Download the 2026 Chiropractic Practice Performance Report

Five years of U.S. clinic data.

One free report.

See where your practice ranks...

In the past 4 years, reimbursement rates fell 17%. The average DC now loses 8.7 hours a week to admin. The Top 10% of practices share four specific habits — and "raise your fees" isn't one of them.

The 2026 Chiropractic Practice Performance Report lays out the numbers, the regional variations, and the strategies the top quartile are actually using. Free download. PDF.

2026 Report draws on data from the Centers for Medicare & Medicaid Services, the National Board of Chiropractic Examiners, the Medical Group Management Association, the Chiropractic Economics annual surveys, and peer-reviewed research published in JAMA Network Open and Health Affairs. 
Edited by Andrew Lock

   What's in the report:

  • The four-year decline in reimbursement rates — and why a 19% fee increase didn't close the gap
  • Regional reimbursement breakdowns: Midwest 70%, West Coast 45%, and what that means for practice strategy
  • The DC-vs-MD reimbursement gap on identical CPT codes
  • Patient retention economics: why a 5% improvement is worth $150,000 over five years
  • The 8.7 admin hours per week problem — and four ways to reclaim three of them without buying any technology
  • Revenue diversification benchmarks for 2026
  • The four habits shared by top-quartile practices
  • A 16-KPI self-assessment so you can score your own practice against the benchmarks

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