This guide answers the question every prospective respiratory therapist in Iowa eventually asks: what does the work pay, and how many jobs are actually out there? The figures below combine the U.S. Bureau of Labor Statistics May 2024 Occupational Employment and Wage Statistics national median for SOC code 29-1126 with a state-level cost-of-living factor and Census 2024 population weights. They are intended as a planning estimate, not a guaranteed offer — actual wages depend on shift, setting (hospital vs. clinic vs. specialty practice), tenure, and any additional credentials carried (for example, a CST who also holds a CSFA, or a CMA who also holds a CPT). The methodology is documented at /methodology.
What this profession pays in Iowa
The estimated state median wage for respiratory therapists in Iowa is $72,000. That figure is derived from the BLS national median of $78,000 for SOC 29-1126, scaled by the published cost-of-living factor for Iowa (0.92×). Half of credentialed practitioners in this role earn more than the median figure and half earn less. The 10th-percentile figure of $56,200 typically reflects new graduates working in lower-acuity settings, part-time roles, or rural markets with limited employer competition. The 90th-percentile figure of $99,400 typically reflects experienced practitioners in high-acuity hospital systems, specialty practices, lead or charge roles, traveling/registry work, or markets with documented workforce shortages — in those settings, sign-on bonuses and shift differentials can push effective compensation meaningfully higher than the published wage alone.
How many jobs exist here
Employment of respiratory therapists in Iowa is estimated at approximately 1,130 filled positions. That estimate combines the national BLS employment figure (137,000 jobs) with the state's share of U.S. population and a small density adjustment that reflects the relative concentration of healthcare facilities in Iowa. National employment for this profession is projected to grow approximately 13% over the current ten-year BLS projection horizon. Translated into the state's labor market, that growth — combined with normal separations from retirement, career changes, and movement between specialties — yields an estimated 90 openings per year for respiratory therapists in Iowa. That openings figure is a useful planning number for prospective candidates, training program enrollment officers, and workforce planners alike.
Where the jobs actually are
In a state the size of Iowa, the largest concentrations of respiratory therapist jobs are typically located in:
- Acute-care hospital systems — usually the single largest employer of any allied health profession in a given metropolitan area. In Iowa this includes the major academic medical centers, regional health systems, and community hospitals.
- Outpatient clinics and physician practices — including primary care groups, urgent care chains, and specialty practices. Respiratory Therapist roles in these settings tend to offer more predictable schedules but sometimes lower base wages than hospital roles.
- Ambulatory surgery centers, dialysis centers, imaging centers, and reference labs — typically Monday-through-Friday business hours, often a strong fit for credentialed practitioners returning from a career break.
- Long-term care, skilled nursing, and home-health agencies — generally absorb a meaningful share of allied health workforce growth in states with older populations.
- Travel and per-diem registry work — particularly in respiratory therapist roles where supply has tightened nationally; published travel rates frequently reach 1.4–2.0× the local staff wage for 13-week assignments.
How to enter the field in Iowa
The licensing or credentialing path for respiratory therapists in Iowa is summarized on the dedicated Respiratory Therapist licensing page for Iowa. In short, candidates can expect to invest approximately 1800 contact hours of formal training, plus the time required to prepare for and pass the NBRC TMC examination (CRT/RRT) plus clinical simulation for RRT. Up-front credentialing costs in Iowa currently total $200 in application fees alone, on top of tuition, exam fees, fingerprint or background-check fees where required, and uniforms or equipment expected by the employer. The renewal cycle in Iowa is every 1 year, with 20 hours of continuing education required per cycle.
Earnings progression and ladder
The earnings ladder in this profession typically runs from a new-graduate base wage near the 10th-percentile figure shown above, through a mid-career staff wage that closely tracks the state median, into a senior or specialty wage that approaches the 90th percentile. Movement up the ladder is usually accelerated by (1) additional credentials — most certifying bodies offer specialty add-ons that command a documented wage premium; (2) setting changes — moving from outpatient to acute-care, or from community hospital to academic medical center; (3) shift differentials — nights, weekends, holidays, and on-call coverage; and (4) lead or charge roles — first-line supervision, preceptor pay, and clinical educator tracks. Travel and per-diem work compress that ladder dramatically, but at the cost of benefits continuity and the security of a permanent assignment.
What this means for you
If you are planning a career as a respiratory therapist in Iowa, the practical takeaways are: budget for the total credentialing cost (training tuition + exam + state fees + uniforms) before enrolling; verify program accreditation directly with the certifying body before paying tuition; build a list of three to five target employers in your local market early, and study their job postings for the specific credentials they ask for; and plan from day one for the renewal cycle and continuing-education hours that you will be expected to maintain for the rest of your career. Use the licensing detail page linked above for the full credentialing breakdown, and the Respiratory Therapist exam preparation guide to plan your study schedule.