Chiropractors in Missouri
What chiropractors can and can't do in Missouri
Missouri defines chiropractic as the examination, diagnosis, adjustment, manipulation and treatment, in inpatient and outpatient settings, using methods taught in CCE-accredited or board-approved chiropractic programs. It may include meridian therapy, acupressure and acupuncture with board certification. It doesn't include operative surgery, obstetrics, osteopathy, podiatry, administering or prescribing any drug or medicine, or the practice of medicine.
Source: RSMo § 331.010: Practice of chiropractic, definition
Insurance and coverage in Missouri
Medicare
Medicare Part B covers only one chiropractic service: manual manipulation of the spine to correct a subluxation, when you have a significant neuromusculoskeletal problem and the subluxation is shown by X-ray or physical exam. Once treatment stops improving your condition and becomes maintenance therapy, Medicare stops paying. Other chiropractic services aren't covered.
Source: Chiropractic Services (Medicare Provider Compliance Tips; Benefit Policy Manual ch. 15, sec. 240.1)
What chiropractic care costs in Missouri
Self-pay prices vary by practice, so ask for the cash price before your first visit. As a reference point, here's what Medicare approves in 2026 for a spinal adjustment in Missouri (the range covers its 3 Medicare pricing areas):
| 1–2 areas of the spine | $25.14–$26.18 |
|---|---|
| 3–4 areas | $36.33–$37.69 |
| 5 areas | $47.27–$48.90 |
That's the total Medicare approves; with Medicare you typically owe 20% of it after your Part B deductible.
Source: PFS Relative Value Files: RVU26D (2026, October release)
Missouri chiropractic FAQ
Can Missouri chiropractors do acupuncture?
Yes, with certification required by the Missouri State Board of Chiropractic Examiners. Missouri chiropractors may not prescribe or administer drugs or perform operative surgery.
Sources
- RSMo § 331.010: Practice of chiropractic, definition (Missouri Revisor of Statutes)
- Chiropractic Services (Medicare Provider Compliance Tips; Benefit Policy Manual ch. 15, sec. 240.1) (Centers for Medicare & Medicaid Services)
- PFS Relative Value Files: RVU26D (2026, October release) (Centers for Medicare & Medicaid Services)
Last reviewed October 15, 2026. This page summarizes state law and public programs for general information and isn't legal or medical advice; rules change, so confirm with the linked sources. See our medical disclaimer.