Systems and methods for ultrasonically inspecting pipe, the pipe having a longitudinal axis, the methods in certain aspects including compressing with a compressing force an elastomeric element between an ultrasonic probe of an ultrasonic pipe inspection system and a pipe to be inspected; and, in certain aspects, the systems and methods including placing a coupling between the elastomeric element and the pipe, wherein the elastomeric element surrounds the pipe; and, in certain aspects, a system for ultrasonically inspecting pipe, the system with a housing, a packer element in the housing with an opening through which a pipe to be inspected is passable, and at least one ultrasonic probe in or on the housing useful in conjunction with an ultrasonic apparatus for inspecting pipe.