Teleradiology for Physicians: Compensation & Getting Started
Based on data from 1 physician on OffCall
What Physicians Earn from Teleradiology
Typical Compensation: $44,000/year
Time Commitment: 5 hours per week typically Data reflects 2025 responses from OffCall physicians
What Is Teleradiology?
Teleradiology involves interpreting imaging studies remotely, often from home, for hospitals, outpatient centers, or telehealth platforms. Physicians receive digital scans through secure platforms and provide reads within a designated turnaround time. The work can include X-rays, CTs, MRIs, and ultrasounds depending on credentials and contracts.
It leverages radiologists’ core expertise while offering a more flexible schedule and work-from-anywhere convenience. Many physicians appreciate the ability to earn extra income during off-hours without commuting or dealing with hospital politics. Teleradiology also appeals to those who prefer focused diagnostic work without clinical interruptions.
A common misconception is that teleradiology is only viable for full-time work. In reality, many radiologists take on low-volume or part-time shifts as a side gig, especially during nights, weekends, or gaps in their primary schedule.
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Who This Side Gig Works Best For
Ideal Candidates:
- Board-certified radiologists
- Active state licensure in multiple states (or willing to obtain)
- Access to high-speed internet and secure reading environment
- Willingness to work non-standard hours (nights, weekends)
Less Ideal For:
- Physicians without radiology training or imaging privileges
- Those unwilling to obtain multi-state licenses
- Physicians looking for highly interactive or team-based work
How to Get Started
Teleradiology opportunities are typically found through national companies like vRad, Radiology Partners, or Nines. Some health systems also contract independent radiologists for overflow reading. Most roles require board certification, subspecialty training (for advanced reads), and licensure in the states you’ll be reading for.
Expect to complete credentialing, pass platform training, and meet equipment standards. Having prior PACS and teleradiology experience can improve your chances, but some companies offer onboarding for newer teleradiologists.
What to Charge
Compensation can vary widely by modality, shift timing, and volume. A typical part-time teleradiology role may pay $44,000/year for about 5 hours per week. Night and weekend shifts often command higher rates. Payment structures may be per read, per RVU, or hourly—so clarify this when evaluating offers.
Watch for platforms that offer low rates for high volumes, poor case mix, or unclear malpractice coverage. Be cautious of non-compete clauses that limit your ability to work elsewhere.
Common Pitfalls to Avoid
- Licensing delays: Multi-state licensure is often required and can take months. Plan ahead if you want to work across state lines.
- Underestimating case complexity: High-volume shifts may include complicated studies requiring more time than expected.
- Ignoring tech readiness: Make sure your workstation setup meets security and speed standards—delays or technical issues can affect workflow and reimbursement.
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