seattle area strongest |
| Hawaii | $85,000 | Island shortage premium; Queens Medical Center NICU/ICU; COL adjustment |
| Massachusetts | $83,000 | Mass General, Boston Children's (NPS specialty); academic ARDS/ECMO programs; Boston premium |
| New York | $81,000 | NYP neonatal program, Montefiore, Mount Sinai; 1199SEIU contracts; NYC premium |
| Oregon | $78,000 | OHSU ECMO program, Legacy, PeaceHealth; Portland metro strongest; rural RT shortage |
| Nevada | $77,000 | Las Vegas shortage market; no income tax; Sunrise Medical NICU; rapid population growth |
| Minnesota | $77,000 | Mayo Clinic (ECMO program nationally ranked); M Health Fairview; Rochester above state average |
| Colorado | $74,000 | UCHealth, SCL Health, Children's Colorado (pediatric specialty); Denver metro premium |
| Texas | $72,000 | No income tax; UT Health, Texas Children's (NICU), Baylor; DFW/Houston highest in-state |
| Arizona | $70,000 | Banner, Phoenix Children's (NPS specialty), Honor Health; neonatal demand high |
| Florida | $68,000 | AdventHealth, All Children's/Johns Hopkins, HCA, BayCare; no state income tax; travel RT demand |
| North Carolina | $66,000 | UNC, Duke Children's, Wake Forest; Research Triangle metro strongest; rural shortage |
| Georgia | $65,000 | Emory, Children's Healthcare of Atlanta (NICU/PICU specialty), Piedmont; Atlanta metro best |
| Alabama | $56,000 | UAB (academic premium in Birmingham), Children's of Alabama; rural AL $46K–$52K |
| Mississippi | $52,000 | Lowest nationally; travel RT contracts pay 40–60% above staff rate |
RRT vs. CRT: Credential Salary Difference
| Credential | Avg Salary | Requirements & Notes |
|---|---|---|
| CRT (Certified Respiratory Therapist) | $55,000–$68,000 | Entry-level NBRC credential; 2-year AAS program; limited to some states/settings at CRT level |
| RRT (Registered Respiratory Therapist) | $65,000–$82,000 | Advanced NBRC credential; required at most hospitals and ICU settings; adds 8–12% over CRT |
| RRT-NPS (Neonatal/Pediatric Specialty) | $78,000–$98,000 | NBRC specialty; ventilator management in NICU/PICU; required at children's hospitals for senior roles |
| RRT-ACCS (Adult Critical Care) | $75,000–$95,000 | NBRC specialty; ICU ventilator weaning, ARDS protocol, ECMO support; adds $8K–$15K at most ICUs |
Travel Respiratory Therapist Salary 2026
- Staff RRT travel contract: $1,600–$2,200/week (13-week contracts)
- NICU/PICU travel RT (NPS credential): $1,900–$2,600/week
- ECMO-trained travel RT: $2,200–$3,000/week (critical shortage specialty)
- Tax-free stipend: $600–$1,100/week (qualifying tax home required)
- Top markets: California, Nevada, Florida, Arizona, Texas
Data from BLS, NBRC workforce reports, and Ava Health placement data. Ranges reflect 25th–75th percentile of 2026 active RT job postings.
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