# EchoRef vs Echocompanion

The clearest difference is ratings volume: EchoRef at 1.4K against Echocompanion's 2. EchoRef also leads on update cadence (every 2 months vs every 8 months). Echocompanion's advantage is iOS requirement (15.5 vs 26.0). On price, rating, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.9 for EchoRef against 5.0 for Echocompanion. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 2, so its average is the more settled of the two.

EchoRef ships an update every 2 months, Echocompanion every 8 months. The most recent releases landed on September 18, 2026 and August 6, 2026 respectively.

## The numbers

| Metric | EchoRef | Echocompanion |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/echocompanion/id1484332538/reviews)** |
| Number of ratings | **1.4K** | 2 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 8 months |
| Monetization | Free | Free |
| Size | 105 MB | 67 MB |
| Requires iOS | 26.0 | **15.5** |
| Devices | iPhone, iPad | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [Rishi Kumar](https://appshunter.io/developer/1434016052) | [Sami Ghazal](https://appshunter.io/developer/1484332537) |

## What reviewers say

### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Echocompanion

[App page](https://appshunter.io/ios/app/echocompanion/id1484332538)

This medical app provides reference ranges for echocardiographic parameters based on current guidelines. It includes an echo calculator and educational resources like videos and a book.

**Highlights:** Normal and abnormal echocardiographic ranges, Latest guideline-based data, Echo calculator, Educational videos, The Book of Echo

**In-app purchases:** none


## Frequently asked questions

### Is EchoRef free?

EchoRef is free to download, with no in-app purchases.

### Is Echocompanion free?

Echocompanion is free to download, with no in-app purchases.

### Which has better reviews, EchoRef or Echocompanion?

Echocompanion is rated higher. EchoRef averages 4.9 out of 5 from 1.4K ratings, while Echocompanion averages 5.0 from 2 ratings.

### Do EchoRef or Echocompanion have ads?

Neither EchoRef nor Echocompanion shows ads.

### Which is updated more often, EchoRef or Echocompanion?

EchoRef ships an update every 2 months, and Echocompanion every 8 months. Most recently, EchoRef was updated on September 18, 2026 and Echocompanion on August 6, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*