2026 How to Become an Ultrasound Technician in South Dakota

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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South Dakota’s healthcare workforce reflects steady growth, with radiologic technologists recording significant employment numbers in 2022, underscoring the state’s ongoing demand for skilled imaging professionals. In a region known for its rural communities and expanding healthcare networks, trained specialists play a pivotal role in ensuring timely, accurate patient care.

In this article, I will share the steps to becoming an ultrasound technician in South Dakota, including education, certification, and licensing requirements. I will also talk about career prospects, salary expectations, and how statewide healthcare needs shape opportunities for those entering this in-demand medical imaging field.

Key Things to Know About Becoming an Ultrasound Technician in South Dakota

• In South Dakota, you will need to complete an accredited diagnostic medical sonography program, typically two years, to meet the state’s educational requirements. 
• Sonographers in South Dakota earn an average annual salary of $98,273, offering strong income potential.
• Ultrasound technicians gain essential clinical experience through internships and hospital partnerships, which strengthen skills and improve local job opportunities.

Table of Contents

1. What education is required to become an ultrasound technician in South Dakota?
2. What specialties can ultrasound technicians choose from in South Dakota?
3. Which certification exams are required to become an ultrasound technician in South Dakota?
4. Is a license required to practice as an ultrasound technician in South Dakota?
5. What to expect during ultrasound technician clinical training in South Dakota?
6. How much does it cost to become an ultrasound technician in South Dakota?
7. Can ultrasound technicians transition into radiology technician roles in South Dakota?
8. How are emerging technologies reshaping ultrasound technician practice in South Dakota?
9. What is the average salary for ultrasound technicians in South Dakota?
10. What is the job outlook and demand for ultrasound technicians in South Dakota?
11. What are the career advancement steps for ultrasound technicians in South Dakota?
12. What are the common challenges ultrasound technicians face in South Dakota?

What education is required to become an ultrasound technician in South Dakota?

To pursue ultrasound technician training in South Dakota, candidates must complete accredited ultrasound technician programs in South Dakota that blend theoretical and clinical education. Meeting these specific educational requirements ensures readiness for career opportunities in this field.

• Minimum Degree Requirement: An associate’s or bachelor’s degree in diagnostic medical sonography completed at an accredited institution is necessary, with most opting for a two-year associate’s degree from a CAAHEP-accredited program.
• Program Accreditation: The program must be accredited by CAAHEP or JRC-DMS to meet state standards and ensure quality education.
• Prerequisite Coursework: Applicants need a high school diploma or GED, with foundational classes in math, biology, and health sciences often required to apply.
• Clinical Training Requirement: Completion of supervised clinical or practicum hours is essential, providing hands-on patient care experience integrated throughout the program.
• Credit Hours: Typical programs, such as the Southeast Technical College course, require about 78 credit hours over two years, covering core sonography topics.
• Certification Exam Requirement: Passing the ARDMS certification exams is expected before program completion, aligning with South Dakota ultrasound technician education requirements and employer preferences.
• Continuing Education: Certification holders must complete 30 continuing education credits every three years to maintain registration with ARDMS.
• Background and Health Checks: Criminal background checks, immunizations, and physical exams are often prerequisites before clinical placements begin.
• Cost of Education: Tuition averages around $263 per credit hour in South Dakota, though additional fees may apply.

Ultrasound technicians certified through these programs often enjoy higher earnings, reflecting South Dakota’s emphasis on quality training. For further insight into earnings, review the average radiologic technologist salary data by state.

What specialties can ultrasound technicians choose from in South Dakota?

Ultrasound technicians in South Dakota have access to a range of specialized areas within diagnostic medical sonography, allowing them to focus on specific organs or patient groups. These specialty choices enable technicians to tailor their careers according to their interests and the demands of local healthcare settings.

Below is an overview of common ultrasound technician specialties in South Dakota, which require focused training and often certification to ensure proficiency in imaging and diagnostic techniques.

• Abdominal Sonography: Imaging abdominal organs to detect diseases and guide procedures involving the liver, kidneys, and other digestive organs.
• Obstetric and Gynecologic (OB/GYN) Sonography: Monitoring fetal development and evaluating female reproductive health during pregnancy.
• Breast Sonography: Examining breast tissue to assist in early detection and biopsy guidance for breast cancer.
• Vascular Sonography: Assessing blood flow and vascular conditions, a key component of cardiovascular sonography programs in South Dakota.
• Cardiac (Echocardiography): Visualizing heart function and structure to support the diagnosis of cardiac diseases in all age groups.
• Musculoskeletal Sonography: Imaging muscles and joints to aid in diagnosing sports injuries and orthopedic conditions.
• Small Parts Sonography: Focused on superficial anatomy like the thyroid and lymph nodes, for detecting tumors and nodules.

For those interested in pursuing these paths, it’s essential to gain broad experience through foundational education and clinical rotations, followed by specialization with focused training or certifications. If you want to learn more about the training requirements and step-by-step guidance, see how to become a sonogram tech.

Which certification exams are required to become an ultrasound technician in South Dakota?

Certification exams play a vital role in establishing the qualifications of ultrasound technicians in South Dakota. Although the state does not require licensure, most employers demand recognized credentials to ensure that technicians meet national standards for competency and patient safety. Successfully passing certification exams is essential for career advancement and employer preference within the state’s healthcare system.

• Sonography Principles & Instrumentation (SPI) Exam: Administered by the American Registry for Diagnostic Medical Sonography (ARDMS), the SPI exam tests foundational knowledge of ultrasound physics, instrumentation, and safety. Eligibility requires completing an accredited sonography program, such as the one offered by Southeast Technical Institute, South Dakota’s only CAAHEP-accredited program. Passing this exam is a prerequisite for pursuing specialty certifications.
• ARDMS Specialty Certification Exams: After passing the SPI, candidates can take specialty exams in areas like Abdomen (AB) and Obstetric/Gynecologic (OB/GYN) sonography. These exams focus on clinical skills and knowledge specific to each specialty, requiring prior completion of an accredited program and SPI certification. Specialty credentials are highly favored by South Dakota employers looking for advanced expertise.
• Registered Diagnostic Medical Sonographer (RDMS) Credential: The RDMS credential is awarded upon passing the SPI and at least one specialty exam. It signifies comprehensive sonography expertise and is widely accepted in South Dakota healthcare facilities. Technicians must renew their certification by earning continuing education credits every three years.
• American Registry of Radiologic Technologists (ARRT) Sonography Certification: The ARRT provides an alternative certification pathway, requiring completion of an ARRT-recognized program and passing the ARRT exam. Though less prevalent than ARDMS credentials, ARRT certification is valued, particularly in departments with multi-modality imaging.
• Cardiovascular Credentialing International (CCI) Certifications: For cardiac and vascular sonography, CCI offers credentials such as Registered Cardiac Sonographer (RCS) and Registered Vascular Specialist (RVS). Eligibility includes relevant education and clinical experience. While less common in South Dakota, CCI certifications serve a specialized niche within cardiovascular sonography.

Achieving these certifications validates your skills to employers, expands job opportunities, and ensures alignment with South Dakota’s healthcare quality standards. By prioritizing accredited education and completing exams on time, you create a solid foundation for long-term success in sonography. To illustrate how these credentials translate into real opportunities, the following chart from Zippia highlights the percentage distribution of ultrasound technician jobs by sector.

Is a license required to practice as an ultrasound technician in South Dakota?

South Dakota does not require a state license to practice as an ultrasound technician, which means graduates can enter the workforce without waiting for additional approval. Instead of state regulation, the focus shifts toward educational preparation and professional certification as the primary qualifications for employment. For aspiring sonographers, this distinction clarifies where to direct their efforts from the start.

The state relies heavily on nationally recognized certifications, including those from the American Registry for Diagnostic Medical Sonography (ARDMS), the American Registry of Radiologic Technologists (ARRT), and Cardiovascular Credentialing International (CCI). With no provisional practice requirements or state-specific oversight, employers typically look to these credentials to ensure consistency and competence in the workplace. Most candidates pursue CAAHEP-accredited programs to qualify for certification exams such as the Sonography Principles and Instrumentation (SPI) and specialty tests in areas like Abdomen or OB/GYN.

Certification ultimately validates technical skill, establishes credibility with employers, and supports safe, ethical practice across healthcare settings in South Dakota. As one graduate from a local program explained, not having a state license allowed him to focus entirely on national exams and hands-on training. While navigating expectations without state licensure was initially daunting, achieving ARDMS certification quickly became the key to securing employment and building confidence in his career.

What to expect during ultrasound technician clinical training in South Dakota?

Clinical training is essential for ultrasound technician students in South Dakota, bridging classroom concepts with real-world patient care. This hands-on experience is designed to develop the technical skills, professional behavior, and clinical confidence necessary for certification and employment. Expect a structured, supervised learning environment that prepares you for the demands of sonography practice, such as the following:

• Hands-On Patient Care: You will perform real-time ultrasound scans while learning to communicate empathetically and professionally with patients under expert supervision.
• Supervised Use of Imaging Equipment: Training includes operating ultrasound machines and diagnostic tools to acquire quality images while following safety protocols guided by licensed sonographers.
• Exposure to Specialty Rotations: Clinical rotations typically cover areas such as OB/GYN, vascular, abdominal, and cardiac sonography, providing broad experience across different diagnostic fields.
• Mentorship from Licensed Professionals: Experienced, certified sonographers will mentor you by offering feedback, coaching, and evaluations to ensure you meet clinical and professional standards.
• Program and State-Specific Requirements: South Dakota programs accredited by CAAHEP require completion of around 960 clinical hours and documentation of competencies to advance toward graduation and exam eligibility.
• Competency and Performance Evaluations: Regular assessments monitor your technical proficiency, patient communication, and professional conduct, which are critical for certification readiness.

This comprehensive clinical training prepares you to meet the prerequisites for ARDMS certification exams while building the practical skills and confidence needed for effective, ethical sonography practice in healthcare settings.

How much does it cost to become an ultrasound technician in South Dakota?

The cost of pursuing a career as an ultrasound technician in South Dakota depends on several factors, including the type of degree program, the institution, and additional expenses outside of tuition. Students should weigh not only the upfront financial commitment but also the long-term return on investment, since diagnostic medical sonographers in the state earn competitive salaries that can quickly offset education costs.

Below is a detailed breakdown of what aspiring ultrasound technicians can expect to pay:

• Associate Degree Programs: Typically the most affordable entry point, with tuition ranging from $10,000 to $15,000. These programs take about two years to complete and prepare students for national certification.
• Southeast Technical College AAS Program: A well-known option in South Dakota, with tuition totaling about $11,368 for both in-state and out-of-state students, offering a direct and cost-effective path into the workforce.
• Bachelor’s Degree Programs: A more advanced option costing $30,000 or more, but offering broader training, deeper clinical exposure, and expanded opportunities in leadership or specialized sonography fields.
• Additional Expenses: Beyond tuition, students should budget for textbooks, lab fees, uniforms, medical supplies, background checks, immunizations, and certification exam fees, which can add several thousand dollars to total costs.
• Financial Aid and Scholarships: South Dakota provides financial relief through scholarships like the Build Dakota Scholarship, which covers tuition and fees for high-demand fields, and the South Dakota Opportunity Scholarship, awarded based on academic performance. Federal financial aid and grants may also be available depending on eligibility.

By carefully considering program type, available scholarships, and long-term career goals, students in South Dakota can find a path that balances affordability with professional advancement. For many, choosing a cost-effective associate program, such as affordable online associates degree in radiology, and leveraging financial aid makes entering the sonography field accessible, while those seeking specialized or leadership roles may benefit from investing in a bachelor’s program.

Can ultrasound technicians transition into radiology technician roles in South Dakota?

Ultrasound technicians seeking broader clinical responsibilities may explore transitioning into radiology technician roles. This career move involves pursuing additional certifications and targeted training that expand technical expertise and diagnostic capabilities. Professionals considering this option should evaluate accredited programs and certification requirements distinct from ultrasound practice. Detailed guidance is available on the path forward, including advanced competencies and regulatory considerations. For insights into the necessary steps and training criteria, refer to how to become a radiology technician in South Dakota.

How are emerging technologies reshaping ultrasound technician practice in South Dakota?

Recent innovations in imaging technology—such as AI-driven diagnostic tools and telemedicine—are transforming ultrasound services throughout South Dakota. These advancements enable faster image analysis, improved diagnostic accuracy, and enhanced patient care, making proficiency with new digital tools increasingly valuable. Technicians who stay updated with these emerging trends often find themselves well positioned for diversified roles or complementary healthcare fields, including how to become a nurse midwife in South Dakota. Embracing continuous education and specialized training in these areas is essential to maintain a competitive edge in a rapidly evolving healthcare landscape.

What is the average salary for ultrasound technicians in South Dakota?

Ultrasound technician career salary in South Dakota is $98,273 per year, reflecting strong earning potential within the state’s healthcare sector. According to ZipRecruiter, weekly wages can be as high as $2,990 and as low as $712, though the majority of salaries fall within a more stable range of $1,221 (25th percentile) to $2,442 (75th percentile). This distribution underscores both the variability and consistency of compensation for sonographers depending on experience, skill set, and employment context.

Geographic location further shapes earnings within South Dakota. For instance, sonographers in Mitchell average $99,265 annually, slightly surpassing the statewide mean, while those in Pierre earn about $97,922, and professionals in Sioux Falls report an average of $97,768. These variations, though modest, emphasize the influence of local healthcare demand, facility size, and cost-of-living differences on salary outcomes.

Taken together, the data illustrate that while South Dakota provides competitive compensation relative to national averages, strategic consideration of regional dynamics can enhance both career advancement and earning potential.

What is the job outlook and demand for ultrasound technicians in South Dakota?

Job openings for ultrasound technicians in South Dakota are projected to grow by 12% by 2033, reflecting sustained demand for diagnostic imaging services. This positive outlook positions South Dakota as a strategic and forward-looking state for individuals pursuing careers in sonography, offering both stability and long-term professional opportunity.

• Population Growth and Aging: As more residents, especially older adults, require diagnostic imaging, demand rises for skilled ultrasound technicians across both urban and rural areas.
• Healthcare Expansion: New clinics, hospitals, and outpatient centers are opening statewide, broadening care access and increasing the need for qualified sonographers.
• Technological Advancements: Innovations in ultrasound equipment lead to specialized roles, encouraging technicians to pursue ongoing training to stay competitive.
• Preventive Care Trends: Growing emphasis on early detection strengthens ultrasound’s role in screening, sustaining steady employment demand.
• Regional Demand Variations: Job opportunities are typically greater in cities like Sioux Falls, while rural regions may have fewer openings due to smaller healthcare facilities.

Collectively, these factors contribute to a robust job market for ultrasound technicians, offering diverse employment options and a promising career outlook in South Dakota. An ultrasound technician from South Dakota, who graduated from a local school, shared that initially, adapting to the fast pace and varied patient needs was challenging.

She emphasized that ongoing education kept her current with new technology and directly contributed to securing roles as facilities expanded. Reflecting on her journey, she noted, “The demand here really pushes you to grow professionally. I’ve seen firsthand how the increase in healthcare services opens up more opportunities for people like me, especially in our urban centers.”

Her experience underscores how continuous learning, paired with South Dakota’s expanding healthcare infrastructure, fosters career growth and stability for ultrasound professionals. This chart from Zippia illustrates the unemployment rate for ultrasound technicians by year.

What are the career advancement steps for ultrasound technicians in South Dakota?

Ultrasound technicians in South Dakota can advance their careers by pursuing specialization, earning advanced certifications, or stepping into leadership roles within healthcare settings. These strategies help professionals increase their expertise, job prospects, and earning potential in a growing job market for sonographers.

Targeted career advancement opportunities for ultrasound technicians in South Dakota support sustained professional development and expanded responsibilities.

• Specialization: Focusing on specific areas like OB/GYN, vascular, or cardiac sonography allows technicians to become sought-after experts, enhancing job security and salary prospects.
• Advanced Certifications: Credentials from organizations such as ARDMS, CCI, or ARRT validate a higher skill level, unlocking chances for advanced roles and pay increases.
• Higher Education: Obtaining a bachelor’s or master’s degree in medical imaging, healthcare administration, or related fields can qualify technicians for management, education, or clinical specialist positions.
• Leadership Roles: Experienced sonographers may transition into supervisory, managerial, or administrative positions, contributing to health system policies and overseeing teams.
• Education and Training: Technicians with extensive experience can become instructors or clinical trainers, shaping future professionals. In 2023, the most common majors for diagnostic medical sonographers were in Health, with 15,756 graduates nationwide, ensuring a steady pipeline of candidates for teaching and training roles.
• Research or Technology Development: Sonographers may engage with academic or industry partners to drive innovation in imaging technology or contribute to research projects.

For those wondering if are radiology programs easy to enter, gaining relevant certifications and experience opens pathways to advanced careers. Career growth in sonography not only increases earning potential—averaging up to $98,273 annually in South Dakota—but also broadens a technician’s impact on patient care and healthcare innovation.

What are the common challenges ultrasound technicians face in South Dakota?

Ultrasound technicians in South Dakota face a range of challenges that impact their daily work and career growth. Recognizing these obstacles helps professionals develop practical strategies to maintain quality patient care and job satisfaction while managing stress and workload.

• Physical Strain and Ergonomics: Repetitive scanning and long hours standing can cause musculoskeletal pain, making proper equipment setup and posture vital for injury prevention.
• Emotional Stress: Managing interactions with patients undergoing difficult medical situations requires resilience to prevent burnout and compassion fatigue.
• Workload and Staffing Shortages: Limited staff in some areas means technicians often handle heavy caseloads, increasing overtime and pressure during shifts.
• Certification and Continuing Education Requirements: Maintaining credentials demands ongoing education, which must be balanced alongside work commitments and personal life.
• Technology Adaptation: Staying current with new ultrasound machines and digital systems is essential but can be challenging when facilities upgrade equipment.
• Job Market Competition: Regional differences in demand and specialized roles create competitive job environments, especially for entry-level positions.

Despite these challenges, South Dakota continues to offer rewarding opportunities for those committed to the field. By staying adaptable, pursuing continuing education, and building resilience, ultrasound technicians can overcome workplace obstacles while strengthening their professional standing. Ultimately, navigating these demands not only enhances personal growth but also broadens the career options for medical sonographers across the state, ensuring long-term success in a rapidly evolving healthcare landscape.

What do ultrasound technicians in South Dakota say about their careers?

• Completing my ultrasound technician program at Southeast Technical College was a transformative experience. The hands-on training and supportive instructors prepared me thoroughly for my role in a local school. Working in an educational environment allows me to blend my technical skills with a passion for nurturing student health. South Dakota's close-knit communities make this career incredibly rewarding, as I see the direct impact of my work on young lives every day. - Rachelle
• Starting my career as an ultrasound technician in a local school has been both challenging and enriching. South Dakota’s rural settings provide unique cases that sharpen my diagnostic skills and deepen my understanding of diverse medical needs. After graduating from Western Dakota Technical College, I’ve witnessed remarkable professional growth opportunities here, proving this state is ripe for advancement in healthcare roles. It’s fulfilling to support not just students but the entire community’s well-being through my work. - Kelvin
• Attending Mitchell Technical Institute opened doors for me in the field of ultrasound technology, especially within South Dakota's academic institutions. My journey has been marked by personal growth and a strong desire to serve the youth through early and accurate health screenings. The cultural diversity and natural environment in South Dakota bring distinct experiences that enrich my job daily. I appreciate the stability and recognition this career path offers, empowering me to contribute meaningfully to the community. - Hira

References:

• Data USA (n.d.). Diagnostic Medical Sonographers. Retrieved from https://datausa.io/profile/soc/diagnostic-medical-sonographers?redirect=true
• O*NET OnLine (n.d.). South Dakota Employment Trends 29-2034.00 - Radiologic Technologists and Technicians. Retrieved from https://www.onetonline.org/link/localtrends/29-2034.00?st=SD
• Zippia (2025). Ultrasound Technologist Demographics and Statistics in the US. Retrieved from https://www.zippia.com/ultrasound-technologist-jobs/demographics/
• ZipRecruiter (2025). Ultrasound Technician Salary in South Dakota. Retrieved from https://www.ziprecruiter.com/Salaries/Ultrasound-Technician-Salary--in-South-Dakota#Yearly

Other Things You Should Know About Being an Ultrasound Technician in South Dakota