# TEE Alternative Views vs EchoRef

The clearest difference is review sentiment: EchoRef at 100% against TEE Alternative Views's 50%. EchoRef also leads on price (Free vs $4.99) and rating (4.9 vs 4.0). TEE Alternative 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; TEE Alternative 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 1, so its average is the more settled of the two. Written reviews point the same way: 50% of TEE Alternative Views's written reviews are positive against 100% of EchoRef's.

TEE Alternative Views ships an update every 6 months, EchoRef every 2 months. The most recent releases landed on October 3, 2026 and October 11, 2026 respectively.

## The numbers

| Metric | TEE Alternative Views | EchoRef |
| --- | --- | --- |
| Price | $4.99 | **Free** |
| Rating | [4.0 (1 ratings)](https://appshunter.io/ios/app/tee-alternative-views/id738646958/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 1 | **1.4K** |
| Positive reviews | 50.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 2 months** |
| Monetization | Paid | **Free** |
| Size | 70 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

### TEE Alternative Views

[App page](https://appshunter.io/ios/app/tee-alternative-views/id738646958)

This app offers a unique learning environment for understanding complex 3D heart structures through 19 non-standard 2D echocardiographic views. It combines a rotatable 3D heart model with associated TEE clips, allowing users to visualize internal cardiac anatomy and perform more comprehensive studies.

**Highlights:** 19 non-standard 2D TEE views, Rotatable 3D heart model, Interactive echocardiographic plane, TEE clip visualization, Internal cardiac structure reveal, Enhanced TEE study learning

**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 TEE Alternative Views free?

TEE Alternative 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, TEE Alternative Views or EchoRef?

EchoRef is rated higher. TEE Alternative Views averages 4.0 out of 5 from 1 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do TEE Alternative Views or EchoRef have ads?

Neither TEE Alternative Views nor EchoRef shows ads.

### Which is updated more often, TEE Alternative Views or EchoRef?

TEE Alternative Views ships an update every 6 months, and EchoRef every 2 months. Most recently, TEE Alternative Views was updated on October 3, 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.*