Cost analysis for CPT 98942 — Chiropractic manipulative treatment, 5 spinal regions
Average Medicare Payment
$36.29
2023 data
Total Payments (2023)
$30.6M
Services (2023)
823.3K
Price Change (2014–2023)
-1.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $36.78 | $45.8M | 1.2M | — |
| 2015 | $37.01 | $42.1M | 1.1M | +0.6% |
| 2016 | $36.43 | $34.1M | 915.2K | -1.6% |
| 2017 | $35.79 | $28.3M | 770.7K | -1.8% |
| 2018 | $36.69 | $30.9M | 822.2K | +2.5% |
| 2019 | $37.98 | $34.0M | 872.9K | +3.5% |
| 2020 | $38.06 | $29.5M | 752.8K | +0.2% |
| 2021 | $38.15 | $33.3M | 851.9K | +0.2% |
| 2022 | $36.77 | $31.2M | 825.5K | -3.6% |
| 2023 | $36.29 | $30.6M | 823.3K | -1.3% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $48.82 vs IN at $32.64.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $48.82 | $153.4K | 3.1K | 17 |
| CA | $40.84 | $6.2M | 150.8K | 301 |
| NJ | $40.02 | $2.8M | 70.6K | 217 |
| NY | $39.57 | $630.7K | 15.9K | 39 |
| MA | $39.34 | $548.5K | 13.9K | 50 |
| MD | $38.47 | $465.8K | 12.1K | 33 |
| NV | $38.03 | $173.9K | 4.6K | 7 |
| CT | $37.71 | $115.4K | 3.1K | 6 |
| RI | $37.55 | $94.6K | 2.5K | 6 |
| CO | $37.36 | $324.7K | 8.7K | 34 |
| PR | $37.29 | $97.7K | 2.6K | 15 |
| MT | $37.21 | $136.3K | 3.7K | 23 |
| DE | $37.04 | $188.3K | 5.1K | 14 |
| WY | $36.98 | $17.5K | 474 | 2 |
| WA | $36.58 | $825.9K | 22.6K | 98 |
| GA | $36.57 | $592.7K | 16.2K | 59 |
| VA | $36.46 | $1.1M | 30.8K | 68 |
| PA | $36.30 | $1.3M | 36.9K | 114 |
| AZ | $36.16 | $1.2M | 31.9K | 75 |
| ND | $36.15 | $13.3K | 368 | 1 |
| FL | $35.82 | $1.5M | 40.5K | 118 |
| TX | $35.72 | $2.2M | 62.0K | 183 |
| NH | $35.68 | $290.3K | 8.1K | 30 |
| MI | $35.53 | $2.2M | 61.0K | 267 |
| MO | $35.48 | $386.9K | 10.9K | 38 |
| UT | $35.42 | $251.2K | 7.1K | 25 |
| VT | $35.36 | $182.3K | 5.2K | 22 |
| MN | $35.35 | $63.7K | 1.8K | 14 |
| OH | $35.20 | $668.6K | 19.0K | 52 |
| IL | $35.18 | $552.5K | 15.7K | 48 |
| WI | $35.18 | $178.1K | 5.1K | 26 |
| SC | $35.01 | $465.8K | 13.3K | 56 |
| OK | $34.96 | $269.4K | 7.7K | 19 |
| HI | $34.82 | $104.3K | 3.0K | 4 |
| KY | $34.74 | $34.5K | 992 | 7 |
| IA | $34.74 | $293.0K | 8.4K | 43 |
| ME | $34.66 | $86.1K | 2.5K | 11 |
| NM | $34.64 | $436.8K | 12.6K | 31 |
| ID | $34.60 | $368.9K | 10.7K | 35 |
| TN | $34.47 | $397.9K | 11.5K | 32 |
| AR | $34.41 | $595.5K | 17.3K | 38 |
| NE | $34.31 | $190.0K | 5.5K | 26 |
| OR | $34.30 | $117.7K | 3.4K | 19 |
| KS | $34.15 | $376.5K | 11.0K | 43 |
| MS | $34.14 | $54.2K | 1.6K | 10 |
| SD | $33.88 | $84.0K | 2.5K | 22 |
| LA | $33.65 | $46.7K | 1.4K | 8 |
| AL | $33.51 | $605.0K | 18.1K | 61 |
| GU | $33.42 | $9.7K | 290 | 1 |
| NC | $33.36 | $367.3K | 11.0K | 36 |
| WV | $32.81 | $80.9K | 2.5K | 7 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Micah Ries | Chiropractic | CA | $244.7K | 6.2K | $39.70 |
| Yoav Nagar | Chiropractic | CA | $154.8K | 3.6K | $43.03 |
| Ronald Simms | Chiropractic | CA | $153.1K | 3.8K | $40.74 |
| Richard Abercrombie | Chiropractic | NM | $143.5K | 4.1K | $34.87 |
| Vitaliy Yudkin | Chiropractic | CA | $136.6K | 3.1K | $43.46 |
| Houman Safaei | Chiropractic | CA | $131.4K | 3.0K | $43.78 |
| Brian Rector | Chiropractic | CA | $121.6K | 3.2K | $37.73 |
| Michael Moffat | Chiropractic | CA | $110.1K | 2.9K | $37.92 |
| Nicole Javaherian | Chiropractic | CA | $105.7K | 2.5K | $41.88 |
| Adam Van Bezey | Chiropractic | CA | $103.1K | 2.8K | $36.43 |
| Nichole Sullivan | Chiropractic | GA | $97.8K | 2.6K | $37.94 |
| Cherine Reid | Chiropractic | VA | $92.9K | 2.4K | $38.21 |
| Douglas Seckendorf | Chiropractic | NY | $90.7K | 2.3K | $39.63 |
| Joseph Maloof | Chiropractic | CA | $90.6K | 2.3K | $39.56 |
| James Slusher | Chiropractic | CA | $87.5K | 2.1K | $42.11 |
| Jeffrey Chamberlain | Chiropractic | PA | $86.3K | 2.1K | $40.18 |
| Teresa Yin | Chiropractic | CA | $82.4K | 2.0K | $42.16 |
| Adam Johnson | Chiropractic | NJ | $82.0K | 2.1K | $39.00 |
| Michael David | Chiropractic | FL | $80.7K | 2.1K | $38.01 |
| John Hanna | Chiropractic | NC | $79.4K | 2.3K | $34.64 |
Based on the data, CPT 98942 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 1.3% 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.