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Healthcare Medicine

Top 10 Best Radiology Billing Software of 2026

Find the best radiology billing software to streamline workflows, reduce errors, boost revenue. Compare top options and discover your practice's fit.

Sarah Mitchell

Sarah Mitchell

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Radiology billing software is a cornerstone of efficient revenue cycle management for specialized practices, critical for optimizing claims processing, minimizing denials, and ensuring timely reimbursements. With a range of tools available—from cloud-based platforms to enterprise-grade systems—choosing the right solution tailored to radiology’s unique coding and workflow needs is key to operational success. Below, we outline the top 10 tools leading the market in features, reliability, and value.

Quick Overview

  1. 1#1: AdvancedMD - Cloud-based practice management and revenue cycle management software with specialized billing features for radiology practices including claims scrubbing and denial management.
  2. 2#2: Kareo - Intelligent medical billing platform that automates claims processing, patient payments, and reporting tailored for specialty practices like radiology.
  3. 3#3: athenahealth - Integrated EHR and billing solution offering advanced revenue cycle tools optimized for radiology workflows and insurance reimbursements.
  4. 4#4: NextGen Healthcare - Enterprise practice management system with robust radiology billing capabilities, including CPT coding support and multi-provider claims handling.
  5. 5#5: eClinicalWorks - Comprehensive EHR and practice management software featuring streamlined billing for radiology services with integrated telehealth and analytics.
  6. 6#6: Epic Systems - Leading hospital-grade EHR platform with advanced radiology billing modules for high-volume imaging centers and seamless charge capture.
  7. 7#7: Oracle Cerner - Enterprise health IT solution providing sophisticated revenue cycle management and billing automation for large radiology departments.
  8. 8#8: Allscripts - Flexible EHR and financial management software supporting radiology billing with real-time eligibility checks and AR management.
  9. 9#9: Greenway Health - Practice management platform with efficient billing tools for radiology practices, focusing on claims accuracy and faster reimbursements.
  10. 10#10: DrChrono - Mobile-friendly EHR and billing software offering cost-effective revenue cycle solutions for smaller radiology and imaging practices.

We ranked these tools based on specialized radiology functionality, including claims scrubbing, denial management, and coding support, alongside user experience, system performance, and cost-effectiveness, ensuring alignment with the diverse needs of practices, from small clinics to large imaging centers.

Comparison Table

Radiology billing demands precision and efficiency, making the right software critical for practice success; this comparison table explores tools like AdvancedMD, Kareo, athenahealth, NextGen Healthcare, eClinicalWorks, and more, shedding light on key features, usability, and fit for different workflows. Readers will gain clarity to select software that aligns with their unique operational needs, from claim processing to compliance, ensuring smoother revenue cycles.

1AdvancedMD logo9.6/10

Cloud-based practice management and revenue cycle management software with specialized billing features for radiology practices including claims scrubbing and denial management.

Features
9.8/10
Ease
9.1/10
Value
9.3/10
2Kareo logo8.7/10

Intelligent medical billing platform that automates claims processing, patient payments, and reporting tailored for specialty practices like radiology.

Features
8.8/10
Ease
9.1/10
Value
8.4/10

Integrated EHR and billing solution offering advanced revenue cycle tools optimized for radiology workflows and insurance reimbursements.

Features
9.0/10
Ease
8.5/10
Value
8.2/10

Enterprise practice management system with robust radiology billing capabilities, including CPT coding support and multi-provider claims handling.

Features
9.1/10
Ease
7.6/10
Value
8.0/10

Comprehensive EHR and practice management software featuring streamlined billing for radiology services with integrated telehealth and analytics.

Features
7.9/10
Ease
6.7/10
Value
7.2/10

Leading hospital-grade EHR platform with advanced radiology billing modules for high-volume imaging centers and seamless charge capture.

Features
9.1/10
Ease
6.7/10
Value
7.0/10

Enterprise health IT solution providing sophisticated revenue cycle management and billing automation for large radiology departments.

Features
8.8/10
Ease
6.9/10
Value
7.5/10
8Allscripts logo7.9/10

Flexible EHR and financial management software supporting radiology billing with real-time eligibility checks and AR management.

Features
8.4/10
Ease
7.1/10
Value
7.5/10

Practice management platform with efficient billing tools for radiology practices, focusing on claims accuracy and faster reimbursements.

Features
7.5/10
Ease
6.8/10
Value
7.0/10
10DrChrono logo7.2/10

Mobile-friendly EHR and billing software offering cost-effective revenue cycle solutions for smaller radiology and imaging practices.

Features
7.0/10
Ease
8.1/10
Value
6.8/10
1
AdvancedMD logo

AdvancedMD

enterprise

Cloud-based practice management and revenue cycle management software with specialized billing features for radiology practices including claims scrubbing and denial management.

Overall Rating9.6/10
Features
9.8/10
Ease of Use
9.1/10
Value
9.3/10
Standout Feature

Intelligent rules engine for radiology charge capture and automated denial prevention using AI-driven scrubbing

AdvancedMD is a comprehensive cloud-based EHR and practice management platform with robust revenue cycle management (RCM) capabilities tailored for radiology practices. It automates radiology billing processes, including charge capture for imaging studies like X-rays, CTs, MRIs, and ultrasounds, with specialty-specific CPT/HCPCS coding, claims scrubbing, and denial management. The software integrates seamlessly with radiology information systems (RIS) and ensures compliance with payer requirements for efficient reimbursements.

Pros

  • Advanced automation for radiology-specific claims scrubbing and error prevention
  • Real-time eligibility verification and AR management
  • Scalable integration with EHR and RIS for streamlined workflows

Cons

  • Initial implementation can be time-intensive
  • Pricing requires custom quotes and may be steep for small practices
  • User interface feels dated compared to newer competitors

Best For

Mid-to-large radiology practices and imaging centers seeking an all-in-one, enterprise-grade billing solution with strong compliance and analytics.

Pricing

Custom quote-based pricing; typically $400-$800 per provider/month for core billing modules, with add-ons for full RCM services.

Visit AdvancedMDadvancedmd.com
2
Kareo logo

Kareo

specialized

Intelligent medical billing platform that automates claims processing, patient payments, and reporting tailored for specialty practices like radiology.

Overall Rating8.7/10
Features
8.8/10
Ease of Use
9.1/10
Value
8.4/10
Standout Feature

Kareo Intelligence: AI-driven analytics dashboard providing radiology-specific revenue insights and benchmarking against peers.

Kareo is a cloud-based medical billing and revenue cycle management platform designed for specialty practices, including radiology, offering end-to-end billing solutions from claims submission to payment collection. It features automated claims scrubbing, denial management, eligibility verification, and detailed financial analytics tailored to radiology workflows like CPT/HCPCS coding and RVU tracking. Integrated with practice management and EHR capabilities, Kareo helps radiology providers maximize reimbursements while ensuring HIPAA compliance.

Pros

  • Intuitive cloud-based interface with minimal training required
  • Robust automation for claims scrubbing and denial prevention specific to radiology codes
  • Advanced analytics via Kareo Intelligence for revenue optimization

Cons

  • Pricing can escalate for multi-provider practices with add-ons
  • Limited customization for highly specialized radiology reporting needs
  • Customer support response times vary during peak periods

Best For

Small to mid-sized radiology practices needing a user-friendly, integrated billing solution with strong automation and analytics.

Pricing

Subscription starts at ~$110/provider/month for core billing, scaling to $300+/provider/month for full suite including EHR; custom quotes and setup fees apply.

Visit Kareokareo.com
3
athenahealth logo

athenahealth

enterprise

Integrated EHR and billing solution offering advanced revenue cycle tools optimized for radiology workflows and insurance reimbursements.

Overall Rating8.7/10
Features
9.0/10
Ease of Use
8.5/10
Value
8.2/10
Standout Feature

athenahealth Network: Uses aggregated data from millions of encounters for predictive revenue intelligence and peer benchmarking unique to radiology billing.

athenahealth offers a comprehensive cloud-based EHR and revenue cycle management (RCM) platform with robust billing features tailored for radiology practices, handling complex imaging codes, modifiers, and multi-procedure claims. It automates claims scrubbing, submission, denial management, and payment reconciliation while integrating seamlessly with radiology information systems (RIS). The platform leverages a vast provider network for benchmarking and predictive analytics to optimize radiology revenue cycles.

Pros

  • Integrated EHR and billing reduces errors in radiology coding and documentation
  • Advanced denial prevention and AR management with AI-driven insights
  • Strong interoperability and compliance tools for HIPAA and MIPS reporting

Cons

  • High implementation costs and lengthy onboarding process
  • Pricing can be steep for smaller practices
  • Limited customization for highly specialized radiology workflows

Best For

Mid-sized to large radiology groups needing an all-in-one EHR/RCM solution with network-driven analytics.

Pricing

Custom subscription pricing; typically $419+ per provider/month for full EHR/RCM suite, plus one-time implementation fees of $10K+.

Visit athenahealthathenahealth.com
4
NextGen Healthcare logo

NextGen Healthcare

enterprise

Enterprise practice management system with robust radiology billing capabilities, including CPT coding support and multi-provider claims handling.

Overall Rating8.4/10
Features
9.1/10
Ease of Use
7.6/10
Value
8.0/10
Standout Feature

Integrated AI-powered claims scrubbing and denial prediction tailored to radiology procedure complexities

NextGen Healthcare offers a comprehensive EHR and practice management platform with specialized radiology billing capabilities through its Revenue Cycle Management (RCM) module. It automates charge capture from radiology information systems (RIS), handles complex CPT and HCPCS coding for imaging procedures, and integrates with PACS for seamless workflow. The solution supports prior authorizations, claims scrubbing, denial management, and analytics to optimize reimbursements for radiology practices.

Pros

  • Robust integration with RIS/PACS for automated charge posting
  • Advanced rules engine for accurate radiology-specific coding and compliance
  • Powerful analytics and reporting for revenue optimization

Cons

  • Steep learning curve due to extensive customization options
  • Higher pricing suitable for larger practices only
  • Mixed customer support experiences reported

Best For

Mid-to-large radiology groups needing an integrated EHR, RIS, and billing platform for enterprise-scale operations.

Pricing

Custom enterprise pricing, typically $400-$700 per provider/month including EHR, PM, and RCM modules; requires quote.

5
eClinicalWorks logo

eClinicalWorks

enterprise

Comprehensive EHR and practice management software featuring streamlined billing for radiology services with integrated telehealth and analytics.

Overall Rating7.6/10
Features
7.9/10
Ease of Use
6.7/10
Value
7.2/10
Standout Feature

Integrated revenue cycle management with AI-driven coding assistance for accurate radiology billing

eClinicalWorks is a comprehensive cloud-based EHR and practice management platform with integrated billing capabilities suitable for radiology practices. It handles claims submission, eligibility verification, denial management, and payment posting while supporting radiology-specific CPT/HCPCS codes for imaging procedures. The system streamlines revenue cycle management by linking billing directly to clinical documentation, though it lacks deep specialization in RIS/PACS integration compared to dedicated radiology tools.

Pros

  • Seamless EHR-billing integration reduces errors in charge capture
  • Robust denial management and automated claims scrubbing
  • Scalable for enterprise-level radiology groups with compliance tools

Cons

  • Steep learning curve and outdated interface
  • Limited native radiology workflow support like PACS charge posting
  • Customer support responsiveness can be inconsistent

Best For

Mid-to-large multi-specialty practices with radiology departments seeking an all-in-one EHR and billing solution.

Pricing

Subscription starts at ~$449/provider/month for core EHR/PM/billing; custom quotes with implementation fees ~$5K-$20K.

Visit eClinicalWorkseclinicalworks.com
6
Epic Systems logo

Epic Systems

enterprise

Leading hospital-grade EHR platform with advanced radiology billing modules for high-volume imaging centers and seamless charge capture.

Overall Rating8.2/10
Features
9.1/10
Ease of Use
6.7/10
Value
7.0/10
Standout Feature

Direct linkage of radiology orders and images to billing codes via embedded workflows, minimizing errors and manual entry

Epic Systems offers a comprehensive EHR platform with Radiant (radiology module) and Resolute Billing, providing end-to-end radiology billing capabilities including automated charge capture, coding, claims management, and denial resolution. It integrates seamlessly with PACS systems and clinical workflows to ensure accurate billing for imaging procedures like X-rays, MRIs, and CT scans. Designed for large-scale healthcare organizations, it supports compliance with regulations such as HIPAA and handles high-volume radiology revenue cycles efficiently.

Pros

  • Seamless integration with Epic's EHR and radiology workflows for accurate charge capture
  • Advanced analytics and denial management tools tailored to radiology codes
  • Scalable for enterprise-level hospitals with robust compliance features

Cons

  • Steep learning curve and complex user interface
  • Extremely high implementation and customization costs
  • Less ideal for small practices due to overkill functionality and rigidity

Best For

Large hospitals and health systems already invested in Epic EHR needing integrated, high-volume radiology billing.

Pricing

Custom enterprise pricing with multi-million-dollar implementation fees and ongoing per-user/bed subscriptions; no public tiers.

7
Oracle Cerner logo

Oracle Cerner

enterprise

Enterprise health IT solution providing sophisticated revenue cycle management and billing automation for large radiology departments.

Overall Rating8.1/10
Features
8.8/10
Ease of Use
6.9/10
Value
7.5/10
Standout Feature

AI-powered revenue cycle intelligence that predicts denials and automates corrections directly from radiology workflows

Oracle Cerner, accessible via cerner.com, is an enterprise-grade electronic health record (EHR) platform with comprehensive revenue cycle management (RCM) modules specialized for radiology billing. It automates charge capture from radiology information systems (RIS) and picture archiving communication systems (PACS), handles complex claims processing, denial management, and payment reconciliation for imaging procedures like X-rays, MRIs, and CT scans. The system ensures HIPAA compliance, supports eligibility verification, and provides analytics for optimizing radiology revenue in large healthcare environments.

Pros

  • Seamless integration with EHR, RIS, and PACS for automated charge capture and workflow efficiency
  • Advanced denial management and predictive analytics to maximize radiology reimbursements
  • Scalable for high-volume radiology departments in hospitals with robust compliance tools

Cons

  • Steep learning curve and lengthy implementation requiring extensive customization
  • High upfront and ongoing costs unsuitable for small practices
  • Overly complex interface that can overwhelm users without dedicated IT support

Best For

Large hospitals and multi-site health systems with complex radiology operations needing fully integrated enterprise billing.

Pricing

Custom enterprise pricing with high implementation costs (often $1M+), plus per-user or usage-based subscriptions starting at tens of thousands annually.

8
Allscripts logo

Allscripts

enterprise

Flexible EHR and financial management software supporting radiology billing with real-time eligibility checks and AR management.

Overall Rating7.9/10
Features
8.4/10
Ease of Use
7.1/10
Value
7.5/10
Standout Feature

AI-powered predictive denial prevention integrated with radiology-specific coding rules

Allscripts offers comprehensive revenue cycle management (RCM) solutions integrated with its EHR platforms like Sunrise and TouchWorks, specifically supporting radiology billing through automated charge capture, claims processing, and denial management for imaging services. It handles complex CPT/HCPCS coding for modalities like MRI, CT, and X-ray, with features for prior authorizations and eligibility checks. Ideal for larger healthcare organizations, it streamlines financial workflows from radiology information systems (RIS) to payment posting.

Pros

  • Deep integration with EHR and RIS for seamless workflows
  • Advanced denial management and analytics tools
  • Scalable for enterprise-level radiology departments

Cons

  • Steep learning curve and complex setup
  • High implementation costs and long timelines
  • Less intuitive for small standalone radiology practices

Best For

Large hospitals or multi-site radiology groups already using Allscripts EHR needing integrated enterprise billing.

Pricing

Custom enterprise pricing; typically $400-$800 per provider/month plus implementation fees; contact for quote.

Visit Allscriptsallscripts.com
9
Greenway Health logo

Greenway Health

enterprise

Practice management platform with efficient billing tools for radiology practices, focusing on claims accuracy and faster reimbursements.

Overall Rating7.2/10
Features
7.5/10
Ease of Use
6.8/10
Value
7.0/10
Standout Feature

Integrated Revenue Cycle Management with predictive analytics for denial prevention and faster reimbursements

Greenway Health offers an integrated EHR and practice management platform with specialized billing modules designed for radiology practices, streamlining claims processing, eligibility verification, and payment posting for imaging procedures. The software supports radiology-specific CPT and HCPCS codes, denial management, and AR reporting to optimize revenue cycles. It emphasizes interoperability with other healthcare systems for seamless data exchange in multi-specialty environments.

Pros

  • Robust integration of EHR and billing for efficient radiology workflows
  • Advanced denial management and analytics tools
  • Strong compliance features including HIPAA and MIPS reporting

Cons

  • Steep learning curve for new users
  • Occasional customer support delays
  • Customization can be complex and time-consuming

Best For

Mid-sized radiology groups or imaging centers seeking an all-in-one EHR and billing solution with strong revenue cycle management.

Pricing

Custom pricing starting at approximately $300-$500 per provider per month, plus implementation fees; volume discounts available.

Visit Greenway Healthgreenwayhealth.com
10
DrChrono logo

DrChrono

specialized

Mobile-friendly EHR and billing software offering cost-effective revenue cycle solutions for smaller radiology and imaging practices.

Overall Rating7.2/10
Features
7.0/10
Ease of Use
8.1/10
Value
6.8/10
Standout Feature

Native iPad app for real-time superbills, charge capture, and claims submission directly from mobile devices

DrChrono is a cloud-based EHR and practice management platform with integrated billing capabilities designed for various medical specialties, including radiology. It supports claims submission, eligibility verification, payment posting, and denial management using standard CPT and ICD-10 codes relevant to radiology procedures like X-rays, MRIs, and CT scans. While versatile for general practices, its radiology billing features are functional but lack deep specialization in areas like PACS integration or advanced imaging workflow automation.

Pros

  • Seamless integration between EHR charting and billing reduces manual data entry errors
  • Mobile-first design with native iOS app enables on-the-go claims review and submission
  • Automated claims scrubbing and ERA posting help streamline radiology revenue cycles

Cons

  • Lacks native PACS/RIS integration, requiring third-party workarounds for imaging practices
  • Billing customization for complex radiology modifiers and charge capture can be limited
  • Higher pricing tiers needed for advanced denial management and analytics

Best For

Small to mid-sized radiology practices seeking an all-in-one EHR with solid general billing tools rather than specialized radiology-only software.

Pricing

Starts at $199/provider/month for core features, plus $133/user/month; custom quotes for radiology-specific add-ons and implementation (typically $10K+ setup).

Visit DrChronodrchrono.com

Conclusion

The 10 radiology billing software solutions reviewed each offer distinct value, with AdvancedMD emerging as the top choice thanks to its specialized billing features tailored for radiology workflows. Kareo and athenahealth stand out as strong alternatives: Kareo excels in automation, while athenahealth provides integrated EHR tools, making them ideal for different practice needs.

AdvancedMD logo
Our Top Pick
AdvancedMD

Explore AdvancedMD to unlock streamlined billing, faster reimbursements, and optimized workflows—start enhancing your practice efficiency today.