Top teleradiology companies 2026: what each one states

Search for the top teleradiology companies and most of the lists you find are written by teleradiology companies. This page is too: AstraRad publishes it. So it does not rank anyone. It lists the names US buyers commonly shortlist, alphabetically, with what each company states about itself on its own site, linked and dated, and then gives you the written question set that turns those statements into answers you can compare. If what you actually need is a quote, a written rate card reaches you within one business day of a request.

How this list was built

Every statement about another company below is taken from that company's own website or its own announcements, with a link, as of August 2026. Nothing here is scored, weighted, or placed above anything else, and no statement is based on what anyone said about a company elsewhere. Web pages change, so treat every line as a dated snapshot and confirm it with the vendor in writing.

AstraRad, the publisher of this page, is not in the list. Its own commitments are described in a separate section below, so a reader can see exactly what we promise without it being set against anyone.

Teleradiology companies buyers shortlist, alphabetically

National Diagnostic Imaging. A teleradiology group in Cleveland, Ohio that publishes per-study starting prices by modality on a public page (as of August 2026). For a small-volume buyer who wants to know the shape of a number before the first call, a published price page is a useful starting point; confirm what each price includes in writing.

ONRAD. Describes itself as "the largest independent teleradiology services company in the United States", states "145+ highly compensated Board-Certified radiologists, many with Fellowship Subspecialties, and over 300 customers across 30+ states", lists on-site diagnostic and interventional radiology and medical directorship alongside teleradiology, and states that Direct Radiology was acquired in December 2024 (as of August 2026). Its teleradiology page states that "Most of our services are for Final Reads", with preliminary reports offered as an option.

Radiology Partners. A national radiology practice that describes itself as working with radiology practices, hospitals, and health systems, and that publishes figures of 4,000+ radiologists and 3,400+ sites (as of August 2026). vRad states that it joined Radiology Partners in 2020, so a teleradiology purchase from this group is typically made through vRad.

StatRad. A San Diego teleradiology practice that dates its services to 1995 on its about page. Its services page states that "Every exam is treated as a STAT exam", offers "preliminary or final reports", reports turnaround to customers in an Online Client Portal, and lists Joint Commission accreditation, ISO 27001:2022 and ISO 13485:2016 certification, and FDA 510(k) clearance (as of August 2026). I-MED Radiology Network announced its acquisition of StatRad in July 2024.

USARAD. States on its teleradiology page that it provides "final radiology reports and personalized teleradiology services nationwide", with coverage "available in all States on a 24/7 basis, including weekends and holidays", and that costs "are based on the modality of the study (CT, MR, US, etc.) and the expected report turn-around time" (as of August 2026).

vRad. States on its services page that it has 500+ radiologists, the majority subspecialty-trained, and on its critical care page that stroke protocol turnaround is "under 7 minutes on average" and trauma protocol turnaround times "consistently average under 12 minutes" (as of August 2026). Its own practice page states that it joined Radiology Partners in 2020.

What AstraRad, the publisher of this page, commits to

AstraRad is a subspecialist teleradiology practice. What we commit to, in writing:

• Turnaround tiers with a stated clock. STAT under 4 hours, with 2-hour and 1-hour STAT available on request at a higher multiplier, routine 24 to 48 hours, and stroke protocol under 30 minutes, each measured from last-image arrival to radiologist signature, defined on the SLA page.
• Final signed reports on every study, including overnight, from board-certified, fellowship-trained subspecialists routed by modality and body part across ten named subspecialties, documented on the radiologist roster page.
• A published quality protocol: 1 in 20 reports independently double-read, blind, by a second subspecialist, with discrepancies reported monthly to the client.
• A published pricing model: one price per signed report, no minimums, no platform fees, and a written rate card within one business day of a request; see pricing.
• Licensure in all 50 states, confirmed per state on request.

What we do not offer is equally specific. We publish no measured compliance figure yet, no radiologist headcount, and no facility count, and we hold no Joint Commission accreditation, SOC 2 report, or ISO 27001 certification.

What any public list cannot see

Four limitations, stated plainly.

Private disclosure is invisible from outside. Several vendors share performance data with clients in a portal or a proposal rather than on a public page. A public list cannot see it; your RFP can and should ask for it.

Published claims are self-reported. No independent auditor checks a teleradiology company's turnaround page, including ours. A claim with a stated measurement method can be written into a contract and tested; the SLA language guide covers how to convert a published number into an enforceable term.

Pages change. Vendor pages get rewritten and ownership changes. Every statement here carries its source and its date; check the live page before you rely on it.

Fit matters more than any list. A rural critical access hospital, a five-site imaging center group, and a level I trauma center should not buy from the same shortlist. The buyer's guide walks through setting your own criteria.

Which criteria actually predict a good outcome?

A stated measurement method. A vendor that writes "measured from last-image arrival to radiologist signature" next to its turnaround number has already done the internal work of measuring, and can put the same definition in an SLA. Ask every vendor for it.

Named subspecialties. Naming sections is a commitment, because clients will route pediatric MRI and coronary CTA accordingly and the reports carry signatures. The subspecialty reads guide maps which study types change with a fellowship-matched reader.

Report status stated up front. Final signed reports and preliminary reads are different products with different downstream staffing costs. Ask which status each vendor delivers at which hour.

Headcount, past a point. Between two vendors both large enough for your volume, extra headcount changes little about your studies. Size matters until capacity is covered.

Years in business, alone. Ownership in this market changes, and service under a new parent can differ. Check the current parent and ask for a change-of-control clause. Onshore location claims deserve the same verification, and what US-based actually means is its own diligence topic.

The federal floor sits under all of it: for hospital telemedicine arrangements, 42 CFR 482.22 requires that the distant-site physician hold a license issued or recognized by the state where the hospital is located, so 50-state coverage claims resolve to license rosters, never to marketing maps. On quality claims, note that ACR RADPEER states that no scoring benchmarks have been established, so ask any vendor citing a discrepancy benchmark which source it means.

From list to shortlist in one afternoon

If your contract renews in a year, the useful move today is a folder with each shortlisted vendor's published claims saved as dated PDFs, because the pages you compare against at renewal may have changed by then.

Pick three names that match your facility type, then run the same written question set past all three: turnaround tiers with the clock defined, trailing compliance percentage, subspecialty sections mapped to your case mix, report status by hour of day, complete fee structure including platform and integration charges, and licensure in your patients' states. Compare the written answers only.

AstraRad's answers to that question set are pre-published where they exist: the tiers and their clock on the SLA page, the pricing model on the pricing page, ten subspecialties and the panel on the roster page, final signed reports at every tier including overnight. The dollar figures arrive on a written rate card within one business day of a request, against your actual modality mix, and the quote costs nothing but the email describing your volume.