How much does insurance pay for CPT 98940?
Chiropractic manipulative treatment (CMT); spinal, 1–2 regions. Anonymized historical insurance payments by state, from claims processed through Soundry.
Quick answer
Across the 7 states with published Soundry benchmarks, the median insurance payment for CPT 98940 (chiropractic adjustment, 1–2 regions) ranges from $0 in Florida to $54 in Connecticut. Payment depends on the state, payer, and plan.
CPT 98940 insurance payments by state
Paid amounts are what insurers paid after patient cost sharing. The middle 50% shows the range between the 25th and 75th percentile.
| State | Median paid | Middle 50% paid | Median allowed | Sample |
|---|---|---|---|---|
| Colorado | $16 | $0 – $41 | $50 | 250+ claims |
| Connecticut | $54 | $4 – $54 | $54 | 50–99 claims |
| Florida | $0 | $0 – $6 | $26 | 100–249 claims |
| Iowa | $10 | $0 – $25 | $25 | fewer than 50 claims |
| Kentucky | $19 | $8 – $21 | $29 | 50–99 claims |
| New Jersey | $29 | $29 – $29 | $41 | fewer than 50 claims |
| New York | $0 | $0 – $40 | $78 | fewer than 50 claims |
How CPT 98940 is billed
CPT 98940–98942 describe spinal chiropractic manipulative treatment by number of regions treated. For Medicare, active or corrective treatment needs the AT modifier, and maintenance care is not covered; commercial plans set their own visit limits and documentation rules.
Related chiropractic codes
Frequently asked questions
How much does insurance pay for CPT 98940?+
Across the 7 states with published Soundry benchmarks, the median insurance payment for CPT 98940 (chiropractic adjustment, 1–2 regions) ranges from $0 in Florida to $54 in Connecticut. Payment depends on the state, payer, and plan.
How is CPT 98940 billed?+
CPT 98940–98942 describe spinal chiropractic manipulative treatment by number of regions treated. For Medicare, active or corrective treatment needs the AT modifier, and maintenance care is not covered; commercial plans set their own visit limits and documentation rules.
Where do these numbers come from?+
They are anonymized, aggregated insurance payments from claims processed through Soundry. A state is published only when it has enough claims from multiple practices, and individual practices, payer contracts, and claims are never shown.
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