Groundwork

Market rankings · Iowa

Chiropractors in Iowa

Markets across Iowa ranked by the Groundwork market score for chiropractors, with competitor counts and household spending for each.

Listings
1,387
96 chain locations (7%)
Official establishments
872
−0.6% since 2019
Household spending a year
$1.9B
On medical and dental services
Listings per 10k households
10.5
94% above the U.S.
Spending per listing
$1.3M
44% below the U.S.
Rank among states
#51 of 51
Market score 24 · Low

A site report maps the chiropractors on map listings around any address in Iowa by name and distance, and the spending within reach.

Free10 actions over 3 days, no card

Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

As of September 2026, map listings count 1,387 chiropractors in Iowa. Of those, 96 are chain locations, or 7%, against 8% across the U.S. That is 10.5 per 10,000 households, 94% above the U.S. rate of 5.4.

At $1,412 per household (10% above the U.S. average), households in Iowa spend about $1.9B a year on medical and dental services. That is about $1.3M of household spending for each practice on map listings, 44% below the U.S. figure of $2.4M. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade.

In 2023, official counts showed 872 businesses with payroll in Iowa classed as offices of chiropractors, down 0.6% from 2019. That is one for every 1,509 households, against one for every 3,237 across the U.S. Across the U.S., the count rose 0.8% over the same years. Since fiscal 2022, 40 SBA-backed loans worth $7.2M have gone to businesses classed as offices of chiropractors in Iowa.

Among the 50 states and DC, Iowa ranks #51 for chiropractors, with a Groundwork market score of 24 (low). Of the 9 scored metro areas in or partly in Iowa, the Omaha metro area scores highest (46). Of the 15 scored small-town markets in or partly in Iowa, the Fort Dodge area scores highest (50).

Every market in Iowa for chiropractors

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Iowa, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching Iowa, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Omaha, NE-IA462937.5$2M+4.2%#219 of 386
1Iowa City, IA41598.2$1.8M+4.1%#259 of 386
2Des Moines-West Des Moines, IA3832411.0$1.4M+6.7%#295 of 386
3Cedar Rapids, IA291089.5$1.5M+1.0%#349 of 386
4Ames, IA275811.6$1.2M+2.2%#362 of 386
5Waterloo-Cedar Falls, IA25659.4$1.5M+0.5%#368 of 386
6Sioux City, IA-NE-SD245610.1$1.4M+1.0%#371 of 386
7Dubuque, IA225513.4$1.1M+0.1%#376 of 386
8Davenport-Moline-Rock Island, IA-IL1923714.7$952K−0.9%#381 of 386

Small-town markets

Small-town markets reaching Iowa, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Fort Dodge, IA5085.2$2.5M−0.4%#215 of 426
2Marshalltown, IA49106.5$2.1M−0.5%#223 of 426
3Fort Madison, IA4574.9$2.6M−3.6%#244 of 426
4Le Mars, IA3598.7$1.7M0.0%#333 of 426
5Pella, IA351612.0$1.2M+2.3%#336 of 426
6Mason City, IA34177.5$1.8M−1.5%#340 of 426
7Spirit Lake, IA321314.7$981K+1.7%#369 of 426
8Burlington, IA-IL31168.0$1.6M−2.5%#373 of 426
9Ottumwa, IA29128.6$1.5M−0.3%#390 of 426
10Oskaloosa, IA27910.3$1.3M−1.2%#393 of 426
11Muscatine, IA271810.4$1.3M−3.0%#394 of 426
12Storm Lake, IA24911.9$1.2M−1.7%#409 of 426
13Spencer, IA231115.1$874K−0.8%#414 of 426
14Clinton, IA223316.9$796K−0.9%#417 of 426
15Carroll, IA201314.8$928K−2.0%#421 of 426

Counties

Counties in Iowa, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Dallas County, IA54399.2$1.8M+17.8%#642 of 1,490
2Jasper County, IA5196.0$2.3M+0.9%#705 of 1,490
3Johnson County, IA50558.7$1.7M+4.6%#747 of 1,490
4Pottawattamie County, IA49246.4$2.2M−0.7%#770 of 1,490
5Warren County, IA49199.2$1.7M+9.0%#782 of 1,490
6Webster County, IA4585.2$2.5M−0.4%#878 of 1,490
7Marshall County, IA45106.5$2.1M−0.5%#882 of 1,490
8Benton County, IA4387.8$1.9M+1.8%#934 of 1,490
9Lee County, IA4174.9$2.6M−3.6%#974 of 1,490
10Jones County, IA4167.3$1.9M+2.9%#991 of 1,490
11Hamilton County, IA4057.8$1.8M−0.5%#1,018 of 1,490
12Madison County, IA39710.5$1.4M+3.8%#1,057 of 1,490
13Polk County, IA3824612.0$1.3M+4.8%#1,083 of 1,490
14Sioux County, IA341411.0$1.3M+2.5%#1,187 of 1,490
15Grundy County, IA34713.7$1.1M+0.2%#1,190 of 1,490
16Delaware County, IA341013.6$1M+1.3%#1,191 of 1,490
17Butler County, IA3358.5$1.6M−2.0%#1,203 of 1,490
18Black Hawk County, IA33488.8$1.5M+0.4%#1,206 of 1,490
19Linn County, IA33949.8$1.5M+0.7%#1,211 of 1,490
20Plymouth County, IA3298.7$1.7M0.0%#1,227 of 1,490
21Buchanan County, IA3278.5$1.6M+1.3%#1,228 of 1,490
22Bremer County, IA321010.3$1.4M+1.1%#1,232 of 1,490
23Story County, IA324511.6$1.2M+2.7%#1,237 of 1,490
24Woodbury County, IA31358.6$1.6M+0.7%#1,247 of 1,490
25Marion County, IA311612.0$1.2M+2.3%#1,259 of 1,490
Show all 99 counties
Counties in Iowa, ranked for chiropractors by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Mitchell County, IA31613.1$1M+0.6%#1,264 of 1,490
27Cerro Gordo County, IA30157.7$1.8M−1.5%#1,274 of 1,490
28Boone County, IA281311.9$1.2M+0.4%#1,325 of 1,490
29Dickinson County, IA281314.7$981K+1.7%#1,329 of 1,490
30Jackson County, IA2789.7$1.4M−0.8%#1,337 of 1,490
31Wapello County, IA26128.6$1.5M−0.3%#1,349 of 1,490
32Wright County, IA2559.3$1.5M−0.9%#1,366 of 1,490
33Dubuque County, IA255513.4$1.1M+0.1%#1,374 of 1,490
34Scott County, IA2514319.6$742K+0.4%#1,375 of 1,490
35Tama County, IA2468.9$1.5M−1.5%#1,377 of 1,490
36Des Moines County, IA24169.3$1.4M−2.0%#1,379 of 1,490
37Mahaska County, IA24910.3$1.3M−1.2%#1,381 of 1,490
38Muscatine County, IA241810.4$1.3M−3.0%#1,382 of 1,490
39Cedar County, IA24911.8$1.2M−0.7%#1,385 of 1,490
40Hardin County, IA2368.5$1.5M−2.2%#1,393 of 1,490
41Poweshiek County, IA23810.3$1.3M−1.4%#1,397 of 1,490
42Henry County, IA22810.5$1.3M−5.4%#1,406 of 1,490
43Fayette County, IA2178.4$1.5M−2.1%#1,414 of 1,490
44Buena Vista County, IA21911.9$1.2M−1.7%#1,419 of 1,490
45O’Brien County, IA21813.8$963K+0.5%#1,422 of 1,490
46Winneshiek County, IA211316.0$880K−1.6%#1,423 of 1,490
47Cass County, IA19610.3$1.3M−1.2%#1,439 of 1,490
48Cherokee County, IA19713.9$993K−2.4%#1,442 of 1,490
49Clay County, IA191115.1$874K−0.8%#1,445 of 1,490
50Clinton County, IA193316.9$796K−0.9%#1,446 of 1,490
51Page County, IA1869.6$1.3M−2.3%#1,450 of 1,490
52Jefferson County, IA17710.1$1.3M−2.5%#1,458 of 1,490
53Clayton County, IA171013.3$988K−1.1%#1,461 of 1,490
54Chickasaw County, IA17714.0$976K−2.8%#1,462 of 1,490
55Carroll County, IA171314.8$928K−2.0%#1,463 of 1,490
56Hancock County, IA16612.8$1M−2.2%#1,468 of 1,490
57Kossuth County, IA141015.3$863K−3.2%#1,473 of 1,490
Washington County, IANot scored44.5$3.1M+0.6%
Iowa County, IANot scored45.8$2.4M−1.0%
Crawford County, IANot scored46.3$2.1M−1.5%
Floyd County, IANot scored46.2$2.2M−4.4%
Harrison County, IANot scored46.6$2.1M+0.4%
Mills County, IANot scored35.6$2.7M+2.6%
Allamakee County, IANot scored46.7$2M+1.2%
Appanoose County, IANot scored35.8$2.1M−1.7%
Lyon County, IANot scored36.7$2.1M+3.6%
Union County, IANot scored35.9$2.1M−2.5%
Shelby County, IANot scored36.1$2.3M−0.2%
Guthrie County, IANot scored48.7$1.7M+1.6%
Louisa County, IANot scored12.4$5.9M−3.7%
Winnebago County, IANot scored48.6$1.5M−3.8%
Montgomery County, IANot scored36.5$1.9M−3.2%
Franklin County, IANot scored37.1$1.7M−1.2%
Keokuk County, IANot scored49.8$1.3M−2.0%
Calhoun County, IANot scored512.5$1.1M−3.4%
Sac County, IANot scored49.3$1.4M−2.7%
Clarke County, IANot scored37.4$1.8M−1.6%
Humboldt County, IANot scored511.9$1.1M−2.0%
Howard County, IANot scored513.3$991K−0.8%
Emmet County, IANot scored1024.6$513K−2.5%
Davis County, IANot scored26.2$2.2M+1.3%
Palo Alto County, IANot scored615.9$856K−1.0%
Lucas County, IANot scored38.1$1.5M+2.6%
Greene County, IANot scored615.3$869K−1.0%
Monona County, IANot scored410.3$1.3M−2.4%
Decatur County, IANot scored26.5$1.9M−0.9%
Monroe County, IANot scored39.7$1.4M−2.5%
Adair County, IANot scored26.2$2.2M−1.3%
Worth County, IANot scored26.3$2.2M−1.3%
Van Buren County, IANot scored310.4$1.2M−1.2%
Pocahontas County, IANot scored310.0$1.3M−3.5%
Ida County, IANot scored39.8$1.3M−3.4%
Wayne County, IANot scored00.0n/a+3.6%
Fremont County, IANot scored27.1$2M−0.8%
Osceola County, IANot scored415.2$866K−3.6%
Taylor County, IANot scored28.0$1.6M−0.5%
Audubon County, IANot scored27.7$1.7M−3.0%
Ringgold County, IANot scored15.3$2.6M0.0%
Adams County, IANot scored16.5$2.1M−2.5%

Markets with fewer than 5 chiropractors on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many chiropractors are in Iowa?

Iowa has 1,387 chiropractors on map listings as of September 2026. 96 of them (7%) are chain locations. The listings count chiropractors. Official counts show 872 businesses with payroll classed as offices of chiropractors in 2023, down 0.6% from 2019.

How much do households in Iowa spend on medical and dental services?

About $1.9B a year, or $1,412 per household. That is 10% above the U.S. average (an index of 110, where 100 is the U.S. average). Spread across the 1,387 chiropractors on map listings, it comes to $1.3M per practice. The spending figure covers all medical and dental services, not only chiropractors. It is estimated from the incomes of the 1,315,707 households in Iowa and national spending patterns by income.

How does Iowa compare with the U.S. for chiropractors?

Iowa has 10.5 chiropractors per 10,000 households, 94% above the U.S. rate of 5.4. Spending per practice is $1.3M, 44% below the U.S. figure of $2.4M. At the national ratio of chiropractors to household spending, Iowa would have about 776, against 1,387 on map listings. There is one business with payroll in the industry for every 1,509 households, against one for every 3,237 across the U.S. The official count fell 0.6% from 2019 to 2023, against +0.8% for the U.S.

Which market in Iowa has the highest market score for chiropractors?

Among 9 scored metro areas in or partly in Iowa, the Omaha metro area scores highest, at 46 (lower middle). Among 15 scored small-town markets in or partly in Iowa, the Fort Dodge area scores highest, at 50 (upper middle). Among 57 scored counties in Iowa, Dallas County scores highest, at 54 (upper middle). Scores compare each market with others of its kind across the U.S.

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. Iowa scores 24 for chiropractors (low), #51 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Iowa. 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.

Chiropractors in other states

All 51 states

Top markets for chiropractors across the U.S. · All business types in Iowa

Screening a site or an acquisition in Iowa?

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.