You want a simple, fast path that actually pays. Two years in, a decent salary out. Here’s the straight answer: in the US, the top earner that clearly tracks to a two‑year college credential is Radiation Therapy. Dental Hygiene and Nuclear Medicine Technology are right behind. Air Traffic Control can pay more than all of them, but it isn’t a traditional college degree path. In the UK, the highest‑earning two‑year route is usually Dental Hygiene/Dental Therapy (often two years full‑time), with strong private earnings; Air Traffic Control pays even more but doesn’t require a degree.
- TL;DR: In the US, Radiation Therapy is often the highest paying 2-year degree by clear, degree‑first entry. Dental Hygiene and Nuclear Medicine Tech are close.
- US data: Radiation therapists typically earn around the mid‑$90k range (BLS, May 2023); dental hygienists mid‑to‑high $80k; nuclear medicine techs high $80k.
- UK snapshot: Dental hygienists/therapists can make £40k-£80k+ (NHS Bands 5-6 plus private rates). Air traffic controllers earn ~£63k-£120k+ after validation (NATS), but there’s no degree requirement.
- Reality check: Programs are selective, clinical placements can be limited, licensing matters, and pay varies by region and shifts.
- Best odds: Pick a high‑pay role with good local program capacity, strong placement rates, and licensure paths you can actually access.
The quick answer and salary snapshot (2025)
If you clicked for a one‑liner: in the US, Radiation Therapy generally tops the associate‑degree pay charts. The U.S. Bureau of Labor Statistics (BLS) reports strong median wages for radiation therapists, typically in the mid‑$90k band (May 2023 wage data used in the 2024-25 Occupational Outlook). Dental Hygienists, Nuclear Medicine Technologists, Diagnostic Medical Sonographers, MRI Technologists, and RNs (via an ADN in many states) cluster in the $80k-$95k median range. Web Developers can also land near or above $90k without a specific degree, but it’s portfolio‑driven rather than degree‑driven.
In the UK, a two‑year academic award that reliably leads to high earnings is Dental Hygiene/Dental Therapy. NHS pay typically lands in Bands 5-6 (roughly mid‑£30k to mid‑£40k depending on the 2024/25 pay round), while private practice often pays £35-£50 per hour, which can annualise past £60k with stable bookings. Air Traffic Control salaries with NATS run far higher (£63k-£120k+ once validated), but this route is a competitive selection and training pathway rather than a degree.
Important nuance: “What pays the most” isn’t only about listed salaries. Admission odds, waitlists, clinical slots, licensing exams, regional pay, overtime, and shift premiums can swing outcomes by tens of thousands. The best choice is the one you can get into, complete on time, and license for in your state or region.
Role | Typical 2‑Year Credential | US Median Pay (BLS, May 2023) | UK Typical Pay (2024/25) | Outlook | Notes |
---|---|---|---|---|---|
Radiation Therapist (US) | Associate in Radiation Therapy | ~$95k (upper‑$80k to $100k+) | Therapeutic radiography is usually a 3‑year degree in UK | Stable demand; oncology growth | State licensure/ARRT often required; selective programs |
Dental Hygienist | Associate in Dental Hygiene (US); 2‑year Diploma/FDSc in UK | ~$87k (varies $70k-$110k+) | NHS Bands 5-6 (~£35k-£45k); private £35-£50/hr | Strong; aging population, preventive care | Licensure/registration required (US: state; UK: GDC) |
Nuclear Medicine Technologist (US) | Associate (some employers prefer bachelor’s) | ~$90k | UK routes more often degree/degree apprenticeship | Steady; imaging growth | ARRT(N) or NMTCB credential often needed |
Diagnostic Medical Sonographer (US) | Associate in DMS | ~$84k | UK typically 3‑year degrees/PG training | High demand; broad specialties | ARDMS/CCI credentials valued; clinicals competitive |
MRI Technologist (US) | Associate in Radiologic Tech + MRI specialization | ~$85k | UK roles often require degree pathways | Good; modality growth | ARRT or MR credential preferred |
Registered Nurse (RN via ADN) | ADN (US); UK routes usually 3‑year BSc | ~$86k median for RNs (degree mix) | Nursing associate (2‑year apprenticeship) Band 4 (~£25k-£32k) | Very strong; shortages | ADN acceptable in many US states; BSN increasingly preferred |
Web Developer | Associate or bootcamp/portfolio (degree optional) | ~$90k (wide variance) | £30k-£60k+ (experience‑driven) | Strong but competitive | Pay is skills/portfolio‑led, not credential‑led |
Air Traffic Controller | US: FAA academy/experience; UK: NATS training (no degree) | ~$135k median | ~£63k-£120k+ post‑validation | Selective; high stakes | Not a traditional 2‑year college degree route |
Sources referenced: U.S. Bureau of Labor Statistics, Occupational Outlook and May 2023 wage data (released 2024/25); NHS Agenda for Change 2024/25 pay framework; Office for National Statistics (UK) ASHE 2024 provisional earnings; NATS pay guidance for controllers. Figures vary by region, employer, and experience.
How to choose the right 2‑year path (pay, odds, timeline)
Different readers land here with different jobs to get done. Boiled down, you want to: (1) identify the best‑paying role you can qualify for fast; (2) gauge your odds of admission and on‑time graduation; (3) check licensure hurdles; (4) estimate pay in your region; and (5) work out the real ROI.
- Start with the target role, not the school. Decide whether you’re aiming for patient‑facing healthcare, technical imaging, or high‑selection pathways like ATC. If you want the highest clear degree‑led pay in the US with strong hiring, Radiation Therapy or Dental Hygiene are reliable bullseyes.
- Map admissions bottlenecks. Allied health programs cap class sizes based on clinical placements. Ask each program about applicant‑to‑seat ratios, waitlist time, and 2‑year actual completion rates (not catalog length).
- Confirm the license/credential route where you’ll work. In the US, look up your state board for RT, RDH, RN, or imaging credentials (ARRT, ARDMS, NMTCB). In the UK, check GDC registration for dental hygiene/therapy and NHS/HCPC requirements for similar roles.
- Price the whole journey, not just tuition. Add up: prerequisites, immunizations, background checks, exam fees, uniforms, clinical travel, lost income during unpaid placements, and retake costs if you fail a board exam.
- Estimate local pay bands and shift premiums. Night shifts, weekends, and high‑cost metro areas can add 10-25% to listed rates. Private dental hygiene work in the UK can out‑earn NHS pay if your diary stays full.
Fast heuristics:
- Highest median US pay that clearly ties to a 2‑year degree: Radiation Therapy.
- Highest UK earnings from an academic 2‑year path: Dental Hygiene/Dental Therapy (especially with private hours).
- Highest absolute pay with a 2‑year timeline that isn’t really a degree route: Air Traffic Control (US/UK), but entry is competitive and training is bespoke.
Pitfalls to avoid:
- Assuming catalog length equals finish time. A “2‑year” program can stretch to 3+ years if you need prerequisites or hit a clinical waitlist.
- Underestimating licensing risk. One exam fail can delay your start date-and income-by months.
- Ignoring regional variance. A $95k median can be $115k in a high‑cost city and $75k in a rural area.
- Choosing a role that doesn’t fit your day‑to‑day comfort. Radiation therapists and hygienists spend full days with patients. If you dislike clinical work, look at imaging modalities or IT‑leaning roles.
Role‑by‑role breakdown (requirements, pay, lifestyle)
Radiation Therapist (US): You’ll work on oncology teams delivering targeted radiation treatments. It’s technical, precise, and patient‑facing. Expect a 2‑year associate, an accredited program, and ARRT credentialing, plus state licensure where required. Median pay sits around the mid‑$90k mark with plenty of overtime opportunities in larger centers. Downsides: programs are small; clinical slots are capped; and you’ll be working closely with people in tough moments, which is emotionally heavy.
Dental Hygienist (US/UK): In the chair, you own preventive care-scaling, polishing, radiographs, periodontal assessments, and patient education. In the US, associate degrees are common with state licensure. In the UK, a two‑year Diploma or Foundation Degree and GDC registration open doors to NHS and private practice. Pay is strong in both countries, with US medians around the high‑$80k bracket and UK private rates often £35-£50 per hour. The catch: hand/arm strain is real, appointment churn can be intense, and income can depend on practice efficiency and booking stability.
Nuclear Medicine Technologist (US): You’ll prep radiopharmaceuticals and run imaging like PET. Associate programs exist, though some hospitals prefer a bachelor’s. Credentialing (ARRT(N) or NMTCB) matters. Median pay is high‑$80k. Lifestyle is generally better than emergency nursing-more controlled schedules-but on‑call rotations happen.
Diagnostic Medical Sonographer and MRI Technologist (US): Both are strong earners with associate‑level entry. Sonographers handle a wide range (obstetrics, vascular, cardiac), while MRI techs specialise on the MR suite. Expect mid‑$80k medians, certifications (ARDMS/CCI/ARRT), and competition for clinical placements. If you prefer less invasive, non‑ionising tech, ultrasound is appealing; MRI offers great pay with steady modality growth.
Registered Nurse via ADN (US): Many hospitals prefer a BSN, but plenty still hire ADN RNs, especially outside big metro academic centers. Median RN pay is in the mid‑$80k range across degree paths, with large differentials for nights, weekends, ICU, and travel contracts. The path is rigorous: clinical hours, NCLEX, shift work, and a learning curve in acute care. The upside: unmatched job mobility.
Web Developer (US/UK): A two‑year associate can help, but employers care more about what you can build. Pay can exceed $90k in the US and £60k in the UK with the right stack and projects. No licensure, but hiring is competitive and volatile. If you’re self‑driven and enjoy rapid skill cycles, it’s a credible path-just not guaranteed by the credential.
Air Traffic Controller (US/UK): This pays the most on many lists, but it’s not a college‑first route. In the US, you’ll need to pass FAA selection, train at the academy, and certify on the job. In the UK, you apply to NATS, clear aptitude testing, and complete paid training. Salaries are elite once validated, but training slots are limited and the environment is high‑stress. It’s the highest pay with a two‑year-ish timeline-but not a “2‑year degree.”

Costs, ROI, and a smart short‑list
US cost ranges for allied health associates (typical community college):
- Tuition/fees: ~$8k-$20k total in‑district for two years; out‑of‑district/private can push $25k-$45k.
- Extras: $2k-$6k for books, uniforms, immunizations, background checks, licensing exams (ARRT/ARDMS/boards), and clinical travel.
- Time: Prerequisites may add 1-2 semesters. Ask programs for a term‑by‑term map and the last five years of on‑time completion rates.
UK cost ranges (England) for two‑year pathways:
- Dental Hygiene/Dental Therapy tuition: usually up to £9,250 per year for two years, plus instruments and kit (£1k-£3k). Some courses run 27 months.
- Apprenticeships (e.g., nursing associate): you earn while learning; salary typically NHS Band 3-4 during training; graduates land in Band 4.
- Air Traffic Control (NATS): training is paid if accepted; the main “cost” is selection odds and time to validation.
ROI rule‑of‑thumb: Try to keep total borrowing below your expected after‑tax income for your first year on the job. If a Radiation Therapy program will cost you $22k all‑in and local starting pay is $80k-$95k, you’re well‑positioned. If you’re looking at a private program at $60k with similar pay, hunt for a public option.
Short‑list if you want the best shot at high pay fast:
- US: Radiation Therapy, Dental Hygiene, Nuclear Medicine, Diagnostic Medical Sonography, MRI Technology, ADN→RN (if your local hospitals hire ADNs).
- UK: Dental Hygiene/Dental Therapy (consider private/agency work), and apply to ATC if you’re open to the non‑degree route.
Decision mini‑tree:
- If you want the highest clear degree‑led median pay in the US → pick Radiation Therapy; apply to 3-5 programs to beat selectivity.
- If you want patient care with flexible hours → Dental Hygiene; mix NHS and private lists in the UK for better earnings.
- If you like imaging tech without heavy oncology exposure → Sonography or MRI; secure clinicals early.
- If you want the absolute top salary and can clear intense selection → apply for Air Traffic Control (US: FAA; UK: NATS), accepting it’s not a classic degree path.
Mini‑FAQ
Does an associate degree RN (ADN) still pay well? Yes. BLS shows RNs in the mid‑$80k median across degree types. Some hospitals prefer BSN, but ADNs still get hired in many regions. You can bridge to BSN later with employer tuition help.
Is Air Traffic Control the best‑paid “two‑year” option? For pay, yes-once validated, it often beats everything here. But it’s a selection/training pipeline, not a college degree. If your heart is set on ATC, apply-but keep a degree path as Plan B.
Which two‑year degree is easiest to get into? None of the highest‑paid health programs are “easy.” Capacity is tied to clinical placements. Apply broadly, complete prerequisites with high grades, and volunteer in relevant settings to stand out.
Can I hit six figures with a 2‑year degree? In the US, yes-especially with overtime, nights/weekends, or metro markets (RT, RDH, Nuc Med, MRI). In the UK, private dental hygiene work and agency shifts can push toward £70k-£80k+.
What about trades like electricians or elevator techs? Many trade roles pay very well-often via apprenticeships rather than two‑year degrees. Elevator installers can exceed $100k in the US, but it’s not a college degree path.
Next steps
If you’re in the US and want maximum pay from a true associate:
- Short‑list 3-5 accredited Radiation Therapy and Dental Hygiene programs within commuting range; add one imaging option (DMS or MRI).
- Call each program and ask: acceptance rate, average GPA, clinical placement guarantees, on‑time completion, first‑time board pass rate, and job placement within six months.
- Check your state’s licensure steps and fees (ARRT/ARDMS/NMTCB). Put exam dates on your calendar now.
- Build a funding plan: FAFSA, state grants, hospital tuition assistance agreements, and part‑time work that won’t jeopardise clinical hours.
If you’re in the UK and want a high‑earning two‑year route:
- Target GDC‑approved Dental Hygiene/Dental Therapy courses. Ask about clinic hours, instrument costs, and private‑practice placement support.
- Map your first year post‑registration: mix NHS sessions (for stability) with private lists (for higher hourly rates). Track local agency rates.
- If you’re curious about ATC, register for NATS updates and practice the aptitude tests early. Keep a two‑year academic backup.
If you’re a career‑changer juggling work and family:
- Find evening/weekend cohorts and ask about clinical scheduling flexibility. Some imaging programs offer extended pathways for working adults.
- Run the math: can you reduce work hours temporarily during clinical terms? Many students underestimate this crunch.
- Protect your health: get ergonomic gear early (for hygiene) and build a study routine that fits around family rhythms.
Quick checklist to validate ROI:
- Program is accredited and recognised by the licensing body you’ll use.
- On‑time completion rate ≥70% and first‑time board pass rate ≥85%.
- Job placement within six months ≥80% in your target region.
- Total borrowing less than first‑year after‑tax earnings.
- At least two local employers confirm they hire your credential.
Bottom line: the best‑paid two‑year degree you can actually finish and license for beats the absolute top salary that’s out of reach. If you aim high-Radiation Therapy or Dental Hygiene in the US, Dental Hygiene/Therapy in the UK-and work the plan above, you put real money on the board fast.