Market rankings · Health care
Top markets for chiropractors
Every U.S. metro area, small-town market and county, ranked by the Groundwork market score for chiropractors. The score weighs household spending per practice, households per business, population growth and spending power.
- Listings in the U.S.
- 69,552
- 5,631 chain locations (8%)
- Official establishments
- 39,913
- +0.8% since 2019
- Household spending a year
- $166.4B
- On medical and dental services
- Listings per 10k households
- 5.4
- Spending per listing: $2.4M
A site report maps the chiropractors on map listings around the address by name and distance, and the spending within reach.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
Map listings as of September 2026 show 69,552 chiropractors in the U.S. Of those, 5,631 are chain locations, or 8%. That is 5.4 per 10,000 households.
At $1,288 per household, households in the U.S. spend about $166.4B a year on medical and dental services. That works out to $2.4M per practice. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade.
The official count of businesses with payroll classed as offices of chiropractors in the U.S. was 39,913 in 2023, up 0.8% from 2019. They employ 150,066 people, with $6.1B in annual payroll.
The Midland, TX metro area has the highest market score for chiropractors among 386 scored metro areas, at 86. In the 10 highest-scoring metro areas, the median spending per practice is 87% above the U.S. figure, and the median rate of listings per household is 47% below the U.S. rate.
Top markets
These tables (CSV)Ranked by the Groundwork market score, which weighs household spending per competitor, households per business with payroll, population growth and spending power against every other market of the same kind. How the score works.
Top metro areas of 1 million people or more
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth |
|---|---|---|---|---|---|
| 6Richmond, VA | 80 | 149 | 2.8 | $4.3M | +5.5% |
| 9Indianapolis-Carmel-Greenwood, IN | 79 | 351 | 4.2 | $3.6M | +5.4% |
| 17Washington-Arlington-Alexandria, DC-VA-MD-WV | 77 | 982 | 4.1 | $3.5M | +3.3% |
| 21Riverside-San Bernardino-Ontario, CA | 76 | 544 | 3.8 | $3.6M | +3.5% |
| 25San Antonio-New Braunfels, TX | 75 | 324 | 3.3 | $3.4M | +9.5% |
| 36Columbus, OH | 73 | 415 | 4.8 | $3.1M | +4.7% |
| 44Boston-Cambridge-Newton, MA-NH | 71 | 847 | 4.4 | $3.3M | +2.3% |
| 46Cleveland, OH | 70 | 314 | 3.4 | $4.2M | −0.8% |
| 48Baltimore-Columbia-Towson, MD | 70 | 359 | 3.2 | $4M | +0.4% |
| 49Fresno, CA | 70 | 136 | 3.7 | $3.4M | +3.2% |
| 53Urban Honolulu, HI | 69 | 147 | 4.3 | $3.4M | −2.3% |
| 55Cincinnati, OH-KY-IN | 69 | 412 | 4.5 | $3.1M | +2.7% |
| 58Houston-Pasadena-The Woodlands, TX | 69 | 1,139 | 4.3 | $2.8M | +10.3% |
| 73Hartford-West Hartford-East Hartford, CT | 67 | 200 | 4.3 | $3.1M | +3.0% |
| 76Virginia Beach-Chesapeake-Norfolk, VA-NC | 66 | 240 | 3.4 | $3.5M | +0.9% |
Top 50 metro areas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth |
|---|---|---|---|---|---|
| 1Midland, TX | 86 | 20 | 2.9 | $4.4M | +9.8% |
| 2Yuma, AZ | 84 | 12 | 1.5 | $7.4M | +9.2% |
| 3Lexington Park, MD | 84 | 19 | 2.5 | $5.8M | +2.1% |
| 4Wildwood-The Villages, FL | 83 | 17 | 2.4 | $4.6M | +21.1% |
| 5Vallejo, CA | 80 | 49 | 3.1 | $4.7M | +0.6% |
| 6Richmond, VA | 80 | 149 | 2.8 | $4.3M | +5.5% |
| 7Stockton-Lodi, CA | 80 | 84 | 3.4 | $4M | +5.5% |
| 8Durham-Chapel Hill, NC | 80 | 78 | 3.1 | $3.9M | +7.5% |
| 9Indianapolis-Carmel-Greenwood, IN | 79 | 351 | 4.2 | $3.6M | +5.4% |
| 10Jacksonville, NC | 78 | 15 | 2.0 | $5.2M | +6.0% |
| 11Warner Robins, GA | 78 | 18 | 2.4 | $4.6M | +8.2% |
| 12Merced, CA | 78 | 24 | 2.8 | $4.2M | +5.1% |
| 13Hagerstown-Martinsburg, MD-WV | 78 | 33 | 2.8 | $4M | +7.1% |
| 14South Bend-Mishawaka, IN-MI | 77 | 35 | 2.7 | $5M | +0.1% |
| 15Yuba City, CA | 77 | 16 | 2.6 | $4.9M | +3.3% |
| 16Lafayette-West Lafayette, IN | 77 | 27 | 3.0 | $4.4M | +2.1% |
| 17Washington-Arlington-Alexandria, DC-VA-MD-WV | 77 | 982 | 4.1 | $3.5M | +3.3% |
| 18Hanford-Corcoran, CA | 76 | 9 | 2.0 | $5.9M | +1.0% |
| 19Laredo, TX | 76 | 15 | 1.8 | $5.5M | +5.2% |
| 20Bakersfield-Delano, CA | 76 | 73 | 2.6 | $4.8M | +2.3% |
| 21Riverside-San Bernardino-Ontario, CA | 76 | 544 | 3.8 | $3.6M | +3.5% |
| 22Killeen-Temple, TX | 75 | 44 | 2.5 | $4.3M | +7.2% |
| 23Norwich-New London-Willimantic, CT | 75 | 34 | 2.9 | $4.3M | +2.0% |
| 24Odessa, TX | 75 | 18 | 2.8 | $3.9M | +5.0% |
| 25San Antonio-New Braunfels, TX | 75 | 324 | 3.3 | $3.4M | +9.5% |
| 26Worcester, MA | 75 | 132 | 3.9 | $3.4M | +3.7% |
| 27Springfield, OH | 74 | 7 | 1.3 | $10.4M | −0.4% |
| 28Muncie, IN | 74 | 13 | 2.8 | $4.4M | +1.2% |
| 29Gettysburg, PA | 74 | 12 | 2.9 | $4.1M | +3.6% |
| 30Visalia, CA | 74 | 43 | 3.0 | $4.1M | +2.4% |
| 31Dayton-Kettering-Beavercreek, OH | 74 | 128 | 3.7 | $3.7M | +1.5% |
| 32El Centro, CA | 73 | 10 | 2.0 | $5.5M | +1.1% |
| 33Michigan City-La Porte, IN | 73 | 13 | 3.0 | $4.6M | −0.9% |
| 34Greensboro-High Point, NC | 73 | 78 | 2.5 | $4.3M | +4.1% |
| 35Panama City-Panama City Beach, FL | 73 | 28 | 3.2 | $3.4M | +15.7% |
| 36Columbus, OH | 73 | 415 | 4.8 | $3.1M | +4.7% |
| 37Punta Gorda, FL | 73 | 32 | 3.5 | $3M | +15.5% |
| 38Auburn-Opelika, AL | 72 | 21 | 2.7 | $3.8M | +7.1% |
| 39Lake Havasu City-Kingman, AZ | 72 | 34 | 3.3 | $3.3M | +6.5% |
| 40Greeley, CO | 72 | 55 | 4.4 | $3.1M | +14.2% |
| 41Kokomo, IN | 71 | 11 | 3.1 | $4.2M | +0.4% |
| 42McAllen-Edinburg-Mission, TX | 71 | 67 | 2.5 | $3.9M | +5.6% |
| 43Greenville, NC | 71 | 20 | 2.7 | $3.8M | +5.4% |
| 44Boston-Cambridge-Newton, MA-NH | 71 | 847 | 4.4 | $3.3M | +2.3% |
| 45Brownsville-Harlingen, TX | 70 | 28 | 2.0 | $4.7M | +3.0% |
| 46Cleveland, OH | 70 | 314 | 3.4 | $4.2M | −0.8% |
| 47Abilene, TX | 70 | 17 | 2.6 | $4.1M | +4.8% |
| 48Baltimore-Columbia-Towson, MD | 70 | 359 | 3.2 | $4M | +0.4% |
| 49Fresno, CA | 70 | 136 | 3.7 | $3.4M | +3.2% |
| 50Fayetteville, NC | 69 | 28 | 1.9 | $5.4M | +1.6% |
Top 25 small-town markets
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth |
|---|---|---|---|---|---|
| 1Seymour, IN | 87 | 5 | 2.8 | $4.9M | +1.9% |
| 2Anderson Creek, NC | 86 | 7 | 1.4 | $7.6M | +12.3% |
| 3Torrington, CT | 85 | 14 | 2.9 | $4.5M | +2.2% |
| 4Putnam, CT | 85 | 12 | 3.0 | $4.2M | +3.0% |
| 5Oxford, MS | 82 | 6 | 2.5 | $4.2M | +5.3% |
| 6Crawfordsville, IN | 82 | 5 | 3.2 | $4.2M | +2.7% |
| 7Alamogordo, NM | 81 | 7 | 2.9 | $3.9M | +3.7% |
| 8Shelton, WA | 81 | 9 | 3.5 | $3.8M | +7.8% |
| 9Enterprise, AL | 80 | 5 | 2.4 | $4.4M | +6.3% |
| 10Kapaa, HI | 80 | 10 | 4.2 | $3.3M | +0.3% |
| 11Sanford, NC | 79 | 6 | 2.4 | $4.3M | +10.8% |
| 12Brenham, TX | 79 | 5 | 3.2 | $3.5M | +7.0% |
| 13Ocean Pines, MD | 79 | 9 | 3.7 | $3.2M | +3.7% |
| 14Palatka, FL | 78 | 6 | 1.9 | $4.9M | +5.9% |
| 15Holland, MI | 78 | 21 | 4.6 | $3.2M | +2.1% |
| 16Lake City, FL | 77 | 8 | 2.9 | $3.4M | +6.2% |
| 17Plymouth, IN | 77 | 7 | 3.9 | $3.4M | +1.2% |
| 18Greeneville, TN | 76 | 7 | 2.5 | $3.9M | +5.0% |
| 19Urbana, OH | 76 | 6 | 3.8 | $3.6M | +0.2% |
| 20Statesboro, GA | 76 | 10 | 2.9 | $3.5M | +8.0% |
| 21Monticello, NY | 76 | 11 | 3.5 | $3.4M | +2.7% |
| 22Athens, TX | 75 | 12 | 3.6 | $2.9M | +7.5% |
| 23Russellville, AR | 74 | 5 | 1.5 | $6.4M | +1.6% |
| 24Easton, MD | 74 | 5 | 3.0 | $4M | +2.0% |
| 25Morehead City, NC | 74 | 9 | 2.8 | $3.9M | +4.1% |
Top 25 counties
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth |
|---|---|---|---|---|---|
| 1Hancock County, IN | 98 | 8 | 2.4 | $6.6M | +13.5% |
| 2Stafford County, VA | 95 | 12 | 2.3 | $6.6M | +8.3% |
| 3San Benito County, CA | 95 | 5 | 2.4 | $6.4M | +8.6% |
| 4Morgan County, IN | 91 | 6 | 2.1 | $6.8M | +4.4% |
| 5Clark County, IN | 90 | 13 | 2.5 | $5.5M | +7.5% |
| 6Fauquier County, VA | 90 | 9 | 3.4 | $4.3M | +4.8% |
| 7Pinal County, AZ | 89 | 40 | 2.5 | $5.1M | +25.4% |
| 8Charles County, MD | 89 | 18 | 3.0 | $4.8M | +5.9% |
| 9Chatham County, NC | 88 | 8 | 2.4 | $5.3M | +11.0% |
| 10Madera County, CA | 87 | 10 | 2.2 | $5.7M | +7.4% |
| 11Chambers County, TX | 87 | 5 | 2.9 | $4.5M | +22.6% |
| 12Frederick County, VA | 86 | 6 | 1.7 | $7.5M | +8.8% |
| 13St. Mary’s County, MD | 86 | 8 | 1.9 | $7.5M | +2.4% |
| 14Queen Anne’s County, MD | 86 | 6 | 3.0 | $4.5M | +8.8% |
| 15Fort Bend County, TX | 86 | 116 | 4.0 | $3.5M | +17.4% |
| 16Guadalupe County, TX | 85 | 18 | 2.8 | $4.4M | +15.8% |
| 17Yolo County, CA | 85 | 25 | 3.3 | $4.3M | +3.1% |
| 18Midland County, TX | 85 | 20 | 3.0 | $4.3M | +10.0% |
| 19Lyon County, NV | 85 | 7 | 2.9 | $4.2M | +9.5% |
| 20Boone County, IN | 85 | 13 | 4.5 | $3.9M | +13.5% |
| 21Spotsylvania County, VA | 85 | 20 | 3.8 | $3.5M | +10.5% |
| 22Madison County, IN | 84 | 9 | 1.7 | $7.6M | +3.8% |
| 23Prince William County, VA | 84 | 55 | 3.5 | $4.2M | +4.2% |
| 24Jefferson County, WV | 84 | 7 | 3.1 | $4.1M | +9.2% |
| 25Clermont County, OH | 84 | 35 | 4.1 | $3.6M | +3.9% |
Scored: 386 metro areas, 426 small-town markets and 1,490 counties, each with at least 5 chiropractors on map listings (counties: 10,000 people or more). Spending per listing is all household spending on medical and dental services over the listings: demand for each competitor, not revenue. Each market has its own page, reached from its state below.
Excel · free with an account
Every market in one Excel file
Chiropractors figures for all 387 metro areas, 538 small-town markets, 3,144 counties and 51 states: the Groundwork market score and rank, map listings and chains, household spending, businesses with payroll, employees and payroll, one-person businesses, SBA-backed loans, population, income and home value, each linked to its page. Sorted, filterable and ready to screen.
Chiropractors by state
Every market in each state ranked, with the state’s highest-scoring metro area.
- AlabamaTop metro area: Auburn-Opelika metro area · 72
- AlaskaTop metro area: Fairbanks-College metro area · 61
- ArizonaTop metro area: Yuma metro area · 84
- ArkansasTop metro area: Little Rock-North Little Rock-Conway metro area · 48
- CaliforniaTop metro area: Vallejo metro area · 80
- ColoradoTop metro area: Greeley metro area · 72
- ConnecticutTop metro area: Norwich-New London-Willimantic metro area · 75
- DelawareTop metro area: Dover metro area · 50
- District of ColumbiaTop metro area: Washington-Arlington-Alexandria metro area · 77
- FloridaTop metro area: Wildwood-The Villages metro area · 83
- GeorgiaTop metro area: Warner Robins metro area · 78
- HawaiiTop metro area: Urban Honolulu metro area · 69
- IdahoTop metro area: Lewiston metro area · 44
- IllinoisTop metro area: Champaign-Urbana metro area · 64
- IndianaTop metro area: Indianapolis-Carmel-Greenwood metro area · 79
- IowaTop metro area: Iowa City metro area · 41
- KansasTop metro area: Topeka metro area · 60
- KentuckyTop metro area: Owensboro metro area · 57
- LouisianaTop metro area: Baton Rouge metro area · 68
- MaineTop metro area: Lewiston-Auburn metro area · 57
- MarylandTop metro area: Lexington Park metro area · 84
- MassachusettsTop metro area: Worcester metro area · 75
- MichiganTop metro area: Muskegon-Norton Shores metro area · 60
- MinnesotaTop metro area: Duluth metro area · 47
- MississippiTop metro area: Jackson metro area · 62
- MissouriTop metro area: Joplin metro area · 62
- MontanaTop metro area: Helena metro area · 37
- NebraskaTop metro area: Omaha metro area · 46
- NevadaTop metro area: Las Vegas-Henderson-North Las Vegas metro area · 64
- New HampshireTop metro area: Manchester-Nashua metro area · 56
- New JerseyTop metro area: Trenton-Princeton metro area · 68
- New MexicoTop metro area: Las Cruces metro area · 68
- New YorkTop metro area: Albany-Schenectady-Troy metro area · 63
- North CarolinaTop metro area: Durham-Chapel Hill metro area · 80
- North DakotaTop metro area: Grand Forks metro area · 40
- OhioTop metro area: Springfield metro area · 74
- OklahomaTop metro area: Oklahoma City metro area · 43
- OregonTop metro area: Albany metro area · 68
- PennsylvaniaTop metro area: Gettysburg metro area · 74
- Rhode IslandTop metro area: Providence-Warwick metro area · 58
- South CarolinaTop metro area: Sumter metro area · 64
- South DakotaTop metro area: Sioux Falls metro area · 38
- TennesseeTop metro area: Clarksville metro area · 67
- TexasTop metro area: Midland metro area · 86
- UtahTop metro area: Salt Lake City-Murray metro area · 50
- VermontTop metro area: Burlington-South Burlington metro area · 32
- VirginiaTop metro area: Richmond metro area · 80
- WashingtonTop metro area: Walla Walla metro area · 55
- West VirginiaTop metro area: Morgantown metro area · 66
- WisconsinTop metro area: Racine-Mount Pleasant metro area · 57
- WyomingTop metro area: Casper metro area · 44
Related business types
- Doctors, dentists and clinics1,091,367 listings
- Dentists and orthodontists169,203 listings
- Primary care and pediatrics93,457 listings
- Urgent care and walk-in clinics6,781 listings
- Physical therapy69,260 listings
- Optometrists and eye care53,116 listings
Questions
Which metro areas have the highest market score for chiropractors?
The top 5 are Midland, TX (86); Yuma, AZ (84); Lexington Park, MD (84); Wildwood-The Villages, FL (83); and Vallejo, CA (80). The score compares each of 386 scored metro areas with the others for chiropractors.
How many chiropractors are in the U.S.?
There are 69,552 chiropractors on map listings in the U.S. as of September 2026. 5,631 of them (8%) are chain locations. The listings count chiropractors. Official counts show 39,913 businesses with payroll classed as offices of chiropractors in 2023, up 0.8% from 2019.
How much do U.S. households spend on medical and dental services?
About $166.4B a year, or $1,288 per household. Spread across the 69,552 chiropractors on map listings, it comes to $2.4M per practice. The spending figure covers all medical and dental services, not only chiropractors. It is estimated from the incomes of the 129,209,336 households in the U.S. and national spending patterns by income.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Markets with fewer than 5 map listings of the type, and counties under 10,000 people, aren’t scored, since a few businesses can swing their figures.
How can I see the market around a specific site?
Run a Groundwork site report on an address anywhere in the U.S. It maps the chiropractors on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
All business types and every U.S. market · How we measure
Screening a site or an acquisition?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.