<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2006-09-12</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000749660</issuerCik>
        <issuerName>ICAD INC</issuerName>
        <issuerTradingSymbol>icad</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001362512</rptOwnerCik>
            <rptOwnerName>Stevens Stacey M</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O ICAD, INC.</rptOwnerStreet1>
            <rptOwnerStreet2>4 TOWNSEND WEST, SUITE 17</rptOwnerStreet2>
            <rptOwnerCity>NASHUA</rptOwnerCity>
            <rptOwnerState>NH</rptOwnerState>
            <rptOwnerZipCode>03063</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>Executive VP of Marketing</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>7.25% Convertible Note</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>1.7</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2006-09-12</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionTimeliness>
                <value></value>
            </transactionTimeliness>
            <transactionAmounts>
                <transactionTotalValue>
                    <value>50000</value>
                </transactionTotalValue>
                <transactionPricePerShare>
                    <value>50000</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <value>2006-09-12</value>
            </exerciseDate>
            <expirationDate>
                <value>2008-09-12</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>29412</value>
                    <footnoteId id="F1"/>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>50000</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">The number of shares reflected as issuable upon conversion of the note represents shares that may be acquired assuming the entire current principal amount of the note is converted and does note reflect any shares that may be acquired by the holder of the note upon conversion of the note in lieu of the payment of any accrued and unpaid interest on the note.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Annette Heroux, Attorney-in-Fact</signatureName>
        <signatureDate>2006-09-14</signatureDate>
    </ownerSignature>
</ownershipDocument>
