Chiropractic Marketing Statistics 2026
Chiropractic marketing statistics for 2026: the average US chiropractic practice holds a 4.77-star Google rating with a median of 125 reviews, 27% have fewer than 50 reviews and only 30.8% open on weekends. Demand is steady: 11.0% of US adults used chiropractic care in 2022, and BLS projects 9% job growth to 2035.
- 45 statistics: 29 from our September 2026 Google study of 1,035 US chiropractic practices in 20 metros, and 16 from government, peer-reviewed and published primary sources.
- Every figure shows its sample or source and links to where it came from.
- Aggregates only: no practice is named and no city group under 10 practices is reported.
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The 9 numbers to know first
What these numbers mean for your chiropractic practice
- Your star rating will not set you apart; your review count can. The average chiropractic practice already sits at 4.77 stars, but 27% have fewer than 50 reviews. A steady ask after every good visit moves you further than chasing a perfect 5.0.
- Benchmark against your city, not the national number. The median runs from 54 reviews in Philadelphia to 294.5 in Austin. Check your metro on the city benchmark table before setting a review goal.
- Weekend hours are an open lane. Only 30.8% of chiropractic practices list weekend hours. If you open Saturday mornings, make sure Google shows it and say so in your ads and on your booking page.
- Write for pain, and for people 45 and over. 85.7% of adults who use chiropractic do so for pain, adults 45–64 are the most likely users, and chronic pain climbs to 36.0% after 65. Service pages for back pain, neck pain and sciatica, with clear new-patient steps, match how people search.
- Be precise about Medicare. Medicare Part B covers spinal manipulation for subluxation only. If you serve Medicare patients, say which services are covered and which are self-pay, so nobody is surprised at checkout.
Google reviews and ratings
How 1,035 US chiropractic practices look on Google: star ratings, review depth and how they compare with 8 other specialties.
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#1
4.77 — The average US chiropractic practice holds a 4.77-star Google rating.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#2
125 — The median US chiropractic practice has 125 Google reviews.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#3
27% — 27% of chiropractic practices have fewer than 50 Google reviews.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#4
35.8% — 35.8% of chiropractic practices have between 50 and 199 Google reviews.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#5
26.1% — 26.1% of chiropractic practices have between 200 and 499 Google reviews.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#6
11.1% — 11.1% of chiropractic practices have 500 or more Google reviews.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#7
62.8% — Combined, 62.8% of chiropractic practices have fewer than 200 Google reviews, so a profile with 200 or more already sits in the top 37.2% or so.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Derived: under-50 share plus 50–199 share. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#8
3rd of 9 — Chiropractic practices rank 3rd of 9 specialties for review depth; medians run from 33 reviews (hair restoration clinics) to 319.5 (dental practices).
Sample/method: National averages for 9,452 US practices in 9 specialties across 20 metros; public Google Business Profile data, September 2026. Source: Google benchmarks for 9 specialties (Ichelon Consulting US) → -
#9
6th of 9 — Chiropractic practices rank 6th of 9 specialties by average Google rating; averages run from 4.62 stars (dermatology practices) to 4.89 (physical therapy clinics).
Sample/method: National averages for 9,452 US practices in 9 specialties across 20 metros; public Google Business Profile data, September 2026. Source: Google benchmarks for 9 specialties (Ichelon Consulting US) →
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Profile completeness and website links
What a patient finds when they open a chiropractic practice's Google Business Profile: a website link, a phone number and opening hours.
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#10
95% — 95% of chiropractic practices link a website from their Google Business Profile, leaving about 5% with no website link.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#11
99.2% — 99.2% of chiropractic practices list a phone number on their Google profile.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#12
98.6% — 98.6% of chiropractic practices publish opening hours on their Google profile.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#13
84.7% — Philadelphia has the lowest share of chiropractic practices linking a website from Google, at 84.7%.
Sample/method: Philadelphia: 59 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) →
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Opening hours and weekend access
Weekend hours are one of the few things a patient can compare at a glance in Google results. These figures come from the hours listed on each profile.
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#14
30.8% — 30.8% of chiropractic practices list hours on at least one weekend day.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Based on hours listed on the profile. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#15
4.9 — The average chiropractic practice is open 4.9 days a week.
Sample/method: National figure across 1,035 US chiropractic practices in 20 metros; public Google Business Profile data, September 2026. Based on hours listed on the profile. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#16
5th of 9 — Chiropractic practices rank 5th of 9 specialties for weekend opening; the range runs from 14.5% (plastic surgery practices) to 74.2% (med spas).
Sample/method: National averages for 9,452 US practices in 9 specialties across 20 metros; public Google Business Profile data, September 2026. Based on hours listed on the profile. Source: Google benchmarks for 9 specialties (Ichelon Consulting US) → -
#17
50.9% — 50.9% of chiropractic practices in Chicago open on a weekend day, the highest of the 20 metros studied.
Sample/method: Chicago: 53 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#18
15.8% — In Las Vegas, only 15.8% of chiropractic practices open on a weekend day, the lowest of the metros studied.
Sample/method: Las Vegas: 57 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#19
1 of 20 — In 1 of the 20 metros (Chicago), more than half of chiropractic practices open on at least one weekend day.
Sample/method: City figures, 20 metros with 10 or more chiropractic practices each. Public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) →
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City benchmarks across 20 US metros
Local search is decided city by city. These figures compare chiropractic practices across the 20 metros in our sample (every city shown has at least 10 chiropractic practices).
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#20
294.5 — Austin chiropractic practices have the deepest review profiles of any metro studied, with a median of 294.5 Google reviews.
Sample/method: Austin: 40 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#21
54 — Philadelphia has the thinnest review profiles for chiropractic practices, with a median of 54 Google reviews.
Sample/method: Philadelphia: 59 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#22
5.5× — The median review count in the deepest metro is 5.5 times the count in the thinnest, so the number of reviews that looks "normal" depends heavily on the city.
Sample/method: Derived from the two city medians above. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#23
9 of 20 — In 9 of 20 metros, the median chiropractic practice has more Google reviews than the national median of 125.
Sample/method: City medians compared with the national median. Public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#24
0 of 20 — In none of the 20 metros does the median chiropractic practice have fewer than 50 Google reviews.
Sample/method: City medians, 20 metros. Public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#25
4.92 — Austin chiropractic practices have the highest average Google rating of the metros studied, at 4.92 stars.
Sample/method: Austin: 40 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#26
4.67 — Philadelphia and Seattle chiropractic practices have the lowest average Google rating of the metros studied, at 4.67 stars.
Sample/method: Philadelphia: 59 chiropractic practices; Seattle: 53 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#27
23.3% — 23.3% of chiropractic practices in Atlanta have 500 or more Google reviews, the highest share of any metro studied.
Sample/method: Atlanta: 60 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#28
47.5% — 47.5% of chiropractic practices in Philadelphia have fewer than 50 Google reviews, the highest share of any metro studied.
Sample/method: Philadelphia: 59 chiropractic practices. Public Google Business Profile data, September 2026. Cities with fewer than 10 practices in the sample are not reported. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) → -
#29
294.5 — In Texas, the median chiropractic practice has 294.5 Google reviews in Austin, 172 in Dallas and 120 in Houston.
Sample/method: Austin: 40 chiropractic practices; Dallas: 55 chiropractic practices; Houston: 58 chiropractic practices. Public Google Business Profile data, September 2026. Source: Chiropractic Google benchmarks 2026 (Ichelon Consulting US) →
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Who uses chiropractic care, and why
Federal survey data on how many US adults see a chiropractor and how common the pain that drives most visits is.
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#30
11.0% — In 2022, 11.0% of US adults used chiropractic care, up from 7.4% in 2002.
Source detail: National Health Interview Survey, 2002 and 2022; analysis by NIH's National Center for Complementary and Integrative Health (Nahin, Rhee and Stussman, JAMA, 2024). Source: NCCIH, Use of Complementary Health Approaches: 20-Year Trends (NHIS 2002–2022) → -
#31
85.7% — Chiropractic was the complementary approach most often used for pain: 85.7% of adults who used it in 2022 did so for pain management.
Source detail: NCCIH summary of the 2024 JAMA analysis of NHIS 2022. Source: NCCIH, Use of Complementary Health Approaches for Pain by U.S. Adults Increased From 2002 to 2022 → -
#32
11.1% vs 9.4% — Women were more likely than men to have seen a chiropractor in the past year (11.1% vs 9.4%, 2017).
Source detail: NCHS Data Brief No. 325, National Health Interview Survey 2017. Source: CDC NCHS Data Brief No. 325: Use of Yoga, Meditation, and Chiropractors Among U.S. Adults (NHIS 2017) → -
#33
11.4% — Adults aged 45–64 were the most likely to see a chiropractor (11.4%), against 9.9% of adults 18–44 and 9.5% of adults 65 and over (2017).
Source detail: NCHS Data Brief No. 325, National Health Interview Survey 2017. Source: CDC NCHS Data Brief No. 325: Use of Yoga, Meditation, and Chiropractors Among U.S. Adults (NHIS 2017) → -
#34
24.3% — In 2023, 24.3% of US adults had chronic pain, and 8.5% had high-impact chronic pain that frequently limited life or work activities.
Source detail: NCHS Data Brief No. 518, National Health Interview Survey 2023. Chronic pain = pain on most days or every day in the past 3 months. Source: CDC NCHS Data Brief No. 518: Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023 → -
#35
36.0% — Chronic pain rises with age, from 12.3% of adults aged 18–29 to 36.0% of adults 65 and older (2023).
Source detail: NCHS Data Brief No. 518, National Health Interview Survey 2023. Source: CDC NCHS Data Brief No. 518: Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023 → -
#36
31.4% — Chronic pain is more common outside big cities: 31.4% of adults in nonmetropolitan areas had it in 2023, against 20.5% in large central metro areas.
Source detail: NCHS Data Brief No. 518, National Health Interview Survey 2023. Source: CDC NCHS Data Brief No. 518: Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023 → -
#37
35 million+ — The American Chiropractic Association states that chiropractors treat more than 35 million Americans, adults and children, each year.
Source detail: ACA "Key Facts", citing Gallup (accessed November 2018 by the ACA). Source: American Chiropractic Association, Key Facts and Figures About the Chiropractic Profession →
Medicare coverage that shapes what you can promote
If you see Medicare patients, what Medicare pays for decides which services you can describe as covered.
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#38
Spine only — Medicare Part B covers only manual manipulation of the spine by a chiropractor to correct a subluxation; it does not cover other services or tests a chiropractor orders, such as X-rays, massage therapy or acupuncture.
Source detail: Medicare.gov coverage page, "Chiropractic services". Source: Medicare.gov, Chiropractic services (coverage) → -
#39
20% — For a covered chiropractic adjustment, a Medicare patient pays 20% of the Medicare-approved amount after the Part B deductible.
Source detail: Medicare.gov coverage page, "Chiropractic services". Source: Medicare.gov, Chiropractic services (coverage) →
How big the chiropractic profession is
Federal labor data and the profession's own counts. The two measure different things: BLS counts jobs, the ACA counts chiropractors.
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#40
61,700 — Chiropractors held 61,700 jobs in the US in 2025.
Source detail: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook. Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Chiropractors → -
#41
9% — Employment of chiropractors is projected to grow 9% from 2025 to 2035, about 5,300 more jobs, which BLS rates as much faster than the average for all occupations.
Source detail: BLS Occupational Outlook Handbook, 2025–35 projections. Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Chiropractors → -
#42
2,600 — About 2,600 openings for chiropractors are projected each year, on average, over the decade to 2035.
Source detail: BLS Occupational Outlook Handbook, 2025–35 projections. Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Chiropractors → -
#43
36% — 36% of chiropractors are self-employed and 57% work in offices of chiropractors, so most of the market is small, owner-run practices.
Source detail: BLS Occupational Outlook Handbook, largest employers of chiropractors. Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Chiropractors → -
#44
~70,000 — The ACA counts about 70,000 chiropractors in the US, with roughly another 3,000 in academic and management roles.
Source detail: ACA "Key Facts", citing State of the U.S. Health Work Force (2024). Source: American Chiropractic Association, Key Facts and Figures About the Chiropractic Profession → -
#45
11,000 — About 11,000 students are enrolled in 19 accredited US chiropractic doctoral programs, and about 2,800 chiropractors enter the workforce each year.
Source detail: ACA "Key Facts", citing the Association of Chiropractic Colleges (May 2025). Source: American Chiropractic Association, Key Facts and Figures About the Chiropractic Profession →
How chiropractic practices compare with 8 other specialties
National averages from the same September 2026 Google study (9,452 US practices, 20 metros). The highlighted row is this page's specialty.
| Specialty | Practices | Avg rating | Median reviews | Under 50 reviews | Website linked | Open weekends |
|---|---|---|---|---|---|---|
| Dental | 2,318 | 4.79 | 319.5 | 9.1% | 97.2% | 25.5% |
| Med Spa | 555 | 4.87 | 148 | 15.9% | 98.4% | 74.2% |
| Dermatology | 1,330 | 4.62 | 125 | 31.1% | 95.4% | 27.5% |
| Chiropractic | 1,035 | 4.77 | 125 | 27% | 95% | 30.8% |
| Physical Therapy | 854 | 4.89 | 122 | 22% | 98.4% | 20.6% |
| Cosmetic & Plastic Surgery | 874 | 4.74 | 107 | 29.9% | 97.6% | 14.5% |
| IV Therapy & Wellness | 1,535 | 4.81 | 52 | 48.4% | 94.1% | 65% |
| Medical Weight Loss | 632 | 4.79 | 42 | 53.8% | 96.8% | 48.4% |
| Hair Restoration | 319 | 4.74 | 33 | 58.3% | 95% | 39.5% |
Full city tables: Chiropractic Google benchmarks for 20 US cities · all 9 specialties.
See where your chiropractic practice sits against these numbers
Our US team checks your Google profile, reviews and website against the chiropractic figures for your city and sends back a short, plain-English list of fixes. No cost and no obligation.
Get the full Chiropractic dataset + PDF summary
The numbers behind this page, ready for your own spreadsheet or slide deck.
- CSV, 21 rows: national figures plus every metro with at least 10 chiropractic practices.
- Fields: average Google rating, median review count, review-count bands, website, phone and hours listed, weekend opening, days open per week.
- PDF summary with the tables, methodology and a citation line.
Public Google Business Profile data for 1,035 US chiropractic practices, September 2026. Aggregates only. Free to reuse under CC BY 4.0.
Where the numbers come from
- Our Google study (29 statistics). Public Google Business Profile data for 1,035 US chiropractic practices across 20 metros, collected in September 2026, part of a 9,452-practice study of 9 specialties. Ratings are simple averages; review counts are medians; shares are percentages of practices in the sample. Weekend and days-open figures come from the hours listed on each profile.
- Publishing rules. Aggregates only. No practice is named, no review text is quoted, and no city with fewer than 10 practices in the sample is reported. Derived figures (sums, ratios, ranks) are calculated from the published averages and say so in the method line.
- External statistics (16). Quoted from the primary source linked under each figure (federal agencies, professional bodies, peer-reviewed journals and surveys that publish their method). Each keeps its own year; we did not adjust or project them.
- What we do not publish here. US advertising costs (cost per click or per lead) and patient fees. We only publish figures we can source, and we do not have a verified public US dataset for chiropractic ad costs.
How to cite this page:
Embed our charts: every chart on this page has a “Use this chart” box with copy-ready HTML. The code shows the image and links back to this page as the source. PNG and SVG files are free to reuse under CC BY 4.0 with that credit link.
To cite one figure, link its anchor (for example https://ichelonconsulting.com/us/chiropractic-marketing-statistics-2026#stat-1). For external figures, please cite the original source listed below. Our own aggregates may be reused under CC BY 4.0 with attribution.
Sources
- Chiropractic Google benchmarks 2026 (Ichelon Consulting US) — https://ichelonconsulting.com/us/chiropractic-google-benchmarks-2026
- Google benchmarks for 9 specialties (Ichelon Consulting US) — https://ichelonconsulting.com/us/healthcare-google-benchmarks-2026
- NCCIH, Use of Complementary Health Approaches: 20-Year Trends (NHIS 2002–2022) — https://www.nccih.nih.gov/research/national-health-interview-survey-2022/graph-titled-use-of-complementary-health-approaches-20-year-trends
- NCCIH, Use of Complementary Health Approaches for Pain by U.S. Adults Increased From 2002 to 2022 — https://www.nccih.nih.gov/research/research-results/use-of-complementary-health-approaches-for-pain-by-us-adults-increased-from-2002-to-2022
- CDC NCHS Data Brief No. 325: Use of Yoga, Meditation, and Chiropractors Among U.S. Adults (NHIS 2017) — https://www.cdc.gov/nchs/products/databriefs/db325.htm
- CDC NCHS Data Brief No. 518: Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023 — https://www.cdc.gov/nchs/products/databriefs/db518.htm
- American Chiropractic Association, Key Facts and Figures About the Chiropractic Profession — https://www.acatoday.org/news-publications/newsroom/key-facts/
- Medicare.gov, Chiropractic services (coverage) — https://www.medicare.gov/coverage/chiropractic-services
- U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Chiropractors — https://www.bls.gov/ooh/healthcare/chiropractors.htm
Related pages from the US team
Chiropractic practice marketing guide
Local SEO, reviews and new-patient offers for US chiropractic clinics.
Chiropractic Google benchmarks 2026
Ratings, reviews and weekend hours city by city.
Physical therapy marketing statistics
The closest neighboring specialty, side by side.
Healthcare Google reviews statistics
Review and rating data across 9 specialties.
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Common questions
How many Google reviews does a chiropractor need?
The median US chiropractic practice has 125 Google reviews, 27% have fewer than 50 and 11.1% have 500 or more. The local number matters more: city medians run from 54 in Philadelphia to 294.5 in Austin (1,035 practices, 20 metros, September 2026).
What is the average Google rating for a chiropractor?
The average US chiropractic practice holds a 4.77-star Google rating, which ranks 6th of 9 specialties in our study. Ratings are tightly bunched, so review count and recency usually separate practices more than the star average does.
How many chiropractors are there in the US?
The American Chiropractic Association counts about 70,000 chiropractors in the US. The Bureau of Labor Statistics counts 61,700 chiropractor jobs in 2025 and projects 9% growth from 2025 to 2035. The two measure different things, so the numbers differ.
What percentage of Americans see a chiropractor?
In 2022, 11.0% of US adults used chiropractic care, up from 7.4% in 2002, according to National Health Interview Survey data analyzed by the NIH. Of adults who used chiropractic in 2022, 85.7% used it for pain.
Are chiropractors open on weekends?
Only 30.8% of US chiropractic practices list hours on a weekend day, and the average practice is open 4.9 days a week. Chicago has the highest weekend share (50.9%) and Las Vegas the lowest (15.8%).
Does Medicare cover chiropractic care?
Medicare Part B covers only manual manipulation of the spine to correct a subluxation. After the Part B deductible, the patient pays 20% of the Medicare-approved amount. X-rays, massage therapy and acupuncture ordered by a chiropractor are not covered (Medicare.gov).
A note on this guide: it explains marketing practice, not legal advice. Rules on privacy, advertising and insurance change and vary by state, so confirm anything compliance-related with your own counsel.
Want your chiropractic practice benchmarked against these numbers?
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