How to Become an Ultrasound Technician

Keith Carlson, RN, NC-BC
By
Updated on February 21, 2025
Edited by
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Explore the steps to become an ultrasound technician, the typical salaries they earn, and which specializations to choose for your career.

If you see a bruise or a gash, it’s easy to assess the problem and find a solution. But what about the things we can’t see?

Ultrasound technicians are healthcare specialists who can look beneath the surface. Using special equipment, they create noninvasive images of the insides of bodies to detect medical conditions, such as blood clots, pregnancies, and enlarged spleens.

Ultrasound technicians, also called sonographers, are generally paid well. According to the Bureau of Labor Statistics (BLS), they’re among the highest-paid healthcare jobs that don’t require med school, earning a median annual salary of $84,470 as of May 2023.

4 Steps for Becoming an Ultrasound Technician

Wondering how to become an ultrasound technician? Most students need anywhere from 1-6 years to complete their ultrasound technician education, depending on their level of education before beginning the process and how extensive an educational pathway they choose.

For professionals who are educated and trained in another healthcare field, one-year certificate programs in sonography are available.

  1. 1

    Earn a High School Diploma or GED Certificate

    Earning a high school diploma or GED certificate is an important step toward gainful employment in almost any field. A high school education is your gateway to college and creating a career, and you absolutely need one in order to become an ultrasound technician.

  2. 2

    Earn an Accredited Associate in Sonography Degree

    An associate degree in sonography covers important subjects like anatomy, physiology, and math. Degrees from accredited institutions improve potential transfer opportunities and continuing education paths, and can be more appealing to employers.

    Not sure if your chosen program is accredited? Use the U.S. Department of Education’s accreditation database to look up the status of any school. The Council for Higher Education Accreditation database allows you to check the validity of any accrediting organization.

    Once you choose a school, it’s time to apply.

  3. 3

    Get Licensed if Required by Your State

    At this time, only New Hampshire, New Mexico, North Dakota, and Oregon require medical sonographers to hold a license. In every other state, the requirements to practice are limited to successfully completing sonographer education and, in most states, becoming certified through a professional organization.

  4. 4

    Take an Ultrasound Technician Certification Exam Through a Professional Organization

    The American Registry for Diagnostic Medical Sonography (ARDMS) and the American Registry of Radiologic Technologists (ARRT) administer a certification exam and award professional credentials for medical sonographers and ultrasound technicians.

    Cardiovascular Credentialing International (CCI) offers additional specialized certifications related to cardiology.

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What Is an Ultrasound Technician?

An ultrasound technician performs noninvasive imaging tests (sonograms or ultrasounds) to create pictures of a patient’s organs and tissues. Doctors, surgeons, radiologists, and other healthcare workers then view these images to assess and diagnose medical conditions.

Ultrasound technicians often work in hospitals, doctor offices, medical laboratories, outpatient centers (e.g., ambulatory surgical centers and women’s health practices), and university and college health centers.

So what does an ultrasound technician do exactly? Basic duties include:

  • Preparing patients for exams
  • Preparing exam rooms and maintaining equipment in good working order
  • Operating diagnostic imaging machines and analyzing images for sonography exams
  • Communicating directly with doctors and surgeons to capture images of organs and body tissues
  • Informing patients about procedures
  • Documenting patient records, noting results, and completing billing forms

The American Society of Radiologic Technologies (ASRT) publishes the “ASRT Practice Standards for Medical Imaging and Radiation Therapy” on its website. This document is a helpful resource for students and professionals in related fields.

Ultrasound Technician Salary

According to the BLS, ultrasound technicians earn a competitive median annual salary of $84,470, or a median hourly wage of $40.61. Comparatively, the average American worker earns a median hourly wage of $23.11.

The bottom 10% of ultrasound technicians earn less than $63,680 per year, while the top 10% earn over $116,300.

The BLS reports that the top-paying states in terms of average salaries for diagnostic medical sonographers are:

  1. California: $122,670
  2. Hawaii: $111,690
  3. Oregon: $104,260
  4. Massachusetts: $101,420
  5. Connecticut: $99,610

Ultrasound Technician Certification Process

  • Certification: This is when a professional certifying organization certifies that a technician has met all requirements of knowledge and competency. It is valid nationwide.
  • Licensure: Individual states issue licenses, which grant you, the technician, the ability to legally practice in that state under its specific regulations. The only states that require licensure for ultrasound technicians are New Hampshire, New Mexico, North Dakota, and Oregon.

The ultrasound technician certification process gives you the opportunity to prove you’ve met all education requirements and mastered the necessary skills to be a successful ultrasound technician.

Once you graduate from an accredited program, you can sit for the certification exam administered by ARDMS or ARRT. Later, you can seek additional specialized cardiac-related certifications from CCI.

There are many sonography certifications you can earn. While these additional certifications will make your journey longer, they also provide specific expert knowledge and skills. These certifications include:

  • Registered Diagnostic Medical Sonographer (RDMS)
  • Registered Diagnostic Cardiac Sonographer (RDCS)
  • Registered Vascular Technologist (RVT)
  • Registered Musculoskeletal Sonographer (RMSKS)
  • Midwife Sonography Certificate (MW) — for midwives only

Available sonography-related cardiac certifications from CCI include:

  • Registered Cardiac Sonographer (RCS)
  • Advanced Cardiac Sonographer (ACS)
  • Registered Congenital Cardiac Sonographer (RCCS)
  • Registered Cardiovascular Invasive Specialist (RCIS)
  • Certified Cardiographic Technician (CCT)
  • Registered Congenital Cardiac Sonographer (RCCS)
  • Registered Cardiac Sonographer (RCS)
  • Registered Vascular Specialist (RVS)

Types of Ultrasound Technicians

Patients need internal imaging for different reasons. Each type of ultrasound technician specializes in helping doctors detect conditions in various areas of the body.

Ultrasound Technician Jobs
Job TitleDuties
Diagnostic cardiovascular sonographersUse ultrasounds to take images of the heart and help doctors find abnormalities in valves and heart chambers.
Abdominal sonographersTake images of the liver, kidneys, pancreas, and spleen to diagnose pain or detect problems.
Musculoskeletal sonographersUse ultrasounds to examine muscles, bones, and nerves to detect broken bones, hernias, and tears.
Neurosonology sonographersPerform ultrasounds on the brain and nervous system and use these images to diagnose conditions such as strokes and aneurysms.
Obstetric and gynecologic sonographersUse ultrasounds to detect the presence of a fetus and examine the fetus’s condition, anatomy, and growth.
Pediatric sonographersExamine children as they develop in the womb and after birth and look for fetal abnormalities and congenital disabilities.

Is Becoming an Ultrasound Technician Right for You?

Take time to weigh your options before deciding whether becoming an ultrasound technician is the right choice. As you think about your professional goals and interests, consider the following pros and cons.

Pros

  • checkYou can make a difference in people’s lives by helping to monitor and diagnose various health conditions.
  • checkYou only need an associate degree, at most, to become an ultrasound technician, saving you time and money on your education.
  • checkYou have a variety of specialties to choose from.
  • checkUltrasound technicians are in demand: The BLS projects that jobs for diagnostic medical sonographers will grow 15% between 2023 and 2033.

Cons

  • xYou’ll likely need additional certifications after you earn your associate degree.
  • xIf you live and plan to work in New Hampshire, New Mexico, North Dakota, or Oregon, you’ll need to get an ultrasound technician license.
  • xMany sonographers work long, variable hours, which can be difficult to adjust to.
  • xStudies show that many sonographers experience burnout.

Frequently Asked Questions About Becoming an Ultrasound Technician

It depends. You need a college education and, in many cases, certification to become an ultrasound technician. The time it takes to become an ultrasound technician ranges from 1-6 years, depending on your education level.

According to the Cambridge College of Healthcare and Technology, sonography programs can be challenging due to the technical nature of the courses, which include anatomy, physiology, and ultrasound physics.

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