The steps, in order
- In high schoolFocus on science and mathAnatomy, physiology, physics and math are the most useful classes.
- About 2 yearsComplete a sonography programAssociate degrees are common. Bachelor's degrees and certificates are also offered.
- During the programDo your clinical hoursStudents work under an experienced sonographer in a hospital, office or imaging lab.
- After trainingEarn a credentialEmployers may require or prefer professional certification.
- Depending on the stateGet a license if requiredSome states require one. Many jobs also ask for basic life support certification.
Degree or certificate
Each route includes sonography coursework and clinical training.
| Route | Where it is offered |
|---|---|
| Associate degree | 2-year and 4-year colleges |
| Bachelor's degree | 4-year colleges and universities |
| Certificate | Colleges and some hospitals |
The exam
- Registered Diagnostic Medical Sonographer, offered through Inteleos
- Requires the Sonography Principles and Instrumentation (SPI) exam
- Plus at least one specialty exam of your choice
Picking a specialty
Programs often teach specific areas, such as abdominal or breast sonography, and the RDMS requires a specialty exam. Your first specialty can shape the jobs you qualify for, so look at what employers near you are asking for.
Licenses and credentials are different
A state license is a legal requirement where it exists. A credential is proof of competency from a professional body, and it is often what employers ask for, whether or not the state requires a license.
What the job pays
The national median was $96,590 a year, or $46.44 an hour, in May 2025. The BLS projects 13.9% job growth from 2025 to 2035, with about 6,000 openings a year.
Questions people ask
How long does it take to become an ultrasound tech?
An associate degree is the usual route and is commonly a two-year program. Certificates can be different lengths, so check with each school.
Do ultrasound techs need a license?
Only in some states. Many employers still require or prefer professional certification.
What is the difference between a sonographer and an ultrasound tech?
None in practice. Sonographer is the formal title and ultrasound tech is the everyday one.
Sources
General information, not career advice. Requirements change and differ by state: confirm them with your state board and the program you are considering.