2026 How To Become an Ultrasound Technician in Texas

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Texas is home to more than 6,000 diagnostic medical sonographers, and demand continues to climb. Employment in this field is projected to grow by 20% through 2030, far outpacing the national average for most careers. This rapid growth reflects not only the increasing reliance on imaging in modern healthcare but also the stability and strong earning potential the profession provides.

For students, recent graduates, or career changers, sonography offers a rewarding pathway that combines technology with patient care. In this guide, prepared by career planning experts, we’ll explore Texas’s education options, certification requirements, and diverse career opportunities.

Key Things to Know About Becoming an Ultrasound Technician in Texas

Texas ultrasound technicians must complete a CAAHEP-accredited associate degree, prerequisites, and 1,000+ clinical hours to qualify for certification.
Professionals may specialize in OB/GYN, abdominal, cardiac, vascular, or musculoskeletal sonography and earn ARDMS, ARRT, or CCI credentials.
With salaries averaging $91,556 and job growth projected at 28%, advancement comes through specialization, advanced certifications, leadership, and education.

What education is required to become an ultrasound technician in Texas?
What specialties can ultrasound technicians choose from in Texas?
Which certification exams are required to become an ultrasound technician in Texas?
Is a license required to practice as an ultrasound technician in Texas?
What to expect during ultrasound technician clinical training in Texas?
How much does it cost to become an ultrasound technician in Texas?
What is the average salary for ultrasound technicians in Texas?
How can professional associations support ultrasound technicians in Texas?
What are the continuing education and credential maintenance requirements for ultrasound technicians in Texas?
What is the job outlook and demand for ultrasound technicians in Texas?
What are the career advancement steps for ultrasound technicians in Texas?
What are the common challenges ultrasound technicians face in Texas?

What education is required to become an ultrasound technician in Texas?

In Texas, aspiring ultrasound technicians must complete accredited education that blends classroom coursework with supervised clinical training. This ensures students are fully prepared for certification and professional practice. Below are the key educational requirements:

Minimum Degree Requirement: An Associate of Science (AS) or Associate of Applied Science (AAS) in Diagnostic Medical Sonography is required for entry-level roles.
Accredited Ultrasound Technician Programs: Programs must be accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS) to meet national education and certification standards.
Prerequisite Courses: Applicants typically complete anatomy, physiology, college algebra, and medical terminology with passing grades before admission.
High School Diploma or GED: A secondary credential is required to apply for sonography programs.
Clinical Internship/Practicum Hours: Students must complete supervised clinical rotations, gaining direct experience in patient care and ultrasound imaging.
Minimum Age and Residency: Most programs require applicants to be at least 18 years old and legal residents of Texas or the U.S.
Background Check: Criminal background clearance is often necessary prior to enrollment and clinical participation.
Certification Exam Eligibility: Graduates qualify to sit for ARDMS or ARRT national certification exams, widely recognized by employers.
Continuing Education: Certified sonographers must complete continuing education periodically to maintain active credentials.

Want a clearer picture of how many years to become a radiology tech? This can help you plan your educational journey around Texas diagnostic medical sonography degree requirements.

What specialties can ultrasound technicians choose from in Texas?

Ultrasound technicians in Texas can pursue a range of specialties that reflect both statewide healthcare needs and national certification pathways. These fields provide opportunities to focus on specific organ systems or patient populations while enhancing career growth. Below are the primary specialties available.

Abdominal Sonography: Focuses on imaging abdominal organs such as the liver, kidneys, and pancreas, forming a core specialty in most Texas programs.
Obstetric and Gynecologic Sonography: Specializes in reproductive health and fetal development, remaining one of the most in-demand specialties across the state.
Vascular Sonography: Involves evaluating veins and arteries to detect clots, blockages, or circulation issues, often emphasized in advanced tracks at major medical centers.
Cardiac Sonography (Echocardiography): Provides detailed imaging of the heart to assess function and structure, supporting the diagnosis of cardiovascular conditions.
Neurosonography: Focuses on imaging the brain and nervous system, particularly in neonatal and pediatric care, available through select institutions in Texas.
Musculoskeletal Sonography: Examines muscles, joints, tendons, and ligaments to support injury diagnosis and sports medicine, a specialty growing rapidly in Texas.

If you’re considering becoming an ultrasound technician, exploring these specialties through accredited diagnostic medical sonography programs in Texas can provide a strong foundation for a rewarding career. For those new to the field, resources like becoming an X ray technician can offer helpful guidance on training pathways. To help you better understand the educational background of professionals in this career, the chart below highlights the most common college majors among ultrasound technicians.

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

Certification exams are a key step for ultrasound technicians in Texas. Although the state does not issue a license, most employers require national certification to confirm a technician’s skills, professionalism, and readiness for patient care. Holding one or more of these credentials greatly improves employment opportunities.

ARDMS Certification Exams: The American Registry for Diagnostic Medical Sonography is the most widely recognized credential. Candidates must pass the Sonography Principles and Instrumentation (SPI) exam along with a specialty exam, such as Abdomen or Vascular. Eligibility generally requires graduation from a CAAHEP- or JRC-DMS-accredited program plus clinical experience.
ARRT Sonography Certification: The American Registry of Radiologic Technologists offers the Sonography (S) credential, which tests patient care, imaging physics, and sonographic interpretation. Completion of an ARRT-approved program and fulfillment of ethics standards are required. This option is well accepted in Texas, particularly in radiology or multi-modality imaging roles.
CCI Certification Exams: Cardiovascular Credentialing International provides certifications such as Registered Cardiac Sonographer (RCS) and Registered Vascular Specialist (RVS). These exams emphasize cardiovascular imaging and are valued by cardiology and vascular practices across Texas.
HESI A2 Admissions Exam: While not a professional certification, this test is commonly required for admission into Texas sonography programs. It evaluates subjects such as English, anatomy, and physiology and is often the first step before pursuing formal credentials.

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

Texas does not require a state license to practice as an ultrasound technician. This absence of state-level regulation simplifies entry into the profession but shifts responsibility to national certification, which serves as the benchmark for competency and professional credibility. Employers across Texas strongly prefer certified candidates, making national credentials essential for securing employment and advancing within the field.

Below are the main requirements for ultrasound technicians in Texas:

No State Licensure: Texas does not mandate or oversee licensure for ultrasound technicians.
National Certification: Credentials from ARDMS, ARRT, or CCI are widely recognized as the industry standard.
Accredited Education: Completion of a CAAHEP-accredited sonography program is typically required for exam eligibility.
Required Exams: Candidates must pass the ARDMS Sonography Principles and Instrumentation (SPI) exam plus a specialty exam such as Abdomen or OB/GYN.
Employer Expectations: While not legally required, certification is effectively mandatory for employment.
Professional Growth: Achieving certification enhances credibility, supports career advancement, and ensures consistent patient trust.

Ultrasound technicians are 92% more likely to work at private companies.

What to expect during ultrasound technician clinical training in Texas?

Clinical training in Texas is the stage where students apply classroom knowledge in real healthcare environments. It provides essential hands-on practice, professional mentorship, and structured evaluations that prepare students for certification and employment. Below are the key elements of this training:

Hands-On Patient Care: Students work directly with patients, practicing communication, positioning, and comfort techniques during procedures.
Supervised Use of Imaging Equipment: Trainees operate ultrasound machines and Doppler technology under expert supervision to ensure accuracy and safety.
Specialty Rotations: Clinical placements in OB/GYN, abdominal, vascular, and cardiac sonography develop skills across multiple specialties.
Mentorship from Licensed Professionals: Experienced sonographers and instructors provide guidance, feedback, and professional role modeling.
Competency Evaluations: Regular assessments verify proficiency in scanning techniques, image quality, and patient interaction.
Program-Specific Requirements: Most accredited programs in Texas mandate about 1,000 clinical hours completed across varied healthcare settings.
Integration with Coursework: Clinical practice directly reinforces classroom instruction in anatomy, physics, and pathology.
Competitive Entry Standards: Admission into programs often requires a strong GPA and exams such as the HESI A2 to ensure readiness for clinical demands.
Exposure to Diverse Healthcare Facilities: Students rotate through hospitals, outpatient centers, and private practices, adapting to different workflows.
Preparation for Certification: Training equips students with the skills needed to sit for ARDMS and ARRT exams, the benchmarks for professional practice.

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

The total cost of becoming an ultrasound technician in Texas varies by program type, institution, and whether a student attends as in-state or out-of-state. In addition to tuition, students must prepare for clinical, certification, and living costs. Below are the key expenses to expect.

Tuition and Fees: Associate degree programs at community colleges typically cost $6,000 to $15,000 for in-state students, while bachelor’s programs or private institutions may range from $20,000 to $30,000 or more.
Clinical Training Expenses: Uniforms, lab fees, liability insurance, and travel to externship sites usually total $700 to $1,500.
Certification and Exam Fees: ARDMS exams cost about $225–$250 per specialty, with extra fees for retakes or additional certifications.
Licensing or State Fees: Texas does not currently require licensure for ultrasound technicians, so no state fees apply.
Books and Materials: Textbooks, digital resources, and medical supplies generally cost $500 to $1,200 over the program.
Living Expenses: Housing, meals, transportation, and personal needs typically range from $9,000 to $14,000 annually, depending on location and lifestyle.

Costs for an ultrasound technician program in Texas vary depending on the school, program length, and whether you qualify for in-state tuition. Students often reduce costs through financial aid, scholarships, or employer tuition assistance. For those pursuing quicker routes, exploring the best accelerated online sonography and ultrasound degree options can offer added convenience and flexibility.

What is the average salary for ultrasound technicians in Texas?

The average annual salary for ultrasound technicians in Texas is about $91,556, slightly above the national average of $84,470 (2023). Depending on location, specialization, and experience, some professionals can earn up to $102,550 annually. Below are the main factors that influence pay in Texas.

Experience Level: Entry-level technicians earn less, while experienced professionals with advanced skills can reach significantly higher salaries.
Education and Certifications: Advanced credentials such as ARDMS certification typically increase earning potential by signaling specialized expertise.
Work Setting: Hospitals generally pay more than outpatient clinics or physician practices due to workload demands and shift requirements.
Geographic Location: Major cities such as Dallas and Houston offer higher wages compared to rural areas, reflecting both healthcare demand and living costs.
Specialization: OB/GYN, cardiovascular, and abdominal sonography specialties command higher salaries because of the advanced training and skills required.

How can professional associations support ultrasound technicians in Texas?

Professional associations offer invaluable resources that extend beyond formal education and clinical training. They provide ongoing professional development through workshops, seminars, and mentoring programs designed to keep technicians updated on emerging technologies and evolving best practices. Membership also facilitates networking with industry peers, opening pathways to collaborative projects and advanced roles. Resources and guidelines from related fields, such as how to become a radiology technician in Texas, further enhance cross-disciplinary insights and career resilience.

What are the continuing education and credential maintenance requirements for ultrasound technicians in Texas?

In addition to initial certification, ultrasound technicians in Texas must complete continuing education credits to sustain their credentials and align with the latest clinical practices. Certification boards often require a specified number of professional development hours every recertification period through accredited courses, workshops, and hands-on training sessions that emphasize both technological advances and patient safety. This commitment to ongoing learning not only reinforces clinical competence but also supports evolving industry standards, similar to the rigorous update protocols found in related fields such as how to become a nurse midwife in Texas.

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

The job outlook for ultrasound technicians in Texas is exceptionally strong, with employment projected to grow by 28% from 2022 to 2032. This rate is nearly double the national average of 14.3% and highlights Texas as one of the most promising states for pursuing this career. Below are the primary factors driving demand.

Population Growth and Aging: Texas’s rapidly expanding and aging population creates greater need for diagnostic imaging to monitor chronic and age-related conditions.
Healthcare Expansion: The establishment of new hospitals, outpatient centers, and clinics—particularly in cities like Houston, Dallas, and Austin—continues to generate abundant job opportunities.
Technological Advancements: The adoption of advanced tools, such as 3D and portable ultrasound systems, broadens the scope of practice and fosters specialized career paths.
Preventive Care Trends: Strong emphasis on early detection fuels demand for ultrasound as a cost-effective and non-invasive diagnostic tool.
Regional Demand Variations: Urban hubs offer the largest concentration of jobs, while rural areas benefit from healthcare initiatives aimed at expanding access and recruiting skilled technicians.

What are the career advancement steps for ultrasound technicians in Texas?

Ultrasound technicians in Texas can expand their careers through specialization, advanced education, and leadership opportunities. These steps enhance professional skills, open doors to higher-paying roles, and support long-term growth in the state’s dynamic healthcare system. Below are the primary advancement pathways:

Specialization: Focusing on OB/GYN, vascular, or cardiac sonography through advanced technical certificates strengthens expertise and creates opportunities in hospitals and specialty clinics.
Advanced Certifications: Credentials from ARDMS, CCI, or ARRT validate professional competence, increase employability, and lead to higher-paying positions. Continuing education ensures certification renewal and career competitiveness.
Higher Education: Earning a bachelor’s or master’s degree in sonography or health sciences prepares professionals for supervisory, research, or teaching careers. Texas institutions often provide transfer-friendly options for associate-level graduates.
Leadership Roles: Experienced sonographers may move into supervisory or administrative positions, overseeing imaging teams, managing quality assurance, and contributing to departmental growth.
Education and Training: Serving as instructors in CAAHEP-accredited programs or as clinical trainers allows technicians to guide students and strengthen the future sonography workforce.
Research and Technology Development: Contributing to academic research or collaborating with technology developers enables professionals to innovate imaging practices and advance diagnostic care.

Whether you specialize, earn advanced certifications, or take on leadership roles, career advancement for ultrasound technicians in Texas not only improves your salary but also widens your impact in healthcare. If you’re interested in exploring education pathways, programs like CUNY radiology programs offer useful options for further study.

What are the common challenges ultrasound technicians face in Texas?

Ultrasound technicians in Texas face a variety of challenges that affect both daily responsibilities and long-term career growth. Understanding these issues helps professionals prepare for the demands of the field while building resilience and adaptability. Below are the most common challenges in the state.

Physical Strain and Ergonomics: Repetitive scanning motions and long work hours often lead to musculoskeletal discomfort, making ergonomic practices essential for prevention.
Emotional Stress: Supporting patients during difficult medical situations can be emotionally draining, requiring strong coping skills to maintain professionalism.
Workload and Staffing Shortages: Many facilities across Texas experience understaffing, leaving sonographers to manage heavy caseloads with limited support.
Certification and Continuing Education Requirements: Maintaining credentials while balancing full-time work adds ongoing pressure and demands disciplined time management.
Technology Adaptation: Rapid changes in ultrasound equipment and digital systems require continuous learning and adaptability to new tools.
Job Market Competition: Employment opportunities vary widely across regions, making it important to build strong skills and strategies to stand out in competitive markets.

Being aware of these challenges helps ultrasound technicians in Texas prepare smarter and find ways to overcome obstacles, making this career more rewarding and sustainable. If you want to dive deeper, check out the medical sonographer job requirements to see what’s involved.

13% of sonographers experienced the need to repeat exams.

What do ultrasound technicians in Texas say about their career?

Working as an ultrasound technician in Texas has given me both stability and meaningful purpose. The state’s growing healthcare system provides steady job opportunities, while diverse patient cases keep me challenged and engaged. Every day, I feel proud of contributing to community health. Brianna
This career in Texas has allowed me to combine technical expertise with compassion, which makes the work deeply rewarding. The demand for skilled sonographers ensures job security, and opportunities for specialization give me confidence in advancing professionally while serving patients. Manuel
Becoming an ultrasound technician in Texas has been an exciting and fulfilling path. The variety of cases across urban and rural settings sharpens my skills daily, and the respect I receive from patients and colleagues makes this career worthwhile. Elena

References:

CHCP - College of Health Care Professions. (n.d.). How to become an ultrasound technician. Retrieved from CHCP
Dreambound. (n.d.). How to become a medical sonographer in Texas. Retrieved from Dreambound
El Paso Community College. (n.d.). EPCC - Health programs - diagnostic medical sonography. Retrieved from EPCC
Harris Health System. (n.d.). Diagnostic medical sonography program. Retrieved from Harris Health
Houston Community College. (n.d.). Diagnostic medical sonography | Houston Community College (HCC). Retrieved from HCC
Lone Star College. (n.d.). Diagnostic medical sonography AAS degree and enhanced skills certificate in non-invasive vascular technology. Retrieved from Lone Star College
San Jacinto College. (n.d.). Sonography admission - ultrasound technician and sonographer. Retrieved from San Jacinto College
South Texas College. (n.d.). Diagnostic medical sonography. Retrieved from South Texas College
Tarrant County College. (n.d.). Sonography schools in Texas: Health science pathway. Retrieved from TCC
Ultrasound Schools Info. (n.d.). Accredited ultrasound technician schools in Texas. Retrieved from Ultrasound Schools Info

Other Things You Should Know About Becoming an Ultrasound Technician in Texas

What is the difference between a sonographer and an ultrasound technician in Texas?

In Texas, a sonographer typically has advanced education and certification, performing diagnostic imaging and assisting in interpretation. An ultrasound technician may have less training, focusing mainly on operating equipment under supervision. Sonographers generally hold higher credentials, broader responsibilities, and greater involvement in patient care compared to ultrasound technicians.

Can you become an ultrasound technician in Texas with an online program?

Yes, you can become an ultrasound technician in Texas through an accredited online program that includes clinical training. Coursework may be completed online, but supervised hands-on practice is required. Graduates must also pass certification exams like ARDMS, as Texas employers prioritize credentialed professionals for employment eligibility.

Are there freelance or travel ultrasound technician opportunities in Texas?

Yes, freelance and travel ultrasound technician opportunities are available in Texas through clinics, hospitals, and staffing agencies. These roles provide flexibility and diverse clinical experiences but require certification and compliance with state regulations. Professionals must also be prepared for variable schedules, travel demands, and maintaining strong professional networks.

How can ultrasound technicians in Texas transition into related healthcare roles?

Ultrasound technicians in Texas can advance into roles like radiologic technologist, cardiovascular technologist, or sonography educator by pursuing additional certifications or degrees. Continuing education programs and state-recognized pathways support these transitions. Clinical experience and licensure further help professionals move into specialized, supervisory, or advanced diagnostic healthcare positions.