# TTE Standard Views vs EchoRef

The clearest difference is price: EchoRef at Free against TTE Standard Views's $4.99. EchoRef also leads on rating (4.9 vs 4.0) and review sentiment (100% vs 67%). TTE Standard Views's advantage is iOS requirement (6.0 vs 26.0). On ads, in-app purchases and device support there is nothing between them.

EchoRef is free to download; TTE Standard Views costs $4.99 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 4.0. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 8, so its average is the more settled of the two. Written reviews point the same way: 67% of TTE Standard Views's written reviews are positive against 100% of EchoRef's.

TTE Standard Views ships an update every 8 months, EchoRef every 2 months. The most recent releases landed on September 25, 2026 and October 11, 2026 respectively.

## The numbers

| Metric | TTE Standard Views | EchoRef |
| --- | --- | --- |
| Price | $4.99 | **Free** |
| Rating | [4.0 (8 ratings)](https://appshunter.io/ios/app/tte-standard-views/id660856485/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 8 | **1.4K** |
| Positive reviews | 66.7% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 2 months** |
| Monetization | Paid | **Free** |
| Size | 85 MB | 105 MB |
| Requires iOS | **6.0** | 26.0 |
| Devices | iPad | **iPhone, iPad** |
| Age rating | 4+ | 17+ |
| Developer | [University Health Network](https://appshunter.io/developer/361257574) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### TTE Standard Views

[App page](https://appshunter.io/ios/app/tte-standard-views/id660856485)

This app aids in learning cardiac function assessment using transthoracic echocardiography. It provides interactive 3D models and TTE recordings for standard cardiology exam views, allowing users to visualize heart structures from any angle.

**Highlights:** Interactive 3D heart models, TTE recordings for standard views, Probe and ultrasound plane visualization, 3D model rotation, Rib cage removal option, Heart model orientation

**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 TTE Standard Views free?

TTE Standard Views costs $4.99, with no in-app purchases.

### Is EchoRef free?

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

### Which has better reviews, TTE Standard Views or EchoRef?

EchoRef is rated higher. TTE Standard Views averages 4.0 out of 5 from 8 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do TTE Standard Views or EchoRef have ads?

Neither TTE Standard Views nor EchoRef shows ads.

### Which is updated more often, TTE Standard Views or EchoRef?

TTE Standard Views ships an update every 8 months, and EchoRef every 2 months. Most recently, TTE Standard Views was updated on September 25, 2026 and EchoRef on October 11, 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.*