Radiology billing isn’t just complex—it’s relentless.
With high patient volume, fast turnaround expectations, and constantly evolving payer rules, even minor billing errors can snowball into major revenue losses. Miss a modifier on a CT scan? Use the wrong CPT for an interventional procedure? That’s not just a denial—it’s delayed cash flow, more rework for your team, and growing patient dissatisfaction.
Radiology practices handle everything from X-rays to image-guided biopsies, often across multiple sites and under tight timelines. The margin for error is thin—and the administrative burden is heavy. That’s why relying on a general billing service isn’t just inefficient—it’s risky.
Radiology-focused billing partners specialize in high-frequency coding, pre-authorization workflows, and multi-payer compliance. In this guide, we review the leading radiology medical billing companies of 2025—so you can find the right partner to streamline reimbursements, reduce denials, and refocus your practice on patient diagnostics—not paperwork.
What is Radiology Medical Billing?
Radiology medical billing is the process of coding, submitting, and managing insurance claims for diagnostic imaging and interventional radiology services—such as MRIs, CT scans, X-rays, ultrasounds, and fluoroscopy-guided procedures. It requires precise use of CPT and ICD-10 codes to ensure radiologists and imaging centers receive proper reimbursement for their services.
Top 10 Radiology Medical Billing Companies in USA
| Rank | Company Name | Rating | Specialization (with LSI keywords) | Unique Feature |
|---|---|---|---|---|
| 1 | Quality Healthcare System (QHS) | ⭐⭐⭐⭐⭐ | Radiology billing services, diagnostic imaging claims, RCM compliance | Dedicated radiology billing team with fast turnaround and clean claims rate |
| 2 | Physicians Revenue Group, Inc. (PRG) | ⭐⭐⭐ | Medical billing for radiologists, imaging revenue cycle, CPT coding | Standardized billing solutions for multi-specialty practices |
| 3 | DoctorMGT | ⭐⭐⭐ | Radiology coding, X-ray and ultrasound billing, interventional radiology | Offers scalable solutions for small-to-midsize imaging centers |
| 4 | MediBillMD | ⭐⭐⭐ | Radiology billing company, MRI billing, claim processing systems | Certified coders with focus on clean claim rate |
| 5 | Certified Healthcare Billing | ⭐⭐⭐ | Medical claims for imaging centers, radiographic procedure billing | Entry-level RCM support with billing compliance features |
| 6 | Transcure | ⭐⭐⭐ | Radiology CPT coding, outpatient imaging claims, claim submission | Generalized platform with coding automation tools |
| 7 | CareMSO | ⭐⭐⭐ | Diagnostic radiology billing, revenue cycle management, ICD-10 coding | KPI dashboards and basic audit assistance |
| 8 | Apaana Healthcare | ⭐⭐⭐ | Imaging service claims, hospital radiology billing, reimbursement audits | Basic coding validation with workflow support |
| 9 | AdvancedMD | ⭐⭐⭐ | RIS/PACS integrated billing, outpatient imaging billing solutions | Software-focused RCM with optional billing add-ons |
| 10 | Athenahealth | ⭐⭐⭐ | Radiology claim management, payer compliance, radiographic services RCM | Cloud-based tools for administrative workflows |
Quality Healthcare System (QHS) — Top Choice for Radiology Medical Billing in 2025
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Years in Service: Over 15 years
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U.S. State: North Carolina
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Website: qhshealth.com
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Key Services: Radiology billing services, denial management, CPT/ICD-10 coding, claims follow-up, prior authorization
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Pricing: Plans start from 3% to 7% of collections, based on volume and services included
With 15+ years of specialized experience in revenue cycle management, Quality Healthcare System (QHS) is the go-to partner for radiologists and diagnostic imaging centers across the U.S.
Their radiology billing solutions are engineered to address the complexity of CPT code bundling, diagnostic and interventional coding, and payer-specific rules that frequently challenge imaging providers.
QHS customizes its billing workflows for outpatient imaging clinics, hospital-based radiology departments, and interventional radiology practices.
From managing global and professional component billing to resolving high denial rates for procedures like MRIs, CTs, PET scans, and fluoroscopy, QHS combines compliance with performance.
| Aspect | Pros/Cons |
|---|---|
| Proven Expertise | ✅ 15+ years in radiology denial management and RCM performance |
| Tailored Solutions | ✅ Custom-built workflows for imaging centers and subspecialty radiologists |
| Advanced Technology | ✅ Fast denial tracking and claim analytics using real-time dashboards |
| Comprehensive Service | ✅ Handles everything from pre-auths to A/R follow-up for radiology services |
| Faster Resolution | ✅ Accelerated claim turnaround and reduced days in A/R |
| Proactive Prevention | ✅ Identifies coding errors and payer trends before denials occur |
| Implementation Time | ❌ Initial setup may take time depending on existing systems |
| Requires Collaboration | ❌ Client input is needed for customizing specialty-specific workflows |
2. Physicians Revenue Group, Inc. (PRG)
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Years in Service: 10+ years
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U.S. State: Illinois
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Key Services: Radiology billing, claim submission, E/M coding, pre-authorization support
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Pricing: Not publicly listed; quote-based
PRG is a U.S.-based radiology medical billing company offering services to healthcare providers nationwide. Headquartered in Illinois, the company provides general revenue cycle support for diagnostic imaging groups and outpatient facilities.
While not radiology-exclusive, PRG offers adequate support for claim submissions, E/M code selection, and insurance follow-ups. Their billing processes are basic and may require internal oversight for specialty compliance.
| Aspect | Pros/Cons |
|---|---|
| Multi-specialty Support | ✅ Supports various specialties, including radiology |
| Nationwide Reach | ✅ Available across U.S. states |
| Limited Specialization | ❌ Not radiology-exclusive; may lack deep imaging coding expertise |
| Customization | ❌ Less tailored compared to niche providers |
3. DoctorMGT
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Years in Service: 8+ years
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U.S. State: Texas
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Key Services: Radiology billing, credentialing, charge entry, patient statements
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Pricing: Varies by claim volume
DoctorMGT operates out of Texas and serves as a mid-sized radiology medical billing company that also works across other specialties.
Their billing for radiology services includes basic claim handling, credentialing, and reporting tools. While suitable for small clinics, they may not offer advanced analytics or interventional radiology support.
| Aspect | Pros/Cons |
|---|---|
| Budget-Friendly | ✅ Pricing may suit small practices |
| Flexible Packages | ✅ Can scale services depending on size |
| Limited Automation | ❌ Lacks robust tech stack for radiology workflows |
| Specialty Gaps | ❌ May struggle with interventional radiology codes |
4. MediBillMD
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Years in Service: 12 years
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U.S. State: Florida
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Key Services: Radiology billing, coding audits, A/R follow-up, claims appeal
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Pricing: Percentage-based, not disclosed publicly
Based in Florida, MediBillMD is a general radiology medical billing company offering basic billing and collections for diagnostic imaging.
They provide coding audits and insurance follow-ups, but their platform lacks customization for subspecialties like nuclear medicine or fluoroscopic imaging.
| Aspect | Pros/Cons |
|---|---|
| Audit Support | ✅ Offers routine claim and coding audits |
| Simple Workflows | ✅ Basic setup for imaging clinics |
| Limited Tech Features | ❌ Minimal automation and reporting tools |
| Subspecialty Limits | ❌ Not optimized for interventional or high-complexity procedures |
5. Certified Healthcare Billing
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Years in Service: 9 years
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U.S. State: California
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Key Services: Radiology billing, coding assistance, patient invoicing
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Pricing: Custom pricing model
Certified Healthcare Billing, based in California, provides general radiology medical billing services as part of a broader portfolio.
Their strength lies in straightforward patient invoicing and code entry, but the lack of radiology-focused training may result in inconsistent compliance with evolving CPT/ICD guidelines.
| Aspect | Pros/Cons |
|---|---|
| Simple Setup | ✅ Easy onboarding for small imaging centers |
| Invoicing Help | ✅ Supports patient-facing billing tasks |
| Lack of Specialty Depth | ❌ Not radiology-focused |
| Minimal Payer Strategy | ❌ Does not offer payer-specific denial insights |
6. Transcure
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Years in Service: 11+ years
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U.S. State: New York
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Key Services: Radiology billing, coding automation, A/R management, reporting
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Pricing: Tiered packages available
Transcure is a New York-based radiology medical billing company that markets itself around automation. While they serve diagnostic imaging clients, their model is geared toward general automation tools over deep radiology coding accuracy.
Reporting dashboards are helpful but not fully optimized for radiology-specific KPIs.
| Aspect | Pros/Cons |
|---|---|
| Automated Processes | ✅ Offers basic coding and billing automation |
| Reporting Tools | ✅ Includes data dashboards |
| Lacks Radiology Depth | ❌ Limited guidance on radiology modifiers or code bundling |
| Tech-Centric | ❌ Heavy reliance on automation, low human oversight |
7. CareMSO
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Years in Service: 10 years
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U.S. State: Georgia
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Key Services: Radiology billing, pre-bill review, claim scrubbing, RCM metrics
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Pricing: Monthly fee + % of collections
CareMSO offers entry-level radiology medical billing services to imaging groups. Based in Georgia, their system includes pre-bill reviews and claim scrubbing tools.
Their offering works for general radiology practices but lacks depth in subspecialty coverage like interventional radiology or breast imaging.
| Aspect | Pros/Cons |
|---|---|
| Claim Accuracy Tools | ✅ Offers scrubbing and review processes |
| Dashboard Access | ✅ Viewable RCM performance metrics |
| Lacks Specialization | ❌ Not designed for advanced radiology subspecialties |
| Generic Templates | ❌ Billing workflows may not be fully customized |
8. Apaana Healthcare
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Years in Service: 7+ years
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U.S. State: New Jersey
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Key Services: Radiology billing, insurance verification, coding support
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Pricing: Basic to premium tiers available
Apaana Healthcare, located in New Jersey, is a small-to-mid sized radiology medical billing company serving outpatient diagnostic centers. They assist with insurance eligibility, coding input, and claim follow-ups.
Their infrastructure is more suited to smaller clinics without complex imaging procedures.
| Aspect | Pros/Cons |
|---|---|
| Small Practice Friendly | ✅ Suitable for startup imaging groups |
| Manual Oversight | ✅ Allows for human-reviewed coding |
| Limited Capabilities | ❌ Not built for high-volume or multi-location practices |
| Few Integrations | ❌ Weak integration with RIS/PACS platforms |
9. AdvancedMD
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Years in Service: 20+ years
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U.S. State: Utah
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Key Services: Radiology billing software, outsourced billing option, RCM analytics
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Pricing: Software license + optional billing services
AdvancedMD, headquartered in Utah, is a software-first radiology medical billing company offering modular billing solutions. Radiology practices can choose to use their software only or opt-in for full-service billing. While useful for software integration, the outsourced billing arm lacks focused radiology expertise.
| Aspect | Pros/Cons |
|---|---|
| Software Flexibility | ✅ RIS/PACS compatible platform |
| Modular Options | ✅ Choose between software-only or full billing |
| Generic Billing Team | ❌ Outsourced billing not radiology-focused |
| Cost Complexity | ❌ Multiple pricing layers for features |
10. Athenahealth
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Years in Service: 25+ years
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U.S. State: Massachusetts
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Key Services: Cloud-based billing, radiology RCM, claims tracking
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Pricing: Quote-based
Athenahealth is a major cloud-based radiology medical billing services provider with nationwide reach. Though their infrastructure supports radiology billing, the solutions are part of a larger multi-specialty suite. This makes customization for advanced radiology needs limited.
| Aspect | Pros/Cons |
|---|---|
| Scalable Tools | ✅ Designed for growing practices |
| Real-Time Dashboards | ✅ Strong analytics and reporting features |
| Multi-Specialty Focus | ❌ Not tailored for radiology workflows |
| Limited Personalization | ❌ Templates may not reflect imaging-specific billing needs |
Why Quality Healthcare Systems (QHS) is the Top Radiology Medical Billing Service in the USA
Quality Healthcare Systems (QHS) is a leading provider of radiology medical billing services, offering tailored solutions for radiology practices. With over 15 years of experience, QHS handles CPT/ICD-10 coding, claim submission, denial management, and pre-authorization, ensuring accurate billing and faster reimbursement.
QHS utilizes data analytics to identify billing issues and resolve denials quickly. Their expertise in radiology-specific codes and payer requirements increases claim approval rates and reduces denials. Their proactive approach results in faster claim resolutions and improved cash flow for radiology practices.
Trusted by practices across the USA, QHS delivers measurable improvements in revenue cycle management, helping clients stay compliant and optimize their billing processes.
Reasonable and Transparent Pricing
QHS offers competitive and transparent pricing based on the level of service that best suits your practice’s needs. With pricing models tailored to different service tiers, healthcare providers can select the level of support that fits their financial goals while ensuring high-quality denial management.
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Lite Plan – 3%: Includes claim reviews for billing errors, claim transmission, front-end rejections, working on A/R and denials, and post-payment processing.
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Premium Plan – 5%: Adds custom billing reports and 1 login for software, in addition to all features of the Lite plan.
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Premium+ Plan – 7%: Offers additional features like patient invoicing, pre/post-pay audit assistance, and 2 logins for software.
See How QHS Transforms Revenue for Healthcare Providers
Read real success stories from our clients and discover how QHS helped them boost collections and streamline operations. [Explore Success Stories →]
Other Services Quality Healthcare Systems Provides:
A/R Management | Revenue Cycle Management | Provider Credentialing
Frequently Asked Questions
What do radiology billing companies do?
Radiology billing companies handle the complete billing cycle for radiology practices, including coding, claim submission, denial management, and payer follow-ups. Their goal is to ensure accurate reimbursement and reduce revenue loss.
How can a radiology billing company help reduce claim denials?
Radiology billing companies reduce denials by using correct CPT and ICD-10 codes, applying appropriate modifiers, verifying coverage, and managing pre-authorizations. They also track denial trends to prevent repeat issues.
What should I look for in a radiology billing service?
Look for a radiology billing company with experience in diagnostic and interventional radiology, strong payer relations, low denial rates, HIPAA compliance, and clear pricing models based on collections or service tiers.
Are radiology billing services different from general medical billing?
Yes, radiology billing services specialize in imaging-specific procedures and codes. They focus on high-volume diagnostic tests, radiology-specific modifiers, and payer rules unique to radiology claims.
How much do radiology billing companies charge?
Most radiology billing companies charge between 3% to 7% of monthly collections. Pricing varies based on service level, practice size, and the complexity of radiology procedures handled.
Why should a radiology group outsource billing?
Outsourcing to a radiology billing company improves claim accuracy, reduces administrative burden, shortens payment cycles, and increases revenue by leveraging experts who specialize in radiology coding and payer policies.
