What Chiropractic Services or Products Are Taxable in the U.S.?

When considering sales taxes that come with chiropractors charge, it is important to understand that the rules vary widely by state. In many states, chiropractic care is classified as a medical service, and like other healthcare services, it is typically exempt from sales tax. For example, states like California, Florida, and Texas do not require sales tax on chiropractic treatments as long as the service is considered essential to healthcare.

However, some states have different rules. For instance, in states like Illinois or New York, certain types of chiropractic services may be subject to sales tax, especially if they are considered wellness or alternative care rather than medical treatment. These taxes can apply to specialized services such as massage therapy or non-medically necessary adjustments.

Therefore, it is essential for both chiropractors and patients to be aware of local regulations.

Are Chiropractic Products Taxable?

While services themselves may not always be taxed, the products sold by chiropractors often are. Items like vitamins, minerals, and herbal supplements – common in many chiropractic offices – are generally taxable in most states.

Olly / Pexels / When it comes to products such as ice packs, heat pads, or muscle-soothing ointments, these typically fall under the taxable category unless an exemption applies.

Sales of tangible goods, like books, CDs, and DVDs related to wellness or chiropractic health, are almost always subject to sales tax. This rule applies to both physical and digital products. So, if you are picking up an instructional DVD or purchasing an e-book from your chiropractor, expect to see sales tax added to your total. The taxation of products sold at a chiropractor’s office is usually based on the standard sales tax rules for tangible goods in the state.

Common Chiropractic Products That Are Taxable

To get into specifics, chiropractors often sell a variety of health-related products that are subject to sales tax. This can include items like vitamins, minerals, herbs, and other dietary supplements. Even if these products are recommended by your chiropractor to support your health, they are often classified as taxable by state law.

Similarly, creams, ointments, or liniments designed for muscle relaxation or pain relief – unless medicated – are usually subject to sales tax.

Reusable equipment sold at a chiropractic office, such as foam rollers, posture correctors, or other therapeutic tools, is also generally taxable.

Do Chiropractors Charge Sales Tax on Massage Therapy?

Massage therapy offered by chiropractors is another area where taxation gets tricky. In many states, therapeutic massages provided as part of a medical treatment plan are exempt from sales tax.

Olly / Pexels / If massage therapy is offered as a standalone service or for relaxation purposes, it may be subject to sales tax.

For example, if your chiropractor offers a therapeutic massage to help with pain management, it might not be taxed. However, if the massage is more for wellness or relaxation, the state could consider it taxable.

Local Sales Tax on Chiropractic Services

Local sales taxes can also affect chiropractic services and products. Even if the state doesn’t impose a tax, some cities or counties might. For example, in some regions, additional local taxes apply to health services, including chiropractic care. It is also possible that different products, like supplements or wellness tools, might be subject to different local tax rates.

However, there are instances where certain chiropractic services and products can be exempt from taxation. For example, in some states, products considered medically necessary – such as equipment for patients with disabilities – might be exempt. This can include certain types of braces, supports, or other therapeutic devices prescribed by the chiropractor.