Cost analysis for CPT 98940 — Chiropractic manipulative treatment, 1-2 spinal regions
Average Medicare Payment
$18.68
2023 data
Total Payments (2023)
$70.6M
Services (2023)
3.7M
Price Change (2014–2023)
-4.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $19.45 | $119.9M | 6.1M | — |
| 2015 | $19.37 | $115.8M | 5.9M | -0.4% |
| 2016 | $19.23 | $117.1M | 6.0M | -0.7% |
| 2017 | $18.72 | $109.8M | 5.8M | -2.7% |
| 2018 | $19.12 | $106.2M | 5.5M | +2.1% |
| 2019 | $19.59 | $104.2M | 5.2M | +2.5% |
| 2020 | $19.39 | $78.7M | 4.0M | -1.0% |
| 2021 | $19.49 | $82.5M | 4.2M | +0.5% |
| 2022 | $18.86 | $74.9M | 3.9M | -3.2% |
| 2023 | $18.68 | $70.6M | 3.7M | -1.0% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $23.94 vs ID at $16.68.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $23.94 | $316.9K | 13.2K | 78 |
| NJ | $21.91 | $1.9M | 88.3K | 360 |
| NY | $21.28 | $13.0M | 609.9K | 1.1K |
| DC | $20.65 | $13.7K | 665 | 3 |
| CA | $20.55 | $5.5M | 265.5K | 898 |
| CT | $20.54 | $1.5M | 72.8K | 220 |
| MA | $20.48 | $1.5M | 73.1K | 245 |
| MD | $20.02 | $928.7K | 46.4K | 150 |
| HI | $19.98 | $82.9K | 4.1K | 20 |
| PR | $19.49 | $17.5K | 899 | 6 |
| RI | $19.44 | $207.2K | 10.7K | 35 |
| DE | $19.19 | $160.4K | 8.4K | 37 |
| VA | $19.12 | $1.5M | 78.5K | 256 |
| CO | $18.89 | $806.9K | 42.7K | 189 |
| IL | $18.79 | $3.6M | 193.8K | 593 |
| FL | $18.78 | $3.5M | 183.8K | 780 |
| VI | $18.75 | $6.6K | 354 | 2 |
| WA | $18.64 | $1.5M | 80.6K | 335 |
| NH | $18.60 | $192.4K | 10.3K | 51 |
| NV | $18.53 | $288.7K | 15.6K | 59 |
| PA | $18.52 | $2.4M | 132.1K | 571 |
| AZ | $18.42 | $1.9M | 101.2K | 259 |
| MN | $18.41 | $1.7M | 92.1K | 470 |
| TX | $18.37 | $1.6M | 89.8K | 389 |
| NC | $18.18 | $1.1M | 63.2K | 282 |
| GA | $18.17 | $1.0M | 55.7K | 228 |
| SC | $18.11 | $1.0M | 56.2K | 190 |
| XX | $18.10 | $4.0K | 219 | 1 |
| UT | $17.99 | $202.0K | 11.2K | 61 |
| ME | $17.95 | $171.5K | 9.6K | 52 |
| MT | $17.91 | $488.7K | 27.3K | 102 |
| KS | $17.90 | $1.4M | 78.6K | 240 |
| ND | $17.90 | $1.1M | 61.3K | 213 |
| VT | $17.88 | $76.9K | 4.3K | 29 |
| NE | $17.87 | $1.1M | 59.3K | 190 |
| NM | $17.84 | $122.1K | 6.8K | 42 |
| MI | $17.81 | $891.3K | 50.1K | 261 |
| SD | $17.76 | $620.3K | 34.9K | 175 |
| OH | $17.73 | $2.6M | 149.2K | 558 |
| WI | $17.69 | $2.8M | 158.8K | 615 |
| WV | $17.65 | $274.0K | 15.5K | 67 |
| MO | $17.61 | $1.3M | 74.7K | 290 |
| TN | $17.57 | $1.1M | 65.1K | 194 |
| OR | $17.54 | $537.8K | 30.7K | 165 |
| LA | $17.51 | $579.1K | 33.1K | 117 |
| IN | $17.49 | $918.1K | 52.5K | 215 |
| OK | $17.47 | $1.2M | 69.7K | 157 |
| IA | $17.44 | $2.2M | 128.6K | 477 |
| KY | $17.44 | $1.3M | 74.2K | 263 |
| WY | $17.41 | $378.8K | 21.8K | 58 |
| AR | $17.41 | $637.4K | 36.6K | 114 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Daniel Rowe | Chiropractic | OK | $92.5K | 5.3K | $17.37 |
| William Rowlison | Chiropractic | AZ | $91.9K | 5.2K | $17.68 |
| Gerald Sciascia | Chiropractic | NY | $90.3K | 4.0K | $22.84 |
| Daniel Hurst | Chiropractic | KS | $85.4K | 4.6K | $18.65 |
| Roger Bohn | Chiropractic | FL | $76.5K | 4.4K | $17.28 |
| Brendan Delamere | Chiropractic | NY | $76.1K | 3.6K | $21.31 |
| Brent Hendon | Chiropractic | IL | $75.4K | 3.6K | $20.77 |
| Jonathan Zimbardo | Chiropractic | NY | $72.0K | 3.4K | $21.45 |
| Douglas Drobbin | Chiropractic | NY | $66.9K | 2.9K | $23.37 |
| Michael Cocilovo | Chiropractic | NY | $64.4K | 2.7K | $24.03 |
| Jennifer Logsdon | Chiropractic | OK | $63.8K | 3.7K | $17.27 |
| Jason Joy | Chiropractic | KS | $62.6K | 3.5K | $17.94 |
| Howard Furshman | Chiropractic | FL | $62.1K | 3.0K | $21.01 |
| Brian Michaelis | Chiropractic | NE | $61.9K | 3.3K | $18.71 |
| Jennifer Knobbe | Chiropractic | IA | $60.9K | 3.3K | $18.48 |
| Daniel Scutaro | Chiropractic | NY | $60.2K | 2.8K | $21.70 |
| Colin Hardy | Chiropractic | WY | $60.2K | 3.3K | $18.29 |
| Keith Butterfield | Chiropractic | CA | $60.1K | 3.0K | $20.01 |
| Alan Furman | Chiropractic | NY | $59.0K | 2.4K | $24.72 |
| Frederick Hess | Chiropractic | NY | $58.6K | 2.5K | $23.12 |
Based on the data, CPT 98940 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 4% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.