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Career comparison

Radiologic technologist vs. Diagnostic medical sonographer

Diagnostic medical sonographers earn more: a median of $96,590, $16,480 (21%) above radiologic technologists at $80,110.

Diagnostic medical sonographers have the stronger outlook: +14% projected growth through 2035, vs. +5%.

Getting in is slower for radiologic technologists: about 2.2 years vs. 17 months for someone with a bachelor's in another field.

At a glance

Radiologic technologistDiagnostic medical sonographer
Median pay$80,110$96,590
Top 10% earn over$118,660$129,370
Growth to 2035+5%+14%
Openings per year13,0006,000
Jobs today234,20092,200
Typical entry educationAssociate's degreeAssociate's degree
Time to qualify*2.2 years17 months
Training cost*$10K–$41K$8.5K–$31K

* Starting from a bachelor's degree in an unrelated field. Pay: BLS OEWS May 2025. Outlook: BLS Employment Projections 2025–35.

Pay

Radiologic technologist

$80,11010% earn under $55,980 · middle half $64,810–$98,750 · top 10% over $118,660

Diagnostic medical sonographer

$96,59010% earn under $67,820 · middle half $80,430–$106,930 · top 10% over $129,370
Bar: middle 50% of workers. Line: 10th to 90th percentile. Dot: median. BLS OEWS, May 2025, national.

Switching from one to the other

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Radiologic technologistDiagnostic medical sonographer

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Getting in

Radiologic technologist

Entry education
Associate's degree
On-the-job training
None
Prior experience
None

Required: ARRT certification exam · State license in most states

Diagnostic medical sonographer

Entry education
Associate's degree
On-the-job training
None
Prior experience
None

Required: ARDMS or CCI credential (most employers)

What the work is like

Radiologic technologistDiagnostic medical sonographer

Dealing with the public

Rarely
Constantly

Unpleasant or angry people

Rarely
Constantly

Time pressure

Rarely
Constantly

Cost of a mistake

Minor
Severe

Freedom to make decisions

Little
A lot

Repeating the same tasks

Rarely
Constantly

Time sitting

Rarely
Constantly

Time standing

Rarely
Constantly

Hazardous conditions

Rarely
Constantly

Exposure to disease

Rarely
Constantly

Radiologic technologist: 29% usually work over 40 hours a weekDiagnostic medical sonographer: 3% usually work over 40 hours a week

Average worker ratings, 1 to 5. O*NET 31.0 work context survey.

Radiologic technologist: core tasks

  • Explain procedures and observe patients to ensure safety and comfort during scan.
  • Process exposed radiographs using film processors or computer generated methods.
  • Perform procedures, such as linear tomography, mammography, sonograms, joint and cyst aspirations, routine contrast studies, routine fluoroscopy, or examinations of the head, trunk, or extremities under supervision of physician.
  • Record, process, and maintain patient data or treatment records and prepare reports.
  • Prepare contrast material, radiopharmaceuticals, or anesthetic or antispasmodic drugs under the direction of a radiologist.

Diagnostic medical sonographer: core tasks

  • Observe screen during scan to ensure that image produced is satisfactory for diagnostic purposes, making adjustments to equipment as required.
  • Decide which images to include, looking for differences between healthy and pathological areas.
  • Operate ultrasound equipment to produce and record images of the motion, shape, and composition of blood, organs, tissues, or bodily masses, such as fluid accumulations.
  • Observe and care for patients throughout examinations to ensure their safety and comfort.
  • Provide sonogram and oral or written summary of technical findings to physician for use in medical diagnosis.

Skills: what carries over

Both rely on: Reading Comprehension, Active Listening, Social Perceptiveness, Speaking, Critical Thinking, Monitoring.

New for a radiologic technologist moving to diagnostic medical sonographer: Coordination.

New for a diagnostic medical sonographer moving to radiologic technologist: Service Orientation.

Interests (Holland codes): Radiologic technologist: Realistic, Conventional, Investigative. Diagnostic medical sonographer: Realistic, Conventional, Investigative.

Outlook to 2035, and AI

Radiologic technologist

+5%

about as fast as average · 13,000 openings a year

BLS lists no specific factors, including AI, changing demand for this job.

Diagnostic medical sonographer

+14%

faster than average · 6,000 openings a year

Demand change - share increases as ultrasound technology is increasingly used in patient care across a broad range of clinical specialties, resulting in increased demand for sonographers.

Quoted notes: BLS Employment Projections, factors affecting occupational utilization (Table 1.12). Average growth across all jobs: +3.5%.

Questions people ask

Who makes more, a radiologic technologist or a diagnostic medical sonographer?

Diagnostic medical sonographers earn more: a median of $96,590, $16,480 (21%) above radiologic technologists at $80,110.

Which has the better job outlook?

Diagnostic medical sonographers have the stronger outlook: +14% projected growth through 2035, vs. +5%.

How long does it take to become a diagnostic medical sonographer?

For someone with a bachelor's degree in another field, about 17 months, with tuition of roughly $8,500 to $31,000. Required: ARDMS or CCI credential (most employers).

How long does it take to become a radiologic technologist?

For someone with a bachelor's degree in another field, about 2.2 years, with tuition of roughly $10,250 to $40,800. Required: ARRT certification exam, State license in most states.

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