# iRefer vs ECR 2026

The clearest difference is in-app purchases: ECR 2026 at none against iRefer's 1. ECR 2026 also leads on update cadence (every 5 days vs every 6 weeks). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. iRefer sells 1 in-app purchase, starting at $149.99 per year. ECR 2026 asks for nothing beyond the download.

iRefer ships an update every 6 weeks, ECR 2026 every 5 days. The most recent releases landed on November 5, 2026 and October 30, 2026 respectively.

## The numbers

| Metric | iRefer | ECR 2026 |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Every 5 days** |
| Size | 35 MB | 6 MB |
| Requires iOS | 15.0 | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 4+ |
| Developer | [The Royal College of Radiologists](https://appshunter.io/developer/1361218734) | [Europäische Gesellschaft für Radiologie - European Society of Radiology (ESR)](https://appshunter.io/developer/1450383123) |

## What reviewers say

### iRefer

[App page](https://appshunter.io/ios/app/irefer/id6550924402)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| iRefer Individual Plan | $149.99 | per year |


### ECR 2026

[App page](https://appshunter.io/ios/app/ecr-2026/id6752288591)

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

**In-app purchases:** none


## Frequently asked questions

### Is iRefer free?

iRefer is free to download, with in-app purchases available.

### Is ECR 2026 free?

ECR 2026 is free to download, with no in-app purchases.

### Do iRefer or ECR 2026 have ads?

Neither iRefer nor ECR 2026 shows ads.

### Which is updated more often, iRefer or ECR 2026?

iRefer ships an update every 6 weeks, and ECR 2026 every 5 days. Most recently, iRefer was updated on November 5, 2026 and ECR 2026 on October 30, 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.*