The most lucrative specialty for an ultrasound technician is neuro sonography, with an average salary of $112,000 per year. Completing a specialized neuro sonography program can lead to this high earning potential, and these programs can be completed in as little as two years. However, the location of employment also plays a significant role in determining an ultrasound technician‘s salary, with the highest-paying states being Hawaii, Alaska, and California, and the top-paying cities including Salinas, Sacramento, and San Francisco in California. Therefore, while specializing in neuro sonography can lead to higher earnings, the location of employment is also a crucial factor in determining an ultrasound technician‘s salary.