CPT 98942 Chiropractic
Chiropractic manj 5 regions Cost
Body System: Musculoskeletal
Medicare Facility Rate
$38
CMS PFS CY2026
Medicare Non-Facility Rate
$50
Office/clinic setting
Hospital Outpatient
$22
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.94
Work RVU
0.19
Facility PE RVU
0.01
Malpractice RVU
1.49
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $54 | $87 — $134 |
| AL — ALABAMA | $37 | $62 — $95 |
| AR — ARKANSAS | $37 | $61 — $95 |
| AZ — ARIZONA | $38 | $64 — $99 |
| CA — BAKERSFIELD | $39 | $68 — $104 |
| CA — CHICO | $39 | $68 — $104 |
| CA — EL CENTRO | $39 | $68 — $104 |
| CA — FRESNO | $39 | $68 — $104 |
| CA — HANFORD-CORCORAN | $39 | $68 — $104 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $41 | $71 — $109 |
| CA — MADERA | $39 | $68 — $104 |
| CA — MERCED | $39 | $68 — $104 |
| CA — MODESTO | $39 | $68 — $104 |
| CA — NAPA | $42 | $75 — $115 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $40 | $70 — $108 |
| CA — REDDING | $39 | $68 — $104 |
| CA — REST OF CALIFORNIA | $39 | $68 — $104 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $39 | $68 — $105 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $40 | $70 — $108 |
| CA — SALINAS | $40 | $70 — $107 |
Frequently Asked Questions
How much does Chiropractic manj 5 regions cost?
The Medicare facility rate is $38. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $22.
How much does Chiropractic manj 5 regions cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $38.