What does insurance pay for CPT 98940 in Colorado?
Anonymized historical claim benchmarks for chiropractic adjustment (1–2 regions) in Colorado. Actual payment varies by payer, contract terms, modifiers, and documentation.
Updated November 8, 2026
Quick answer
In Colorado, insurers paid a median of $25 for CPT 98940 (chiropractic adjustment, 1–2 regions), with the middle half of payments between $0 and $41. This is based on a very large sample of anonymized claims from Nov 2025 – Nov 2026. The median allowed amount was $50.
How these numbers are calculated
Based on anonymized claims from practices over Nov 2025 – Nov 2026.
These numbers reflect anonymized historical claim patterns and are not a guarantee of future payment. Actual reimbursement varies by payer, contract terms, modifiers, and documentation.
Historical payment range
How billed, allowed, and paid amounts distribute across the sample.
| Metric | Average | Median |
|---|---|---|
| Billed amount | $66 | $65 |
| Allowed amount | $44 | $50 |
| Paid amount | $22 | $25 |
Time to payment
Days from the date of service to the insurance payment, across paid claims in this sample.
Frequently asked questions
What does insurance pay for CPT 98940 in Colorado?+
In Colorado, insurers paid a median of $25 for CPT 98940 (chiropractic adjustment, 1–2 regions), with the middle half of payments between $0 and $41. This is based on a very large sample of anonymized claims from Nov 2025 – Nov 2026. The median allowed amount was $50.
What is the difference between the allowed amount and the paid amount?+
The allowed amount is what the plan recognizes for the service under its contract or fee schedule (median $50 here). The paid amount is what the insurer actually paid after the patient's deductible, copay, or coinsurance (median $25). The difference is generally collected from the patient.
How long do insurers take to pay CPT 98940 claims in Colorado?+
For paid claims in this sample, the median time from date of service to insurance payment was 75 days.
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.
Are these numbers a guarantee of payment?+
No. They are anonymized historical benchmarks from claims processed through Soundry. Actual payment depends on the payer, plan, contract, modifiers, and documentation.
Related reimbursement pages
Explore other CPT codes and states with anonymized historical benchmarks.
- 98941 · Chiropractic adjustment (3–4 regions)CPT 98941 reimbursement in Colorado
Chiropractic benchmarks for Chiropractic adjustment (3–4 regions) in Colorado.
- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in Connecticut
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in Connecticut.
- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in Kentucky
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in Kentucky.
- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in Iowa
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in Iowa.
- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in Florida
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in Florida.
- 98941 · Chiropractic adjustment (3–4 regions)CPT 98941 reimbursement in Kentucky
Chiropractic benchmarks for Chiropractic adjustment (3–4 regions) in Kentucky.
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