# ECHO Views vs EchoRef

The clearest difference is price: EchoRef at Free against ECHO Views's $9.99. EchoRef also leads on rating (4.9 vs 4.4) and review sentiment (100% vs 68%). ECHO Views's advantage is chart position (#178 vs unranked) and iOS requirement (9.0 vs 26.0). On update cadence, ads, in-app purchases and device support there is nothing between them.

EchoRef is free to download; ECHO Views costs $9.99 up front. Neither carries in-app purchases, so what you see is what you pay.

EchoRef holds the better App Store score, 4.9 against 4.4. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 38, so its average is the more settled of the two. Written reviews point the same way: 68% of ECHO Views's written reviews are positive against 100% of EchoRef's.

ECHO Views ships an update every 3 months, EchoRef every 2 months. The most recent releases landed on November 10, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | ECHO Views | EchoRef |
| --- | --- | --- |
| Price | $9.99 | **Free** |
| Rating | [4.4 (38 ratings)](https://appshunter.io/ios/app/echo-views-transesophageal-echocardiography/id447218400/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 38 | **1.4K** |
| Positive reviews | 67.9% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 3 months | **Every 2 months** |
| Monetization | Paid | **Free** |
| Best chart rank | **#178** | — |
| Size | 109 MB | 104 MB |
| Requires iOS | **9.0** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [iAnesthesia LLC](https://appshunter.io/developer/293134324) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### ECHO Views

[App page](https://appshunter.io/ios/app/echo-views-transesophageal-echocardiography/id447218400)

**Currently charting:** #178 Top Paid · Medical (US App Store)

A comprehensive atlas of 28 transesophageal echocardiography views for perioperative exams. It highlights key anatomical structures and provides explanations, serving as a quick reference for beginners and intermediate users. Features include offline access and interactive quizzes.

**Highlights:** 28 common TEE views, Highlights over 30 anatomic structures, Brief explanation of each view, Organized by cardiac structures, Offline access, Interactive quiz feature, Hide/show labels for self-testing

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

**In-app purchases:** none


### 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


## Frequently asked questions

### Is ECHO Views free?

ECHO Views costs $9.99, with no in-app purchases.

### Is EchoRef free?

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

### Which has better reviews, ECHO Views or EchoRef?

EchoRef is rated higher. ECHO Views averages 4.4 out of 5 from 38 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do ECHO Views or EchoRef have ads?

Neither ECHO Views nor EchoRef shows ads.

### Which is updated more often, ECHO Views or EchoRef?

ECHO Views ships an update every 3 months, and EchoRef every 2 months. Most recently, ECHO Views was updated on November 10, 2026 and EchoRef on November 2, 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.*