Pathways Forward

Curricula · Hands-On Healthcare · Butte & Silver Bow County

Imaging & Radiation Therapy: the Butte Path

Imaging technologists take the X-rays, ultrasounds, MRIs and nuclear scans that doctors read, and radiation therapists deliver cancer treatment. Most of these jobs start with a two-year degree.

Ed. 2026–27Builds on the Butte Hands-On Healthcare core pathChecked 2026-09-26

Why this field is on the list · as of September 2026

$77,070Median radiologic technologist pay, Montana
$101,000Median sonographer pay, Montana
$87,424Silver Bow County living wage, one earner, two children

A two-year degree can carry a family. The radiologic technologist short of the one-child bar, and the sonographer clears the two-child bar.

Adding a modality raises pay. MRI, CT, nuclear medicine and sonography each add a credential and a raise.

AI exposure is mixed. AI helps read scans, which falls mostly on the radiologist. Positioning a patient in pain and running the machine safely stays with the technologist.

Watch for: imaging programs are selective and small. Apply to more than one.

01 · The ladderFrom radiography to specialty imaging

  1. Radiologic technologist

    A two-year associate degree, then the ARRT exam.

    Where: the JRCERT program finder (Montana programs are few; confirm current openings).

    Montana median $77,070 · 25th percentile $65,850 · short of the one-child bar

  2. Sonographer, nuclear medicine, radiation therapy

    Separate programs of one to four years. Where: the CAAHEP program finder (sonography) and the JRCERT program finder (nuclear medicine and radiation therapy).

    Montana median $101,000 · 25th percentile $84,800 · clears the two-child bar

  3. MRI and CT

    Most radiologic technologists add these after a few years on the job.

    Montana median $86,950 · 25th percentile $79,700 · clears only the one-child bar

02 · BranchesWhere the work leads

Hospital imaging

Round-the-clock X-ray and CT at St. James Healthcare in Butte.

Schedule: Shift work; per-diem common.

Outpatient centers

Scheduled scans and ultrasounds.

Schedule: Mostly daytime.

Cancer treatment

Radiation therapists work in cancer centers.

Schedule: Weekday treatment schedule.

03 · For the familyThe schedule, for a father and for a mother

04 · The home-school yearsWhat to add to the core path

Grades 9–10

  • Everything in the shared core, with physics and algebra
  • Anatomy early

Grades 11–12

After high school

  • An imaging program, then added modalities

Tie to the Verification Track

A technologist checks the patient’s name, the order and the body part before every scan, and repeats a scan that will not answer the doctor’s question. The Verification Track trains that habit.

05 · SourcesWhere these facts come from

Checked 2026-09-26