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Radiology billing

Radiology Billing Services

High volume, professional/technical splits and prior authorizations define radiology billing. Specialist billers keep reads, imaging centers and interventional cases paid.

  • Professional (-26), technical (-TC) and global billing
  • Prior authorization for CT, MRI and PET
  • Interventional radiology coded from procedure reports

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97%
Clean-claim rate target
25%
Fewer authorization denials
< 35
Days in A/R goal
Overview

How radiology billing works

Radiology groups and imaging centers process large volumes of claims every day. Each study may be billed globally, or split into a professional component for the radiologist’s interpretation and a technical component for the equipment and staff, depending on who owns the equipment and where the study was performed.

Advanced imaging such as CT, MRI and PET usually requires prior authorization through payers or radiology benefit managers. Studies must be coded exactly as performed, with or without contrast, number of views, body area, and linked to diagnoses that meet medical-necessity policies.

Interventional radiology adds procedures like biopsies, drainages, vascular access and embolization, with complex bundling of imaging guidance. A radiology billing partner coordinates with referring offices and hospitals, ensures authorizations match what was performed and works denials quickly to keep high-volume cash flow steady.

Why it's hard

Common radiology billing challenges

01

Professional/technical splits

Using the wrong component or global billing causes duplicate-claim denials.

02

Authorization mismatches

Studies performed differently from what was authorized (e.g., with contrast) are denied.

03

Missing referring information

Claims need complete ordering provider data and diagnosis information.

04

Contrast and views accuracy

Codes must reflect contrast use and number of views exactly.

05

Interventional bundling

Imaging guidance is included in many IR codes and cannot be billed separately.

06

High-volume low-dollar claims

Small denials go unworked without efficient follow-up processes.

What's included

What a radiology billing partner should handle

  • Order intake and prior authorization management
  • Diagnostic radiology coding from reports
  • Professional, technical and global component billing
  • Interventional radiology procedure coding
  • Hospital and imaging center contract billing
  • Referring provider and diagnosis data quality checks
  • Mammography and screening program billing
  • Denial management and appeals
  • Patient estimates and statements
  • Modality and payer performance reports
Coding focus

Key codes in radiology billing

Code(s)What it covers
71046Chest x-ray, two views.
70450CT head or brain without contrast.
74177CT abdomen and pelvis with contrast.
72148MRI lumbar spine without contrast.
77067Screening mammography, bilateral, including CAD when performed.
76700Ultrasound, abdominal, complete.
-26 / -TCProfessional component and technical component modifiers.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Code what was done, and authorized

Compare the final study with the authorization before billing. If the protocol changed (for example contrast added), update the authorization or follow the payer’s retro-authorization process to avoid denials.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven radiology experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their radiology experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does radiology billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
3% - 6%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Radiology billing FAQs

Modifier -26 bills the professional interpretation by the radiologist; -TC bills the technical component, equipment, supplies and staff. Global billing covers both.

Most commercial and Medicare Advantage plans require authorization for advanced imaging, often through a radiology benefit manager.

Not when it is included in the procedure code, which is common for many interventional procedures.

Yes, including professional-only billing across many hospitals and states.

Common reasons include missing or mismatched authorizations, incorrect components, unsupported diagnoses and missing referring provider data.

Typically 3% to 6% of collections due to high volume.

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