Med spa · Austin, TX
$2,100–$4,900 /mo
Unanswered calls. ~30% of first calls hit voicemail, and 85% never call back.
First calls → voicemail
You30%
Healthy<10%
Where the rest goes
Every cost as a share of revenue, before owner pay and profit. If one of yours is well outside these, that is usually where the margin went.
| Line | Typical | Top performers |
|---|---|---|
| Labor | 24–36% | 28% |
| Product consumables | 3–8% | 4% |
| Rent occupancy | 6–13% | 8% |
| Marketing | 4–10% | 8% |
- Labor: associate DCs, CAs/front desk, rehab techs; associate comp and front-desk coverage are the biggest levers
- Product consumables: table supplies, tape, supports, supplements and DME — small line unless you retail heavily
- Marketing: top performers spend more but measure cost per new patient exam, not clicks
The numbers that decide a chiropractic clinic
| Metric | Typical range |
|---|---|
| Revenue per employeeAnnual revenue per employee. Midpoint is the measured 2022 Economic Census figure for NAICS 621310 (total receipts ÷ employment); the range spans operator variation around it. | $75k – $150k |
| Avg visit ticketAverage collected value per patient visit at a single-location clinic, blended cash and insurance. | $45 – $110 |
| Rebooking rateShare of new patients who leave the first visit with their next care-plan appointment scheduled. | 60% – 85% |
| Inbound voicemail shareShare of first-time patient calls that reach voicemail at a clinic this size, since the CA is often on the floor. | 22% – 45% |
| Afterhours booking shareShare of new-patient interest that happens outside clinic hours — back pain peaks at night and on weekends. | 32% – 55% |
What to watch, in plain English
Patient visit average
Healthy range: $55–$95 per visit
how much you collect per visit, all-in
Visit volume is capped by your adjusting hours, so collections per visit is the only lever that scales without adding table time. A low PVA usually means under-billed rehab, unbilled exams, or insurance write-offs nobody is watching.
Patient visit retention
Healthy range: 18–26 visits over the plan
how many visits a new patient actually completes on their care plan
Care-plan completion is the profit engine. A patient who drops off at visit 6 of an 18-visit plan costs you the entire back half of the revenue you already paid marketing to acquire.
How chiropractic clinics lose money
- Unanswered phones — calls during adjusting hours go to voicemail, and most first-time callers never call back.
- No next visit scheduled at checkout — patients leave the table without their care-plan appointments on the books.
- Care plans that are never re-presented, so patients quietly drift off after the acute pain resolves.
- Insurance-dependent billing with no cash or wellness plan option when benefits run out mid-plan.
- Idle table time — new-patient exam slots blocked at the wrong hours while evenings sit empty.
What chiropractic clinics charge
Typical US ranges. Metro markets sit at the top of these; rural sits at the bottom.
| Service | Typical price |
|---|---|
| New patient exam | $75–$200 |
| Spinal adjustment per visit | $50–$90 |
| X ray series | $100–$250 |
| Rehab therapy add on | $25–$60 |
| Spinal decompression per session | $85–$175 |
| Cash wellness plan monthly | $99–$249 |
The year, month by month
January
Deductibles reset and 'get healthy' demand spikes; push cash wellness plans and raise cash rates now.
September
Back-to-school and fall sports season; strong for youth athlete and workplace-ergonomics new patients.
December
Use-it-or-lose-it benefits and HSA/FSA spend-down; book remaining plan visits before year end.
These are the ranges. Want yours?
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Common questions
What is a good profit margin for a chiropractic clinic?
A typical chiropractic clinic keeps 10–24% of revenue as profit once the owner has been paid. Below 10% usually means labour or occupancy costs have crept up; the strongest operators sit at or above 24%.
How much does a chiropractic clinic owner make?
Owner compensation runs 12–25% of revenue. On the $401,000 a typical chiropractic clinic turns over in a year, that is roughly $48,000–$100,000 before any profit distribution on top.
How much revenue does a chiropractic clinic make per year?
A typical US chiropractic clinic turns over about $401,000 a year with roughly 3.8 people on the payroll, according to the 2022 Economic Census for NAICS 621310.
What percentage of chiropractic clinic revenue goes to wages?
Labour typically takes 24–36% of revenue at a chiropractic clinic. It is almost always the largest single cost, so a few points either way decides whether the year works.