Chiropractors in North Dakota
What chiropractors can and can't do in North Dakota
North Dakota chiropractic includes examination and diagnosis using X-ray, other diagnostic imaging and clinical lab procedures; adjustment or manipulation of the spine, joints, extremities and skull; physiotherapy, electrotherapy and hydrotherapy; other procedures taught by accredited chiropractic colleges; impairment ratings; and telehealth. It doesn't include prescribing or administering internal medicines or drugs, or surgery.
Insurance and coverage in North Dakota
Medicare
Medicare Part B covers only one chiropractic service: manual manipulation of the spine to correct a subluxation, when you have a significant neuromusculoskeletal problem and the subluxation is shown by X-ray or physical exam. Once treatment stops improving your condition and becomes maintenance therapy, Medicare stops paying. Other chiropractic services aren't covered.
Source: Chiropractic Services (Medicare Provider Compliance Tips; Benefit Policy Manual ch. 15, sec. 240.1)
What chiropractic care costs in North Dakota
Self-pay prices vary by practice, so ask for the cash price before your first visit. As a reference point, here's what Medicare approves in 2026 for a spinal adjustment in North Dakota:
| 1–2 areas of the spine | $26.52 |
|---|---|
| 3–4 areas | $38.21 |
| 5 areas | $49.57 |
That's the total Medicare approves; with Medicare you typically owe 20% of it after your Part B deductible.
Source: PFS Relative Value Files: RVU26D (2026, October release)
North Dakota chiropractic FAQ
Can a North Dakota chiropractor order imaging or lab tests?
Yes. North Dakota's definition of chiropractic includes diagnosis by X-ray, other diagnostic imaging and clinical laboratory procedures.
Sources
- N.D.C.C. § 43-06-01: Definitions (chiropractors) (North Dakota Legislative Branch)
- Chiropractic Services (Medicare Provider Compliance Tips; Benefit Policy Manual ch. 15, sec. 240.1) (Centers for Medicare & Medicaid Services)
- PFS Relative Value Files: RVU26D (2026, October release) (Centers for Medicare & Medicaid Services)
Last reviewed October 15, 2026. This page summarizes state law and public programs for general information and isn't legal or medical advice; rules change, so confirm with the linked sources. See our medical disclaimer.