How much does Medicare pay for CPT 98941?

Medicare allowed an average of $38.12 per service and paid $26.98 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $60.59, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 98941?

Chiropractic manipulative treatment, 3-4 spinal regions. It was billed 12,437,615 times to 1,350,593 Medicare beneficiaries by 26,597 providers in 2024.

Does 98941 pay differently in an office than a hospital?

Yes. The allowed amount averaged $38.13 in an office setting and $35.36 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 98941 most?

Chiropractic, with 12,436,440 services from 26,588 clinicians. Next are Nurse Practitioner, Physical Therapist in Private Practice.

CPT 98941

Chiropractic manipulative treatment, 3-4 spinal regions

$38.12Medicare-allowed amount per service, averaged across 12,437,615 services

Providers submitted

$60.59

Asking price, not received

Medicare allowed

$38.12

The fee schedule figure

Medicare paid

$26.98

Balance is patient coinsurance

Providers submitted an average of $60.59 for this code and Medicare allowed $38.12 — 1.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $26.98 (71%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $38.13
Hospital / facility: $35.36

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 12,417,955 services were billed in an office setting and 19,660 in a facility.

Services: 12,437,615
Beneficiaries: 1,350,593
Providers billing it: 26,597
Total allowed: $474,121,884

What Medicare pays for CPT 98941

Across 12,437,615 services billed by 26,597 providers to 1,350,593 beneficiaries, Medicare allowed an average of $38.12 per service. That is 9.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 98941

Specialty	Services	Beneficiaries	Avg allowed	Providers
Chiropractic	12,436,440	1,350,372	$38.12	26,588
Nurse Practitioner	948	177	$38.24	7
Physical Therapist in Private Practice	227	44	$40.61	2

98941 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	922,471	$41.28	$27.88	1,828
Florida	722,182	$37.87	$27.41	1,521
Illinois	659,090	$37.80	$27.71	1,300
Pennsylvania	625,859	$37.97	$27.41	1,391
New Jersey	617,058	$41.48	$28.63	1,132
Texas	592,365	$37.51	$27.39	1,243
Michigan	535,484	$37.58	$27.15	1,327
Iowa	511,222	$36.82	$26.76	910
Ohio	430,533	$36.93	$27.10	963
Washington	412,194	$39.36	$27.08	959
Wisconsin	372,492	$37.41	$27.16	1,053
Arizona	361,620	$37.72	$27.47	555
Kansas	339,471	$36.80	$27.09	583
Massachusetts	336,536	$40.23	$27.86	595
Missouri	313,050	$36.55	$27.19	660
Virginia	303,722	$38.23	$27.54	557
South Carolina	289,899	$36.73	$27.75	489
Georgia	285,843	$36.98	$27.59	662
North Carolina	280,363	$36.93	$27.50	690
Minnesota	268,587	$38.37	$27.02	963
Tennessee	257,324	$36.27	$27.36	490
Indiana	257,000	$36.47	$27.15	517
New York	229,801	$40.00	$28.38	564
Nebraska	227,958	$36.94	$27.16	409
Oklahoma	220,140	$36.26	$27.24	353
Maryland	171,398	$39.88	$27.87	300
Colorado	149,115	$39.02	$27.11	390
South Dakota	133,681	$37.98	$26.65	288
Arkansas	128,513	$36.19	$27.39	256
Alabama	127,984	$35.74	$27.35	343
Kentucky	120,921	$36.29	$27.46	342
Oregon	120,902	$37.82	$26.66	378
Montana	116,683	$38.14	$26.48	231
Idaho	92,467	$36.63	$26.52	248
Delaware	87,945	$38.54	$27.80	144
New Hampshire	85,033	$38.46	$26.96	149
Nevada	80,320	$38.17	$27.80	145
Louisiana	78,587	$36.40	$27.78	192
North Dakota	73,488	$38.16	$26.44	235
Utah	68,922	$37.38	$27.15	193
Mississippi	68,759	$35.72	$27.63	126
New Mexico	61,147	$36.79	$26.70	111
Vermont	46,940	$38.07	$26.42	98
Maine	44,236	$37.46	$26.95	144
Alaska	41,535	$49.77	$27.09	121
West Virginia	41,493	$36.26	$26.81	103
Wyoming	37,483	$37.23	$25.97	74
Connecticut	33,921	$39.67	$28.18	101
Rhode Island	29,100	$39.07	$27.87	73
Hawaii	15,713	$40.30	$27.53	55
Puerto Rico	3,941	$37.87	$27.97	21
District of Columbia	3,317	$40.79	$28.25	13
U.S. Virgin Islands	1,198	$37.71	$23.44	7
Guam	533	$38.72	$22.46	1
XX	76	$36.48	$25.67	1

Related codes

98940Chiropractic manipulative treatment$26.75
98942Chiropractic manipulative treatment$49.84
98977Device supply$48.07
98976Device supply$48.79
98980Remote therapeutic monitoring treatment management services by physici$49.72
98929Osteopathic manipulative treatment$83.31
98928Osteopathic manipulative treatment$70.48
98926Osteopathic manipulative treatment$43.00
98927Osteopathic manipulative treatment$57.47
98981Remote therapeutic monitoring treatment management services by physici$38.72
98975Set-up and patient education for remote monitoring of therapy$20.19
98925Osteopathic manipulative treatment$30.48

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.