Pricing a chiropractic visit
3 min read · Updated November 12, 2026
Once a patient's check comes back verified, you can tell them what today's visit will cost them. The estimate uses your own fees from Settings › Services, the coverage the carrier gave you, and, when one applies, the fee schedule that says what the payer allows for each code.
When Valian does your billing
At an office with the Claims tab, you price the visit where you build its claim.
- Open the patient's page. This visit sits under the Plan summary. Click Build the claim to open it, or pick another visit from the list beside it.
- Check the Date of service, the doctor and the place.
- Add the visit's services by code or name, from your own list. Set the Modifier and Units for each line. A code that is not on your list says "Not on your list. Add it in Settings › Services."
- Read across each line: Your fee, what the payer Allows and its Payment estimate, then the patient's Copay, Deductible, Coinsurance and Payment estimate, with the totals at the bottom.
- Click Continue in Claims to finish the claim.
The estimate columns fill in from a check run for the visit's day. If the last check is from another day, they show — until you check coverage for that day.
In the open row on the Verification page, Build procedures lists the visit's codes, and Complete building claim opens that visit in Claims.
Without the Claims tab
Click the patient's row on the Verification page. Build procedures is in the open row (on the patient's page it is the Procedures card).
- Type a code or a name, like 98941. Your own services show with your fee.
- Add more codes the same way.
- Read the price: Fees, the Write-off when a fee schedule applies, Insurance pays, the Deductible, and Patient pays.
How the price is worked out
- The plan's own way of paying is used: a copay per visit, or coinsurance after the deductible.
- When a fee schedule applies, each code starts from the lesser of your fee and what the payer allows. In network, the part of your fee above it is written off. See Allowed amounts and fee schedules.
- For a Medicare patient, Medicare's list prices the spinal adjustment codes (98940 to 98942), the chiropractic services Medicare pays for.
- When the out-of-pocket max is met, no copay or coinsurance is due. When no visits are left, the note says "No visits left this period." and the patient pays the full fee.
- A code the carrier gave no price for is left out, and the total says so: "Patient pays, for the 2 codes the carrier answered".
This is an estimate from what the carrier reported. It does not know about visits or claims the carrier has not processed yet. Check visits left and Special clauses & limitations on the patient's page before a plan of care.
Frequently asked questions
Can I send the estimate to the patient? Not from here. Read the numbers to the patient, or copy them into your own message.
Why is a code left out? It has no fee on your list, or the carrier did not answer for that service. Add your fee in Settings › Services, or confirm the coverage with the carrier.
