How Much Do Respiratory Therapists Make in North Carolina?

TheCEPlace November 15, 2025

 

Thinking about building your career as an RT in North Carolina? Whether you’re working in Charlotte, the Triangle, or smaller community hospitals, knowing your earning potential is key. Pay in North Carolina can vary, but the state offers plenty of opportunity, especially as demand for respiratory care continues to grow.

Average Respiratory Therapist Salary in North Carolina (2025)

As of mid-2025, ZipRecruiter lists the average RT salary in NC around $36/hour (~$74,000 annually) (ziprecruiter.com). That’s slightly below the national average of ~$45/hour, but local cost of living helps balance things out.

Indeed reports Charlotte-based RTs making closer to $37.50/hour, with some listings hitting $40+ in specialized roles (indeed.com).

What Affects RT Salaries in North Carolina?

  • Facility type (large health systems pay more than smaller centers)
  • Experience (new grads start lower; advanced RTs and supervisors can earn significantly more)
  • Specialization (pediatrics, NICU, critical care)
  • Location (Charlotte and Raleigh pay more than rural hospitals)
  • Shifts (night/weekend premiums apply)

How North Carolina Compares to the National Average

Location | Avg Hourly Wage
United States (avg) | ~$45.00
North Carolina (avg) | ~$36.00
Charlotte, NC | ~$37.50–$40.00

Invest in Yourself: CEUs = Career Mobility

North Carolina may sit below the national average in pay, but opportunities abound for RTs who invest in continuing education and specialization. CEUs can make you more competitive for higher-paying positions and specialty units.

Our North Carolina CEU Bundle is designed to help you meet state requirements while giving you the skills to stand out.

Explore NC CEU Bundle for RTs

Quick Recap:

  • Avg hourly pay ~$36/hour
  • Charlotte/Raleigh offer higher rates (~$40/hour)
  • Still below national average, but strong job demand
  • CEUs help you stand out and command higher pay
     

North Carolina offers steady work, room to grow, and a lower cost of living that balances earnings. By staying current with CEUs, you’ll be ready for your next big step.