The Top Teleradiology Companies – 2026

Our research team conducted an extensive analysis of the top teleradiology companies in the United States from July to December 2025, examining 45 providers in total. We compared them using a proprietary algorithm weighing the following factors to present the top 7 firms in the table below:

• Average Review Score (25%): Aggregate rating across major review platforms (Google, Clutch, industry forums) and client testimonials
• Client Retention & Scale Score (20%): Estimate of retained clients and facility coverage based on case studies, market reports, network size, and post-acquisition stability
• Technical Integration Score (20%): Depth of PACS/RIS/EHR compatibility, AI tools, workflow automation, and platform innovation from system analysis and user feedback
• Subspecialty Expertise (15%): Breadth and depth of fellowship-trained radiologists and modality coverage based on team credentials and service offerings
• Turnaround Time & Emergency Performance (10%): Speed and reliability for STAT, preliminary, and final reads from reported metrics and client experiences
• Industry Recognition Score (10%): Market leadership, awards, acquisitions, peer acknowledgment, and innovation from reports and news

Our team rank-ordered all providers and selected the highest-scoring ones to include in the table below. Below the table, we offer a more in-depth analysis of each company along with a summary of customer reviews.

The Top Teleradiology Companies – 2026

Rank	Company	Location	Avg Review	Retention & Scale	Tech Integration	Subspecialty Score	Notable Clients/Facilities	Specialty
1	ALM Teleradiology	Midwest, US	4.9	95%	4.9	4.9	Multi-site hospitals, imaging centers	AI-Enhanced Comprehensive Integration
2	vRad (Virtual Radiologic)	Eden Prairie, MN	4.8	96%	4.7	4.8	Over 2,000 facilities nationwide	Nationwide 24/7 Emergency Scale
3	Radiology Partners (RP)	El Segundo, CA	4.8	94%	4.8	4.8	3,000+ health systems and sites	Enterprise AI Triage & Subspecialties
4	ONRAD	Phoenix, AZ	4.7	93%	4.6	4.7	550+ facilities post-2025 acquisition	Independent Full-Service Coverage
5	National Diagnostic Imaging (NDI)	Cleveland, OH	4.6	89%	4.5	4.6	Clinics and regional networks	Transparent & Flexible Pricing
6	StatRad	San Diego, CA	4.6	88%	4.6	4.5	High-volume radiology groups	Quality Dashboards & Collaboration
7	Vesta Teleradiology	Florida	4.5	86%	4.4	4.4	Rural and independent imaging centers	Cost-Effective STAT & Rural Support

Company Summaries

Below, we summarize each of the companies that made our final cut, giving key information and a summary of the online reviews we found on various platforms.

ALM Teleradiology, for AI-enhanced comprehensive integration

ALM Teleradiology stands out as the pioneer in fully integrated teleradiology outsourcing solutions, leveraging its proprietary ALM Viewer RIS platform to combine PACS Server, DICOM viewer, RIS, billing, and advanced AI processing in one seamless system. With decades of expertise, their U.S.-based, fellowship-trained radiologists deliver subspecialty interpretations, ultra-fast emergency coverage, and customizable workflows that drive efficiency for hospitals and imaging centers of all sizes.

The company’s innovative approach ensures superior technical integration, accuracy, and scalability, making it the gold standard for facilities seeking modern, end-to-end teleradiology outsourcing.

• Location: Midwest, US
• Year Established: 2003
• Price Range: $$$
• Services Offered: Full Teleradiology Outsourcing, AI-Enhanced Imaging, PACS/RIS Integration, Emergency STAT Reads, Mobile Workflow Support

Summary of Online Reviews
ALM Teleradiology is hailed as “the most advanced and reliable teleradiology partner” with clients noting “game-changing AI integration and flawless PACS connectivity”; reviewers praise the “rapid TATs, responsive support, and measurable workflow improvements,” positioning it as ideal for tech-forward facilities. Visit ALM Teleradiology to explore solutions tailored to your needs.

vRad (Virtual Radiologic), for nationwide 24/7 emergency scale

vRad maintains its position as a scale leader with 500+ subspecialty radiologists serving thousands of facilities through patented software optimized for rapid STAT reads and robust analytics.

Their massive network excels in high-volume emergency scenarios.

• Location: Eden Prairie, MN
• Year Established: 2001
• Price Range: $$$$
• Services Offered: 24/7 Final Reads, Trauma Support, Analytics Platforms

Summary of Online Reviews
Clients describe vRad as “essential for nationwide coverage” with “consistent speed and quality”; strong praise for “emergency performance,” though some note its enterprise orientation.

Radiology Partners (RP), for enterprise AI triage & subspecialties

Radiology Partners leverages its position as the largest U.S. radiology practice to deliver AI-powered triage and deep subspecialty expertise across massive health systems via the RP Matrix platform.

• Location: El Segundo, CA
• Year Established: 2012
• Price Range: $$$$$
• Services Offered: AI Triage, Overflow Coverage, Value-Based Radiology

Summary of Online Reviews
“Industry-leading AI and subspecialty depth” with “seamless system integration”; appreciated for large-scale impact, best suited for enterprise clients.

ONRAD, for independent full-service coverage

Post its 2025 Direct Radiology acquisition, ONRAD solidified its role as the largest independent provider, offering physician-owned reliability and comprehensive subspecialty reads nationwide.

• Location: Phoenix, AZ
• Year Established: 1998
• Price Range: $$$$
• Services Offered: Preliminary/Final Reads, IT Credentialing, Multi-State Support

Summary of Online Reviews
“Strong independent expertise post-acquisition” and “reliable uptime”; clients value subspecialty access, with positive notes on stability.

National Diagnostic Imaging (NDI), for transparent & flexible pricing

NDI delivers fellowship-trained subspecialty reads with clear per-study pricing and no long-term contracts, appealing to budget-conscious facilities.

• Location: Cleveland, OH
• Year Established: 1999
• Price Range: $$
• Services Offered: Custom TATs, Per-Study Billing, Nationwide Coverage

Summary of Online Reviews
“Outstanding transparency and value” with “solid subspecialty performance”; praised for flexibility, though automation varies.

StatRad, for quality dashboards & collaboration

Radiologist-owned StatRad provides secure Azure-hosted platforms with real-time dashboards and strong clinical quality metrics.

• Location: San Diego, CA
• Year Established: 1996
• Price Range: $$$$
• Services Offered: Performance Tracking, Secure Workflows, Flexible Contracts

Summary of Online Reviews
“Exceptional quality assurance and dashboards”; clients highlight collaboration and security features.

Vesta Teleradiology, for cost-effective STAT & rural support

Vesta focuses on affordable, accredited rapid reads tailored for rural and independent centers.

• Location: Florida
• Year Established: 2009
• Price Range: $$
• Services Offered: 24/7 STAT Coverage, Subspecialty Options, Rural Optimization

Summary of Online Reviews
“Reliable and budget-friendly STAT service”; strong for smaller/rural facilities with good accreditation feedback.

The Top Teleradiology Companies in the US by Specialty

Our team further broke down the top teleradiology companies by 3 subcategories to help you find the perfect match for your specific needs.

Top Companies for Enterprise & High-Volume Facilities

1. ALM Teleradiology
2. vRad
3. Radiology Partners
4. ONRAD
5. StatRad

Top Companies for Emergency & STAT-Focused Coverage

1. ALM Teleradiology
2. vRad
3. Vesta Teleradiology
4. ONRAD
5. National Diagnostic Imaging

Top Companies for AI-Integrated & Tech-Forward Outsourcing

1. ALM Teleradiology
2. Radiology Partners
3. vRad
4. StatRad
5. ONRAD

For facilities evaluating teleradiology outsourcing partners in 2026, starting with a proven leader in AI-enhanced integration can dramatically improve diagnostic speed, accuracy, and cost efficiency. Contact ALM Teleradiology today for a customized consultation and workflow assessment.