A career as a pediatric echocardiographer offers a unique blend of technical skill, medical knowledge, and compassionate patient care. It’s a rewarding path for those passionate about making a direct impact on the health of children. But beyond the intrinsic rewards, it's also a financially stable and promising profession. So, what can you expect to earn?
While salaries can vary, a certified pediatric echocardiographer in the United States can expect a competitive average salary, typically ranging from $80,000 to over $115,000 annually, with top earners and those in high-demand areas exceeding this.
This guide will provide a detailed breakdown of a pediatric echocardiographer's salary, the key factors that influence your pay, and the promising outlook for this vital healthcare career.
What Does a Pediatric Echocardiographer Do?

A pediatric echocardiographer, or pediatric echo tech, is a highly specialized healthcare professional who uses ultrasound technology to create detailed images of the heart—a procedure known as an echocardiogram. Their patients range from fetuses (in utero) and newborns to adolescents.
These images are critical for pediatric cardiologists to diagnose, monitor, and treat a wide range of conditions, including congenital heart defects, heart murmurs, infections, and other cardiac abnormalities. Key responsibilities include:
- Preparing and calming young patients and their families for the procedure.
- Operating sophisticated ultrasound equipment to capture high-quality images of the heart's chambers, valves, and blood vessels.
- Analyzing the diagnostic images for any abnormalities and preparing detailed reports for cardiologists.
- Collaborating closely with the pediatric medical team to ensure the best patient outcomes.
The role requires a deep understanding of cardiac anatomy and physiology, exceptional technical proficiency, and outstanding interpersonal skills, especially when working with anxious children and parents.
Average Pediatric Echocardiographer Salary

The specialization required to work with pediatric patients often commands a higher salary than a general adult echocardiographer. Based on data from leading salary aggregators and industry reports, the financial outlook is strong.
- The median national salary for a Pediatric Echocardiographer is approximately $92,570 per year, according to Salary.com as of early 2024.
- The typical salary range falls between $83,815 and $102,152, but this can expand significantly based on the factors below. Entry-level positions may start in the high $70,000s, while senior, lead technologists in high-cost-of-living areas can earn over $115,000.
- The U.S. Bureau of Labor Statistics (BLS) groups this role under "Diagnostic Medical Sonographers." For this broader category, the median annual wage was $81,350 in May 2022. The fact that pediatric echo tech averages trend higher highlights the value of this specialization.
Key Factors That Influence Salary

Your base salary is just a starting point. Several key factors can significantly increase your earning potential throughout your career.
### Level of Education & Certification
While an associate's degree is the minimum requirement, a bachelor's degree in diagnostic medical sonography can make you a more competitive candidate and may lead to a higher starting salary. However, the most critical factor in this category is professional certification.
Certification from the American Registry for Diagnostic Medical Sonography (ARDMS) is the industry standard. To maximize your earnings as a pediatric echo tech, you must obtain the Registered Diagnostic Cardiac Sonographer (RDCS) credential with a Pediatric Echocardiography (PE) specialty. Holding the PE credential is non-negotiable for top jobs and directly validates your expertise, leading to significantly higher pay.
### Years of Experience
Experience is one of the most powerful drivers of salary growth in this field. Employers pay a premium for technologists who have a proven track record of skill, efficiency, and diagnostic accuracy.
- Entry-Level (0-2 years): New graduates with their PE certification can expect to start in the $75,000 to $85,000 range.
- Mid-Career (5-10 years): With several years of hands-on experience, sonographers can expect to earn between $88,000 and $100,000 as they take on more complex cases.
- Senior/Lead Technologist (10+ years): Highly experienced professionals who take on leadership roles, train junior staff, or manage a lab can command salaries well over $105,000, with top earners reaching $120,000 or more.
### Geographic Location
Where you work has a massive impact on your salary. Metropolitan areas with a high cost of living and a high concentration of top-tier medical facilities typically offer the highest wages to attract talent.
According to BLS data for the broader sonographer category, the top-paying states include:
- California
- Hawaii
- Washington
- Oregon
- Rhode Island
Working in a major city like San Francisco, New York, or Boston will likely yield a much higher salary than in a rural area in the Midwest or South. However, it's crucial to balance a higher salary against the increased cost of living in these regions.
### Company Type
The type of facility you work for is another major determinant of your salary.
- Children’s Hospitals and Major University Medical Centers: These are often the highest-paying employers. They handle the most complex and critical cases, conduct research, and demand the highest level of expertise.
- Large General Hospitals: Hospitals with dedicated pediatric cardiology departments offer competitive salaries that are often close to those at specialized children's hospitals.
- Outpatient Cardiology Clinics: These facilities may offer a better work-life balance and more regular hours, but salaries can sometimes be slightly lower than in a high-acuity hospital setting.
- Traveling and Contract Roles: Working as a traveling pediatric echo tech can be extremely lucrative, often paying a premium hourly rate to fill short-term needs in understaffed facilities.
### Area of Specialization
Within pediatric echocardiography, there is a further sub-specialty that can significantly boost your income: Fetal Echocardiography. Performing echocardiograms on a fetus in the womb to detect congenital heart defects before birth is an incredibly advanced skill. Technologists who are certified and proficient in fetal echo are in high demand and can command some of the highest salaries in the field.
Job Outlook

The future for pediatric echocardiographers is exceptionally bright. The U.S. Bureau of Labor Statistics projects that employment for Diagnostic Medical Sonographers will grow by 10% from 2022 to 2032, which is much faster than the average for all occupations.
This growth is driven by several factors:
- Advances in ultrasound technology that allow for earlier and more accurate diagnoses.
- An increasing emphasis on early detection of congenital heart defects.
- A growing population that requires access to diagnostic imaging services.
The highly specialized nature of pediatric echocardiography means that qualified and certified professionals will remain in high demand, ensuring strong job security and continued salary growth for years to come.
Conclusion

Choosing a career as a pediatric echocardiographer is a decision to enter a field that is both personally fulfilling and financially rewarding. With a strong national average salary and significant potential for growth, it represents an excellent return on your educational investment.
To maximize your earning potential, focus on these key takeaways:
- Get Certified: Obtaining your ARDMS credential with a PE specialty is the most important step you can take.
- Gain Experience: Your value and salary will grow substantially with each year of dedicated experience.
- Consider Location: Be strategic about where you choose to work, as geography plays a major role in compensation.
- Never Stop Learning: Pursuing advanced skills like fetal echocardiography can open doors to elite roles and top-tier salaries.
For those drawn to technology and dedicated to the well-being of children, this career path offers a secure and prosperous future at the heart of modern medicine.