If the service was provided, it should be reported. Patients are always concerned if they are being charged differently than their insurance is being billed, and they absolutely should be. Also, I tell providers, the insurance carriers collect data from all claims submitted and do studies. If the carrier allows $30 for a chiro visit, and the chiros all bill $30, the carriers data will show they are paying the full amount of what chiros bill and they are right on track. It should show, they allow $30, but the average chiro bills for a manipulation for $45, ultrasound for $20 and electric stim for $20.
I also think there is a legal issue in not reporting all services performed.
Michele