The Chiropractic AI Visibility Index.

Source: KKV Labs, Google AI Mode answers captured September 8, 2026 in 40 cities.

Page builders are read on WordPress sites and reported as a share of every site we counted: Gutenberg blocks 46%, Elementor 14%, Beaver Builder 11%, Divi 6%, WPBakery 5%. A site can carry more than one.

A chiropractic website vendor is named on 10% of the sites we counted, 13% of the practices the answer named against 9% of everyone else. The rows above are the vendors big enough to report on their own. A vendor is counted only when the homepage carries a platform tell, so a profile link on a directory is not read as a website build.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

How the homepage takes the enquiry

This is the sharpest difference between this market and the other indexes we have run. A live chat, text or answering widget sits on 1% of the 460 homepages we counted, against roughly a quarter of personal injury firms. What this market does use is a plain booking route, on 60% of homepages, and that is one of only two technology rows on this page that separate the two groups: 68% against 58%.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

Google Tag Manager is the widest technology distance in the index, 47% of the named practices against 33% of everyone else, and it is not a ranking factor by any mechanism: it is a proxy for a practice that has someone running its marketing. Google Analytics 4 barely moves, 31% against 28%. Buying the tool does not buy the outcome.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

A printed review count is the other technology row that separates the two groups: 17% of the practices the answer named show one, against 7% of everyone else. It is a number a practice already has, and putting it on the page is a morning's work.

The other things a homepage can show a patient

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

A named adjusting technique appears on 29% of the homepages we counted, 38% of the named practices against 27% of everyone else. The median practice names 0, and so does the median named practice. A technique is counted only when the homepage writes its name, so this is a reading of the page rather than of the practice.

The techniques that separate the two groups furthest

These rows rest on small numbers, and the site counts are in the list above. Read them as what a page happened to say on one day rather than as a reason anybody was named.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

A price of any kind, or a link to a page with prices on it, sits on 11% of the homepages we counted, 13% of the named practices against 10%. The offer rows and the price rows are inside the noise in this comparison, unlike the content rows further down the page.

What the homepage says about insurance

Any patient financing or in-house plan at all shows on 5% of the sites we counted, 7% of the named practices against 4%. These rows rest on a handful of sites each, which is why the counts are printed beside them.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

Named practices are the 105 crawled sites Google AI Mode listed in their own city answer. Everyone else is the other 355. Almost every row in this table is something the homepage writes down, which is to say it is about what the site says rather than what it runs.

The checks that read the other way round

These are the most useful rows on the page, because they are the ones the category would bet against. Schema is the surprise: the markup that says what the business is reads higher among everyone else. Nothing here runs backwards by much, so the honest reading is that these checks do not sort this market rather than that they hurt. Business type markup, a services page and a school line are all worth having. On September 12, 2026 they did not mark out the practices the answer named.

The checks that did not tell the two groups apart

The claims this trade prints sit on the same number in both halves: Years in practice stated 26% against 25%, DC after a name 24% against 22%, Family owned or locally owned stated 3% against 4%, Board certified stated 3% against 3%, Spanish offered 3% against 3%, named practices against everyone else. 2 of them read the other way round: Chiropractic school named 7% against 14%, American Chiropractic Association named 1% against 4%. These are all worth printing for the patient reading the page. On September 12, 2026 they did not mark out the practices the answer named.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

84% of the homepages we counted carry structured data, and 26% carry only the website record the theme ships, with no business type on it. The Chiropractor, MedicalClinic, MedicalBusiness or Physician types sit on 22% of sites, and the named practices are on 19% of that line against 22%, so naming the business type is open to everyone here.

A robots.txt was reachable on 94% of the sites we counted, which is the base for the rows above. About 69% of those files disallow some path to every one of these crawlers, the same number for all of them, which is the ordinary website builder rule rather than a decision about AI. We did not keep the rule text, so we report only the outright blocks and leave the rest alone.

28% of the sites we counted serve an llms.txt file, at 128 sites. The shape of that number is the finding: every Duda site we read has one, 22 of 22. That is 22 of the 128 llms.txt files in this market, written by the builder rather than chosen by the practice.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

What the homepage links before anyone calls

Words and weight are counted from the HTML our crawler downloaded, not from a browser that ran the page. A site that builds its text with JavaScript therefore reads thinner here than it looks to a visitor. Both halves of the named comparison were measured the same way on the same day, which is what makes that distance the useful part.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

The service lines that separate the two groups furthest

The range of work a homepage names is where the distance is in this index. It is a reading on one day and not a cause, and the cheapest thing it suggests is writing down every kind of work the practice already does.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

Readiness runs from North Carolina at 50 down to New Hampshire at 25, across 23 states with at least 8 sites counted. Most of these states are a single index city, so a state row here is usually a city row wearing a state label. Read the row before you read the ranking.

Source: KKV Labs crawl of 460 chiropractic practice homepages, of 602 opened, September 12, 2026.

Source: KKV Labs screening and Google AI Mode answers captured September 8, 2026. 40 cities, 192 practice names. The sites screened column measures how much searching each city got, so it is not comparable from one row to the next. Download the city data (CSV). What we do for chiropractors.

The city sample

40 US cities across 23 states. We found 580 chiropractic websites in them and screened 458. This is not a random sample of all US chiropractic practices: it is the markets we were looking at, which lean toward small and mid size cities. A practice with offices in two of these cities is listed once, in the city we found it in first.

The AI answers

One question per city, asked in Google AI Mode from a fresh logged out session, with the practices recorded in the order they were given. 40 cities were recorded September 8, 2026. Answers change. This is a dated snapshot, not a ranking and not an endorsement of any practice on it.

The technology crawl

On September 12, 2026 we opened 602 chiropractic homepages and read 465 of them. 92 answered and turned the crawler away, and 45 did not hand back a page we could read. Detection reads the homepage HTML for known scripts, links and markup, so a practice can use a tool without it showing here. Every share is a floor.

The relevance gate

A site is counted only when its own text or one of its own page links shows it is a chiropractic practice. That dropped 5 of the 465 sites we read, which leaves the 460 every share on this page is measured against. The gate is deliberately literal: what the page says is what is measured, so a clinic that does this work and never writes a chiropractic word reads as out of scope rather than as a low score.

Named versus unnamed

The named set is the 105 crawled sites Google AI Mode listed in their own city answer. The other 355 are everyone else. Comparing the two shows what the named group happened to have that day. It does not show that any of it is why they were named, and we do not claim that anywhere.

How a city was coloured

The colour is the length of the answer: GREEN is three or more practices named, YELLOW is two and RED is one. 39 cities came back GREEN, 1 YELLOW and 0 RED. No city was coloured by hand. With almost every city in the same bucket the label sorts very little here, so read the practice list rather than the label.

What we are not claiming

Nothing here says a practice with better markup will be named, and nothing here compares anybody's care. A practice named by an answer engine is not being called a better chiropractor than one that is not on the list. This page says what this market looked like on two dates in September 2026, and which of the cheap signals are still open.

A same day comparison, not a cause

The named practices were named for many reasons this crawl cannot see, including reviews, how long they have been open, local press and who links to them. Nothing on this page is a ranking factor, and nothing on it is about clinical care.

Almost every city is in the same bucket, so the label says little

39 of the 40 cities came back with three or more practices named and 1 came back with 2, so the colour does not sort this market the way it sorts one with quiet cities in it. The useful column is the practice list and the count beside it.

58 named practices have no website we could resolve

Google AI Mode gave those practice names with no link, and no first-party record we hold maps the name to a site. They are counted in the city table, which is built from names, and left out of the named versus unnamed comparison, which is built from websites. We resolved 134 sites and read 105 of them, so that comparison rests on 55% of the practices the answer named. That is the lowest of our indexes so far, and the reason is in the next row.

8 websites were thrown out before we published

Chiropractic practice names are short and shared, so a guessed hostname lands on the wrong business more often here than in any market we have measured. Every match has to pass three tests: a distinctive word of the practice name in the title or the markup, address shaped evidence for the city it was named in, and at least five chiropractic words on the page. 8 rows failed and lost their website, including a newspaper, a trade media company, a software startup, a parked domain and three real practices in the wrong city or the wrong state. One weak row was kept with the evidence written down.

10 practice names appear in more than one city

Names like Core Chiropractic and Smith Chiropractic come back in two different cities, and those are two different businesses. So the page reports 192 names across 40 answers rather than a count of distinct practices, which would quietly merge them.

92 sites are behind a bot wall, and they are not a random group

92 of the 602 sites we opened, 15%, answered and refused the crawler. A practice spending heavily on its marketing site is more likely to run that kind of front door, and 16 of the 134 named websites sit in that bucket. Every share here is measured on the sites that let us read them.

The per-city site counts are not comparable with each other

The candidate list was widened on the day of the crawl, and the pass reached 21 of the 40 cities before it stopped. Those cities now carry two or three times the candidates of the other 19. So a city's site count measures how much searching that city got, not how many chiropractors practise there. The thinnest three are Midland, TX, Beaumont, TX, Lubbock, TX. The city answers are unaffected: they are captured from the AI, not from the candidate list.

Homepage only, so every share is a floor

A certification on an About page, a price on a new patient page or a booking tool behind a button is not counted. Detection is by known scripts, links and text, so a new or self built tool reads as nothing at all.

A technique is counted only when the homepage names it

A practice that uses a technique every day and does not write it on the homepage is counted as naming none, and the median practice in this index names none. The technique rows are a reading of what the page says, not of what happens in the room.

The care plan row counts words, not a product

"Your care plan starts with you" and "12 visit package" both match the care plan check, which is why it is the softest row in the comparison even though it is one of the widest. Quote the blog row and the service range rows ahead of it.

No speed numbers, on purpose

The crawl ran from India. Response times were recorded and are not reported here, because from that distance they measure the length of the wire rather than the speed of the site.

Small bases on some rows

The named side is 105 sites, so several rows in the comparison rest on a handful of practices, and the site counts are printed next to every share. Quote the counts. Never say twice as likely.

The state table runs on small bases too

23 states had at least 8 sites counted. Most of them are a single index city, so a state figure there is really a city figure.

A partial robots.txt rule is not an AI block

Most of the robots.txt files we read disallow some path for every crawler, which is what the rule a website builder ships looks like. We did not keep the rule text, so we report only the outright blocks and leave the rest alone.

The crawl is later than the capture

The answers were captured September 8, 2026 and the homepages were read on September 12, 2026. A site can change in four days, so read the answer column against its own date and the technology shares against theirs.