Diagnostic radiology · North Dakota

Diagnostic radiology commercial reimbursement in North Dakota

How North Dakota diagnostic radiology rates compare with the national market.

Diagnostic radiology in North Dakota

49 codes · 86 sampled providers
Index vs national
119
19% above
Rank among states
8 of 51
1 = highest
Codes above national
47 of 49
median code at 119%
Providers
86
sampled

What the data shows

1

Diagnostic radiology ranks 8th of 51 states in North Dakota with an index of 119 (100 = the specialty's national median), across 49 codes and 86 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in North Dakota, 47 pay above the national median and 2 below; the typical code sits at 119% of the national median.

3

Largest premium over the national median: CPT 73502 (X-ray exam hip uni 2-3 views) at 135%; largest discount: CPT 70551 (Mri brain stem w/o dye) at 98%.

4

Measured against Medicare, North Dakota diagnostic radiology rates have a median of 191% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeNorth DakoNationalGapProv.
73502
X-ray exam hip uni 2-3 views
$83$61+35%86
71045
X-ray exam chest 1 view
$44$33+34%86
77066
Dx mammo incl cad bi
$293$225+30%86
77065
Dx mammo incl cad uni
$232$179+30%86
76641
Ultrasound breast complete
$188$145+30%83

Lowest vs national

CodeNorth DakoNationalGapProv.
70551
Mri brain stem w/o dye
$396$402-2%86
72148
Mri lumbar spine w/o dye
$392$392-0%86
72141
Mri neck spine w/o dye
$392$390+0%86
73721
Mri jnt of lwr extre w/o dye
$414$407+2%86
73221
Mri joint upr extrem w/o dye
$416$407+2%86

All diagnostic radiology codes in North Dakota

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeNorth DakotaNationalGap% of MedicareProvidersTINsLevel
CPT 73502
X-ray exam hip uni 2-3 views
$83$61+35%170%86289
CPT 71045
X-ray exam chest 1 view
$44$33+34%173%86281
CPT 77066
Dx mammo incl cad bi
$293$225+30%187%86287
CPT 77065
Dx mammo incl cad uni
$232$179+30%187%86286
CPT 76641
Ultrasound breast complete
$188$145+30%188%83283
CPT 93880
Extracranial bilat study
$357$277+29%189%86288
CPT 93970
Extremity study
$345$270+28%188%86290
CPT 76700
Us exam abdom complete
$215$168+28%188%86287
CPT 71046
X-ray exam chest 2 views
$57$45+27%173%86288
CPT 77067
Scr mammo bi incl cad
$230$182+27%182%86286
CPT 71271
Ct thorax lung cancer scr c-
$263$208+26%193%86285
CPT 76705
Echo exam of abdomen
$159$126+26%184%86286
CPT 76536
Us exam of head and neck
$194$154+26%179%86286
CPT 74178
Ct abd&plv wo cntr flwd cntr
$653$520+26%193%86284
CPT 93971
Extremity study
$216$172+25%186%86291
CPT 76770
Us exam abdo back wall comp
$199$158+25%187%86284
CPT 74177
Ct abd & pelvis w/contrast
$556$448+24%185%86283
CPT 74176
Ct abd & pelvis w/o contrast
$355$287+24%194%86286
CPT 77049
Mri breast c-+ w/cad bi
$689$558+23%203%83281
CPT 76642
Ultrasound breast limited
$149$120+23%178%86288
CPT 74174
Cta abd&plvs w/contrast
$740$601+23%195%86281
CPT 37243
Vasc embolize/occlude organ
$1,055$858+23%219%83276
CPT 71275
Ct angiography chest
$552$462+20%197%86285
CPT 20610
Drain/inj joint/bursa w/o us
$99$83+20%144%86288
CPT 70496
Ct angiography head
$542$457+19%198%86284
CPT 70498
Ct angiography neck
$542$459+18%198%86285
CPT 93000
Electrocardiogram complete
$29$25+18%191%85265
CPT 99215
Office o/p est hi 40 min
$212$182+16%110%81257
CPT 77080
Dxa bone density axial
$77$66+16%195%86281
CPT 99214
Office o/p est mod 30 min
$147$128+15%108%81263
CPT 99213
Office o/p est low 20 min
$100$88+14%105%81263
CPT 99205
Office o/p new hi 60 min
$276$244+13%116%81259
CPT 99203
Office o/p new low 30 min
$132$121+10%113%81257
CPT 72158
Mri lumbar spine w/o & w/dye
$645$593+9%203%86283
CPT 71260
Ct thorax dx c+
$338$312+8%203%86280
CPT 70450
Ct head/brain w/o dye
$210$194+8%197%86282
CPT 99204
Office o/p new mod 45 min
$202$187+8%114%81258
CPT 74183
Mri abd w/o cntr flwd cntr
$681$634+7%203%86287
CPT 71250
Ct thorax dx c-
$269$250+7%203%86282
CPT 70553
Mri brain stem w/o & w/dye
$642$600+7%203%86286
CPT 72197
Mri pelvis w/o & w/dye
$678$634+7%203%86286
CPT 99212
Office o/p est sf 10 min
$54$50+7%90%81259
CPT 72125
Ct neck spine w/o dye
$265$249+6%203%86282
CPT 72131
Ct lumbar spine w/o dye
$263$248+6%203%86288
CPT 73221
Mri joint upr extrem w/o dye
$416$407+2%203%86285
CPT 73721
Mri jnt of lwr extre w/o dye
$414$407+2%203%86285
CPT 72141
Mri neck spine w/o dye
$392$390+0%205%86288
CPT 72148
Mri lumbar spine w/o dye
$392$392-0%204%86284
CPT 70551
Mri brain stem w/o dye
$396$402-2%203%86285

Frequently asked questions

How do North Dakota diagnostic radiology rates compare with the rest of the country?

North Dakota ranks 8th of 51 states with an index of 119; 47 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in North Dakota?

CPT 73502 (X-ray exam hip uni 2-3 views), at 135% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

Methodology

How these numbers are calculated
  • Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
  • Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
  • Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
  • Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
  • Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
  • Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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