Respiratory Therapist.
San Antonio.
$60,000
median salary, 6% below the national average
$51,000 to $71,000. Last updated April 2026.
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Data points to own the conversation.
Respiratory Therapist pay in San Antonio ranges from $51,000 to $71,000 in 2026. The median is $60,000, 6% below the national average. San Antonio has a major military presence with Joint Base San Antonio and a growing cybersecurity hub. 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
+3% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $17,000 to the total package.
Base
$60,000
Equity
$10,000
Bonus
$6,000
Signing
$1,000
Estimated total: $77,000
How San Antonio compares
San Antonio, TX
$60,000
Cost of living: 9% below average
National Average
$64,000
San Antonio is $4,000 below
Respiratory Therapist salary by city
Salary by role in San Antonio
What you should know
If you are interviewing for Respiratory Therapist roles in San Antonio, here is what you are walking into. San Antonio has a major military presence with Joint Base San Antonio and a growing cybersecurity hub. The city is home to USAA headquarters and a cluster of healthcare systems. The extremely affordable cost of living and no state income tax make it attractive for professionals seeking purchasing power. Shift differentials for nights, weekends, and holidays contribute significantly to total earnings. RTs working in ICU or neonatal units earn more than those in general floor care. The RRT credential is expected for most positions, and additional certifications in pulmonary function or transport add incremental pay.
Entry-level RTs earn $52,000 to $58,000 with the RRT credential. Experienced RTs in critical care reach $65,000 to $75,000 after five to seven years. Lead RTs or department supervisors can earn $78,000 to $92,000 with management responsibilities included. In San Antonio, 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. Respiratory therapists receive shift differentials of $3 to $8 per hour, overtime opportunities, and comprehensive benefits. Some hospitals offer certification bonuses and tuition reimbursement for advanced degrees or specialty credentials. And on the tax side: texas has no state income tax. San Antonio has no city income tax. The zero tax environment and very affordable housing create exceptional purchasing power relative to 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: Leverage the cybersecurity corridor. San Antonio's NSA facility and military cyber operations drive demand for cleared security professionals at premium rates. The range for Respiratory Therapists in San Antonio runs from $51,000 to $71,000. 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
Considering a related role?
- A Recruiter / Talent Acquisition in San Antonio earns $61,000 (2% more)
- The highest-paying role in San Antonio is Distinguished Engineer at $303,000
Common questions.
Respiratory Therapist salary in other cities
Other salaries in San Antonio
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