Radiologist Malpractice Insurance

Radiologists deliver critical diagnostic and interventional care that guides nearly every area of modern medicine. Because the work involves interpreting complex images, performing minimally invasive procedures, and often coordinating care across multiple facilities and states, even small errors can have serious consequences and lead to malpractice claims.

Homewood Insurance helps radiologists protect their practice, their license, and their reputation with coverage designed for both diagnostic and interventional work, including remote reading. This page explains what your insurance should include, how much it typically costs, and which procedures and workflows can increase premiums or trigger added underwriting scrutiny.

You'll find the following on this page:

What Insurance Includes – a clear breakdown of malpractice (professional liability) and optional general liability protections for radiologists.
Cost of Coverage – typical premium ranges by city and state, followed by the main factors that influence price.
Higher-Risk Exposures – procedures and situations that commonly raise premiums or require added controls.
Why Work With Homewood – how we help diagnostic and interventional radiologists secure the right protection.

Get a Free Quote Now

The fastest way to find the most suitable insurance coverage for radiologists is to fill out our quick quote form, so we can give you an idea of the type of insurance coverage that best suits you.

Homewood Insurance works with a number of different carriers to ensure you have the most suitable insurance coverage at the best price.

Malpractice Insurance for Radiologists can include:

Option to include general liability insurance for premises accidents.
Coverage for both diagnostic and interventional radiology, including remote reading (teleradiology).
Protection for claims involving missed or delayed diagnoses.
Optional protection for therapeutic radiation and radiation oncology.
Legal defense expenses available in addition to liability limits on many policies.
Defense coverage for allegations of sexual misconduct.
Support for multi-state remote reading when licensing and documentation are in place.
Common limits up to $1,000,000 per claim / $3,000,000 per year aggregate
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What Insurance Includes

Insurance for Radiologists can include:

Malpractice or liability insurance can provide essential protection against these risks:

Professional Liability (Malpractice Insurance)

Diagnostic interpretation: Protects against claims that you missed, misread, or delayed the reporting of a finding on X-ray, magnetic resonance imaging (MRI), computed tomography (CT), ultrasound, or positron emission tomography (PET) scans; includes allegations of poor image quality, incomplete reports, or failure to recommend appropriate follow-up.
Interventional radiology procedures: Covers minimally invasive procedures such as angiography, catheter placements, image-guided biopsies, drainages, ablations, and related complications (for example, bleeding, infection, or organ injury).
Therapeutic radiation (optional): Extends to radiation oncology services when elected, including dosing errors and treatment-planning claims, subject to underwriting and qualifications.
Remote reading (teleradiology): Coverage for interpretations performed across state lines when licenses, privileges, and documentation meet state and hospital requirements; includes support for credentialing and proof of compliance.
License and board actions: Legal defense for investigations, hearings, and disciplinary matters tied to professional services.
Allegations of sexual misconduct: Defense coverage available on many forms (indemnity may be restricted by law and policy terms).
Defense outside the limits: Many carriers offer legal defense costs in addition to liability limits, preserving more of the policy for settlements and judgments.

General Liability Insurance (Optional Add-On)

Premises accidents: Covers third-party injuries such as slips, trips, and falls in your office or imaging center, and damage to a visitor’s property.
Personal and advertising injury: Protection for claims such as libel or slander tied to your business operations.
Recommended for owned facilities: Particularly important if you operate or lease imaging suites where patient foot traffic and equipment increase exposure.

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How much does malpractice Insurance cost for Radiologists?

Premiums are influenced by specialty mix, litigation environment, facility size, and claims history. Carriers also evaluate risk management protocols such as credentialing, peer review, and informed consent.

Professional Liability Insurance– Estimated ranges:

Lower-cost markets (for example, Birmingham, Alabama; Little Rock, Arkansas): about $19,000 – $20,000 for $1M per claim / $3M per year limits.
Some cities with competitive rates (for example, Los Angeles, California; Boise, Idaho): about $17,000 – $22,000.
Mid to higher-cost metros (for example, Chicago, Illinois; Washington, D.C.): about $35,000 – $38,000.
High-cost metros (for example, Miami, Florida): about $35,000 – $50,000 depending on limits and practice mix.
Highest-cost examples (for example, Manhattan, New York): up to $55,000 or more for diagnostic practices; interventional-heavy groups can be higher.

General Liability Insurance– Estimated ranges:

Small outpatient office: about $1,000 – $2,500.
Imaging centers with higher foot traffic or multiple suites: about $2,500 – $5,000+, depending on location, visitor volume, and safety controls.

Pricing Factors

Practice mix: Interventional radiology carries more risk than diagnostic-only interpretation; more invasive work generally means higher premiums.
Location and legal climate: Premiums are higher for radiologists in cities and states with frequent malpractice litigation or larger jury awards.
Experience and claims history: Prior allegations of missed findings, delayed communication, or procedural complications can increase cost.
Policy form: “Claims-made” radiologist policies are usually less expensive at first but require “tail” (extended reporting) if you move or retire; “occurrence” policies cost more upfront but cover events that happened during the policy period even if the claim is filed later.
Limits and deductibles: Higher limits and lower deductibles increase price; some practices choose higher deductibles to manage premium.
Operational controls: Structured reporting, peer review, dose-tracking, checklists for follow-up recommendations, and image-quality protocols can earn credits and keep costs stable.
Remote reading documentation: Clean, auditable processes for multi-state licensure, credentialing, and turnaround times help underwriting and can reduce friction at renewal.

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High-Risk Procedures and their Impact on your Premiums

Interventional radiology and certain diagnostic scenarios generate more severe or frequent claims. Carriers rarely refuse coverage for established practices, but they may raise premiums, require higher deductibles, or limit terms when these exposures are present. The table below highlights common red flags and how to manage them.

Activity / Exposure	Why It’s Higher Risk	Controls Required	Insurance Impact
Missed or delayed diagnosis	Delays treatment for cancer, stroke, fractures, or internal injuries	Structured reporting, peer review, escalation protocols, follow-up recommendations	Frequent driver of claims; affects pricing and renewal terms
Vascular interventions (angiography, angioplasty, embolization)	Bleeding, vessel injury, clotting, and infection risks	Procedure checklists, informed consent, emergency response readiness	Moderate to large premium surcharges; detailed underwriting review
Image-guided biopsies and drainages	Organ injury, infection, pneumothorax, or hemorrhage	Ultrasound/CT guidance standards, complication protocols, documentation	Noticeable premium increase with higher procedure volume
Therapeutic radiation (radiation oncology)	Dose calculation errors and treatment-planning issues	Planning QA, physics sign-offs, double checks on dose and targeting	Available by endorsement; higher rates and specific qualifications
Remote reading across state lines	Licensure gaps, privileging issues, and turnaround disputes	Current licenses, credentialing files, SLAs for turnaround and escalation	Underwriting questions and documentation requirements; pricing impact varies
Allegations of sexual misconduct	Severe reputational and legal consequences even without indemnity	Chaperone policies, training, incident reporting and response plans	Defense coverage often included; indemnity may be limited or barred by law

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Other types of Insurance that Physicians need

Homewood can often combine different types of coverage into one policy.

General Liability Insurance

General Liability covers medical expenses and attorney fees which result from bodily injuries and property damage that your facility or organization could be legally responsible for.

Professional Liability Insurance

Professional Liability Insurance covers any negligence or mistakes made by individual radiologists during their practice. It differs from General Liability insurance, which covers the practice itself.

Sexual Abuse and Molestation Insurance

Provides coverage for your practice against claims arising from alleged sexual misconduct or molestation by an employee or other representative of your organization. Essential for the radiologists.

Commercial Property Insurance

This protects your facility against damage or loss to your buildings, equipment, and other property, which can happen as the result of various risks such as fire, theft, or vandalism.

Workers’ Compensation Insurance

Workers’ Compensation Insurance is usually mandated by law. It protects radiology practices and employees in case of work-related injuries or illnesses.

Cyber Liability Insurance

Covers you against financial losses associated with data breaches, cyber attacks, and other cyber incidents. Insurers will usually conduct rigorous testing of your online system to fix vulnerabilities as part of this policy.

Why Work With Homewood

Sector expertise: We place coverage for diagnostic, interventional, and radiation oncology practices — including remote reading models.
Broad market access: Nearly 100 insurance carriers, so you can compare pricing and terms across standard and specialty markets.
Policy fit: Guidance on limits, deductibles, and whether claims-made or occurrence coverage better fits your practice and career plans.
Underwriting prep: Checklists for licensure, credentialing, reporting workflows, and dose-tracking help reduce friction and support better rates.
Claims support: Fast, organized response for alleged missed findings, communication delays, or procedure complications; counsel for board and license matters.

Call 947-274-3093 or Fill Out the Form

Ralph Schiller

Ralph specializes in sourcing the most suitable insurance for radiologists at the best price. You can call him or fill out the form and he will get your message directly.

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