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See a sample rate comparisonCPT 98941 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Chiropractic Manipulative Trea, Chiropractic Manipulative Treatment (Cmt) Spinalthree To Four Regions Chiropractic Manipulative Treatment (Cmt) Spinal Three To
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Chiropractic Manipulative Treatment Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | AT - Acute or Active Treatment GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $38.41 national non-facility rate (2026) · View Medicare rates for 98941 |
| Medicaid Fee Schedule | $31.915 median of the 8 states in the free preview · View Medicaid rates for 98941 |
National average reimbursement for CPT 98941 by major payers:
$36.15
$44.49
$36.88
$53.75
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CPT 98941
5 of 25 sample ratesHigher to lower in this preview
Alejandro Luis
University Of Florida Jacksonville Physicians Inc
$117.96Published rateSam Thomas
$50.66Published rateDavid Ulery
Novant Medical Group Inc
$42.37Published rateAndrew Aruca
Medical Specialists Of The Palm Beaches Inc
$37.70Published rateMedical Specialists Of The Palm Beaches Inc
$33.50Published rate
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See a sample payer proposalCPT 98941 vs. Other Chiropractic Manipulative Treatment Procedures Codes
The CPT 98941 code is part of the Medicine Services and Procedures services used for Chiropractic Manipulative Treatment Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 98941 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 98940-CPT | Low | Chiropractic Adjustment, Chiropractic Services To Treat One To Five Areas Of The Spine. The Areas Are Moved Gently To Encourage The Body To Realign Itself. |
| 98941-CPT | Low | Chiropractic Manipulative Trea, Chiropractic Manipulative Treatment (Cmt) Spinalthree To Four Regions Chiropractic Manipulative Treatment (Cmt) Spinal Three To |
| 98942-CPT | Low | Chiropractic Adjustment, Chiropractic Services To Treat One To Five Areas Of The Spine. The Areas Are Moved Gently To Encourage The Body To Realign Itself. |
| 98943-CPT | Low | Chiropractic Manipulative Trea, Chiropractic Manipulative Treatment (Cmt) Extraspinal One Or More Regions Chiropractic Manipulative Treatment (Cmt) Extraspinal One |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98941. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98941 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
CPT (Current Procedural Terminology) codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing, claims processing, and tracking healthcare services, allowing for consistent communication between providers, patients, and payers. Understanding CPT codes can help individuals research the typical costs associated with specific procedures.
The cost of medical procedures can vary significantly based on your location, provider, and insurance plan. To get an estimate for a specific CPT code in your area, you can contact your insurance provider directly. For a convenient tool to look up fee schedules using CPT codes and specific locations, you can utilize platforms like Payerprice, which offers a fee schedule lookup tool for users.
Fee schedules are complex and often proprietary, reflecting negotiated rates between health insurance companies (payers) and healthcare providers. For reliable access to fee schedule information for specific CPT codes and locations, Payerprice offers a dedicated lookup tool. This can provide valuable insights into expected costs that might not be readily available elsewhere.
Payerprice is a service that provides access to fee schedules, enabling users to search for the estimated costs of medical procedures and services. By using its fee schedule lookup tool, you can input a CPT code and your specific location to find relevant pricing information, helping you make more informed decisions about your healthcare expenses.
While CMS (Centers for Medicare & Medicaid Services) provides valuable data, including Medicare's physician fee schedule, its information is specific to Medicare and may not reflect commercial insurance rates or the exact costs you would pay with private insurance or out-of-pocket. Payerprice offers a fee schedule lookup tool specifically designed for users to search with CPT codes and a specific location, providing more tailored and practical information for a broader range of situations beyond just Medicare pricing.