Questions chiropractors ask about marketing
Straight answers for chiropractic practice owners on reviews, new patient offers, Google Ads, personal injury referrals, the benchmark data and the free 14-day trial.
How many Google reviews does a chiropractic practice need?
More than the offices you appear next to in the map pack. Across 71,195 chiropractic listings the median is 15 reviews and 44.6% have fewer than 10. In a competitive suburb the practices holding the top three map spots usually sit past 100, a level only 21.3% of chiropractors reach. A realistic target is two to four new reviews a week, asked for at the front desk on the day a patient tells you they feel better. The reviews guide has the scripts.
Can I advertise a free exam or a discounted first visit?
Sometimes, and it depends entirely on your state. Several chiropractic boards restrict or prohibit free and discounted examination offers, require specific disclaimer language, or regulate how the word "free" may be used in advertising. A few also limit offers when Medicare or federal beneficiaries could respond. Before you run any new patient offer, read your own state board's advertising rules and ask your malpractice carrier. Where offers are restricted, lead with access instead: same-day appointments, evening hours, no wait.
Can I use patient testimonials and reply to reviews?
Reviews are patient-authored, so patients may say whatever they like. You may not. Confirming that someone is a patient, naming a condition, or discussing a visit in a public reply can be a HIPAA disclosure even when the patient posted first. Reply in generic language: thank the reviewer, state your service standard, and invite a private call. For website testimonials, get a signed written authorization that names exactly what may be published. The website guide covers the wording.
What does a new patient cost on Google Ads?
Most practices land between $60 and $200 per booked new patient in mid-size markets, and $150 to $400 in dense metros where medical and physical therapy advertisers bid the same keywords. Condition searches such as "sciatica treatment" and "back pain doctor near me" convert better and cost less than the generic "chiropractor" term. Practices that lose money almost always run broad match with no negative keyword list and no call tracking. See the Google Ads guide.
Do Facebook and Instagram ads work for chiropractic?
Yes, but only with a specific condition and a specific next step. Generic "we help you feel better" creative produces nothing. Ads built around one problem, such as headaches, sciatica, or pain after a car accident, with a short video of the doctor explaining what causes it, generate leads at $12 to $60 in most markets. The follow-up decides everything, because a Meta lead is not asking for care yet. Details in the Meta ads guide.
What is the cheapest source of new patients?
Patients already in your file. A practice with 1,200 inactive records that runs a proper reactivation sequence will typically book 20 to 60 visits from it, at a cost measured in text message fees rather than cost per click. Inactive means no visit in 6 to 18 months. Nobody does it because the list is embarrassing to look at. The slow season plan has the sequence.
Should I take insurance or go cash?
Marketing follows the model, not the other way around. An insurance practice needs volume, so it advertises access, in-network language and appointment speed. A cash practice needs fewer, better-fit patients, so it advertises outcomes, a specific technique or condition, and a clear price. Practices that fail at marketing are usually the ones running cash pricing with insurance messaging, or the reverse. Pick the model first, then the campaign.
How do I get personal injury and auto accident cases?
Those come from relationships, not from ads. Attorneys, medical case managers, urgent cares, body shops and physical therapists refer to whoever documents well and returns calls the same day. The reliable move is a standing monthly touch with 10 to 15 referral sources plus a page on your site for accident injury care that ranks for your city. Documentation quality drives repeat referrals more than anything you can buy.
Do I really need a website if I have a Google profile?
The data says yes. Chiropractors with a website have a median of 31 reviews; those without have 1. Some of that is that serious practices do both, but your site is also where Google and the AI answer engines confirm what you treat, which techniques you use, and whether you take a patient's insurance. 23.9% of chiropractic listings have no site at all, which is the easiest gap in this niche to open on your neighbors.
Is the benchmark data trustworthy?
It is public data collected at scale, so it is accurate to within a point or two rather than to the decimal. Listings are deduplicated by Google place ID and refreshed monthly. Google does not publish this breakdown itself, which is the reason we compute it. The full method is on the about page.
Where does the benchmark data come from?
Public Google Business Profile listings, found through Google Maps searches for chiropractors in every state. Only public business fields are stored: review count, rating, website link, hours, categories, city and state. No reviewer names, no patient information, nothing behind a login.
What is included in the free 14-day trial?
Any one of the services we run, or several at once: Google Ads management, Meta ads, AI search optimization, local SEO and Google Business Profile work, website design, social media management, review generation, missed-call text-back and lead follow-up, email and SMS reactivation campaigns, bookkeeping, and cold-call appointment setting. Setup, management and reporting are included. Money paid directly to Google or Meta for ad spend, if you choose to run ads, is yours.
What happens after the 14 days?
You choose. Keep the service at the monthly price quoted before the trial started, move the trial to a different service, or stop. Nothing renews automatically and nothing is charged during the trial. Whatever we build inside your accounts, including ad campaigns, landing pages and review templates, stays yours either way.
Do I have to give a credit card?
No. There is no card on file for the trial. What we need is access to the relevant accounts, one 20-minute setup call, and a named person at the front desk who can answer questions about your schedule and your intake process.
Try any marketing service free for 14 days.
Pick anything we do. We run it for your chiropractic practice for two full weeks at no cost, then you decide. No card, no contract, nothing to cancel.
- Google Ads management
- Meta (Facebook and Instagram) ads
- AI search optimization (show up in ChatGPT, Perplexity, Google AI)
- Local SEO and Google Business Profile
- Website design and rebuilds
- Social media management
- Review generation and reputation
- Missed-call text-back and lead follow-up
- Email and SMS campaigns
- Bookkeeping and monthly financials
- Cold-call appointment setting
- Marketing analytics and reporting
Or tell us what you want to try and we will text you back.