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Chiropractors in the US - Market Research Report (2015-2030)

Lucy Tang Lucy Tang New York, United States Last Updated: October 2025 NAICS 62131

Revenue

$21.9bn

2025

$21.9bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

182k

Businesses

65,297

Wages

$X.Xbn

Chiropractors in the US industry analysis

Chiropractors have significantly improved their reputation, particularly with millennials and Gen Z, who emphasize wellness and preventive care. Despite lingering skepticism regarding some chiropractic treatments' grounding in scientific research, patient numbers and billings have continued to climb. Platforms like TikTok and YouTube have been pivotal in connecting chiropractic clinics with younger generations. Greater acceptance of chiropractic services—spurred in part by support from healthcare professionals and proposed legislation for broader insurance coverage—has helped clinics overcome long-standing skepticism regarding the efficacy and legitimacy of their practices. Despite lingering questions about certain treatments, clinics continue to experience robust billings, even as economic uncertainty and fluctuating consumer confidence impact routine care revenues. Revenue has been climbing at a CAGR of 2.0% to an estimated $2.2 billion over the five years through 2025, including an expected rise of 2.2% in 2025 alone. 

Trends and Insights

  • Chiropractic care is increasingly accepted by both consumers and healthcare professionals, strengthening its reputation and public trust. This growing acceptance is fueling collaboration with mainstream medical providers and driving patient growth, even as some skepticism persists around clinical evidence for specific treatments.
  • Chiropractic clinics rely on out-of-pocket payments more than any other revenue source. Insurance limitations restricting access and affordable exam fees translate into many self-pay patients.
  • The distribution of chiropractic practices mirrors population trends. Patients living in areas with dense populations have the most access to chiropractic care, while those in rural areas could struggle to find treatment.
  • Alternatives to chiropractic care put pressure on clinics. Patients can find pain relief options through traditional healthcare approaches or at-home options, making it challenging for practices to build patient volumes.
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 2.0 % over the past five years, to reach an estimated $21.9bn in 2025.

Trends and Insights

Chiropractors' improving reputations are helping expand access

  • Some have raised concerns about the efficiency and validity of chiropractic care as a medical science in the past. Allegations of pseudoscientific practices have previously damaged potential patients' perception of chiropractic care, leading them to instead opt for primary care or at-home treatments. While conclusive medical research supporting the efficacy of specific chiropractic treatments, such as chiropractic subluxation, remains lacking, billings and patient volumes at chiropractic clinics continue to trend upward.
  • Additional trends and insights available with purchase
Chiropractors in the US
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Market size is projected to grow over the next five years.

Trends and Insights

Chiropractic care's strengthening reputation will foster collaboration and competition

  • Chiropractic care is expected to continue gaining acceptance among consumers as mainstream healthcare professionals increasingly recommend it as a supplemental treatment. New research will likely provide evidence backing the field's efficacy, encouraging ambulatory healthcare centers and other clinics to offer chiropractic residencies. Chiropractic students are rotated into other medical fields, so graduates will have clinical experience with other providers. This improves the overall quality of chiropractic care while supporting collaboration with other healthcare providers.

Biggest companies in the Chiropractors in the US

Company
Market Share (%)
2025
Revenue
2025
Profit
2025
Profit Margin (%)
2025

There are no companies that hold a market share exceeding 5% in the Chiropractors in the US industry.

Products & Services Segmentation

Chiropractors in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including General chiropractic care, Family chiropractic care and Sports and rehabilitation chiropractic care. General chiropractic care is the largest segment of the Chiropractors in the US.

Trends and Insights

General chiropractic care brings in nearly half of clinics' revenue

  • General chiropractic care focuses on diagnosing and treating musculoskeletal conditions, primarily through spinal adjustments and manipulations. These providers aim to relieve pain, improve mobility and enhance overall spinal health. The general chiropractic care segment serves a broad patient base, including individuals experiencing back pain, neck pain, headaches and posture-related issues. Therapies are often structured on a patient-by-patient basis and can include trigger point therapy, ice-heat therapy and spine manipulation. Nearly half of chiropractors' revenue comes from general chiropractic care.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

Chiropractors are licensed healthcare professionals specializing in the diagnosis, treatment and prevention of disorders related to the musculoskeletal system, particularly the spine.

What's included in this industry?

Products and services covered in the Chiropractors industry in the United States include General chiropractic care, Family and pediatric chiropractic care, Sports and rehabilitation chiropractic care, Nutrition services and Personal injury and workers' compensation care.

Companies

Companies covered in the Chiropractors industry in the United States include .

Purchase this report to view all major companies in this industry.

Related Terms

Related terms covered in the Chiropractors industry in the United States include subluxation, adjustments, musculoskeletal and spinal manipulation.

Industry Code

NAICS 2017

NAICS 62131 - Chiropractors in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Chiropractic care is increasingly accepted by both consumers and healthcare professionals, strengthening its reputation and public trust. This growing acceptance is fueling c...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Chiropractic clinics rely on out-of-pocket payments more than any other revenue source. Insurance limitations restricting access and affordable exam fees translate into many ...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

The distribution of chiropractic practices mirrors population trends. Patients living in areas with dense populations have the most access to chiropractic care, while those i...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each state in 2025
  • Number and share of revenue each state accounts for in 2025
  • Number and share of wages each state accounts for in 2025
  • Number and share of employees in each state in 2025

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Alternatives to chiropractic care put pressure on clinics. Patients can find pain relief options through traditional healthcare approaches or at-home options, making it chall...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

There are no companies that hold a market share exceeding 5% in the Chiropractors in the US industry.

Analyst insights

Fragmentation characterizes the chiropractic field. Even as consolidation activity ramps up in some local markets, independent chiropractors operating without any employees r...

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Many patients consider chiropractic treatments as a complementary or supplemental approach to traditional care. Expected rising incomes will enable more patients to incorpora...

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2015-2030) 
  • Assistance historical data and forecast (2015-2030) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Chiropractors are keeping wage expenditures manageable. While workforces continue to expand and salaries continue to climb, chiropractic clinics' increasing reliance on more ...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2018-2023)
  • Industry Tax Structure (2018-2023)
  • Income Statement (2018-2023)
  • Balance Sheet (2018-2023)
  • Liquidity Ratios (2018-2023)
  • Coverage Ratios (2018-2023)
  • Leverage Ratios  (2018-2023)
  • Operating Ratios (2018-2023)
  • Cash Flow & Debt Service Ratios (2015-2030)
  • Revenue per Employee (2015-2030)
  • Revenue per Enterprise (2015-2030)
  • Employees per Establishment (2015-2030)
  • Employees per Enterprise (2015-2030)
  • Average Wage (2015-2030)
  • Wages/Revenue (2015-2030)
  • Establishments per Enterprise (2015-2030)
  • IVA/Revenue (2015-2030)
  • Imports/Demand (2015-2030)
  • Exports/Revenue (2015-2030)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2015-2030)
  • IVA (2015-2030)
  • Establishments (2015-2030)
  • Enterprises (2015-2030)
  • Employment (2015-2030)
  • Exports (2015-2030)
  • Imports (2015-2030)
  • Wages (2015-2030)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Chiropractors industry in the United States in 2025?

The market size of the Chiropractors industry in the United States is $21.9bn in 2025.

How many businesses are there in the Chiropractors industry in the United States in 2025?

There are 65,297 businesses in the Chiropractors industry in the United States, which has grown at a CAGR of 0.0 % between 2020 and 2025.

How may import tariffs affect the Chiropractors industry in the United States?

The Chiropractors industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

How may export tariffs affect the Chiropractors industry in the United States?

The Chiropractors industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

Has the Chiropractors industry in the United States grown or declined over the past 5 years?

The market size of the Chiropractors industry in the United States has been growing at a CAGR of 2.0 % between 2020 and 2025.

What is the forecast growth of the Chiropractors industry in the United States over the next 5 years?

Over the next five years, the Chiropractors industry in the United States is expected to grow.

What does the Chiropractors industry in the United States include?

General chiropractic care and Family and pediatric chiropractic care are part of the Chiropractors industry in the United States.

How competitive is the Chiropractors industry in the United States?

The level of competition is moderate and increasing in the Chiropractors industry in the United States.

Methodology

How are IBISWorld reports created?

IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the US include: 

  • US Census Bureau
  • US Bureau of Labor Statistics
  • US International Trade Commission

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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