Radiologic Technologist.
St. Louis.
$60,000
median salary, 8% below the national average
$50,000 to $72,000. Last updated April 2026.
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Data points to own the conversation.
Radiologic Technologist pay in St. Louis ranges from $50,000 to $72,000 in 2026. The median is $60,000, 8% below the national average. St. Every dollar in that range is negotiable if you come prepared.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $54,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$39,000
to $48,000
Mid (3-5 yrs)
$51,000
to $63,000
Senior (6-9 yrs)
$66,000
to $78,000
Lead (10+ yrs)
$75,000
to $93,000
Salary trend
+5% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $14,000 to the total package.
Base
$60,000
Equity
$8,000
Bonus
$5,000
Signing
$1,000
Estimated total: $74,000
How St. Louis compares
St. Louis, MO
$60,000
Cost of living: 10% below average
National Average
$65,000
St. Louis is $5,000 below
Radiologic Technologist salary by city
Salary by role in St. Louis
What you should know
If you are interviewing for Radiologic Technologist roles in St. Louis, here is what you are walking into. St. Louis offers one of the most affordable major metro areas in the country, with a strong base in healthcare, financial services, and manufacturing. The region's anchor employers include Boeing, Centene, and Washington University's medical campus. A growing biotech and plant sciences corridor centered on the Cortex Innovation District is attracting new investment and talent. Modality specialization is the primary pay driver, with CT, MRI, and interventional radiology techs earning significantly more than general X-ray techs. ARRT certification is the baseline, and additional modality registries add incremental pay. Hospital size, shift availability, and metropolitan location also influence salary levels.
General X-ray techs start at $52,000 to $58,000. Adding CT or MRI certification brings pay to $65,000 to $78,000 within three to five years. Lead techs or imaging supervisors earn $80,000 to $95,000 with departmental oversight and quality assurance responsibilities. In St. Louis, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. Rad techs receive shift differentials for evenings and weekends, CE reimbursement, and comprehensive benefits. On-call pay for trauma and emergency imaging adds $3,000 to $8,000 annually. Some hospitals offer modality certification bonuses. And on the tax side: missouri's top income tax rate is about 4.8%, and St. Louis City adds a 1% earnings tax. The low base cost of living means your after tax salary still stretches further than in most metros. When someone quotes you $60,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Emphasize your willingness to work in person at Cortex or the BJC campus. St. Louis employers offer higher packages for candidates who commit to the local innovation hubs. The range for Radiologic Technologists in St. Louis runs from $50,000 to $72,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
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Common questions.
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