Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates
State-by-state comparison of workers' compensation medical fee schedule conversion factors — the dollar amounts per relative value unit that determine how much providers are reimbursed for services under workers' comp. Each record is one state with the conversion factor(s) by service category, the fee schedule basis (RBRVS, percentage of Medicare, proprietary, or other), the effective date, the update methodology (e.g. annual adjustment by MEI), and the source citation. Factors vary enormously: Texas uses $72.07 for most services and $90.48 for facility surgery; Minnesota uses $67.29 for medical/surgical. Answers 'what is the workers comp conversion factor in [state]', 'how does my state's workers comp fee schedule compare to Medicare', and 'when does the 2026 fee schedule take effect'.
The data
| State | Fee schedule basis | Update methodology | Source citation | Primary conversion factor ($) | Surgery conversion factor ($) | Other conversion factors | Effective date |
|---|---|---|---|---|---|---|---|
| California | RBRVS | conversion factors adopted by Orders of the DWC Administrative Director; dollar values are published in the order and regulation documents, not on the index page | Cal. Labor Code § 5307.1; DWC Official Medical Fee Schedule (physician services) | ||||
| Florida | percentage of Medicare | By July 1 of each year the department notifies carriers and self-insurers of the physician and nonhospital services schedule of maximum reimbursement allowances | Fla. Stat. § 440.13(12)(f)-(g) | 175 percent of the reimbursement allowed by Medicare | 210 percent of the reimbursement allowed by Medicare | Emergency services without an assigned maximum reimbursement allowance: 250 percent of Medicare (provision expires June 30, 2026); outpatient scheduled surgeries: 60 percent of charges | |
| Hawaii | Medicare Resource Based Relative Value Scale | the director updates the schedules every three years or annually, as required | Haw. Rev. Stat. § 386-21(c) | one hundred ten per cent of fees prescribed in the Medicare Resource Based Relative Value Scale applicable to Hawaii | January 1, 1997 | ||
| Minnesota | RBRVS | annual update per Minnesota Rules Chapter 5221 | Minnesota Rules Chapter 5221, Parts 5221.4005 to 5221.4062 | $68.30 | $68.30 | Pathology and laboratory: $60.81; Physical medicine/rehabilitation: $61.48; Chiropractic: $52.94 | Oct. 1, 2026 |
| Montana | conversion factors set per state fiscal year (July 1 to June 30) | Montana DLI Employment Standards Division, Historic WC Medical Reimbursement Conversion Factors table | 60.47 | Anesthesia: $65.73; facility base rates — inpatient $10,141, outpatient $130, ASC $98 | July 1, 2024 | ||
| Texas | RBRVS | annual adjustment by Medicare Economic Index (MEI) | 28 Texas Administrative Code §134.203 | $72.07 | $90.48 (facility setting); $72.07 (office setting) | Anesthesia: $72.07; Evaluation and management: $72.07; General medicine: $72.07; Pathology: $72.07; Physical medicine and rehabilitation: $72.07; Radiology: $72.07 | calendar year 2026 |
Where this came from
Every record above links the page it was taken from and quotes the sentence that states it. These are the 6 sources this dataset was assembled from.
- dir.ca.govhttps://www.dir.ca.gov/dwc/OMFS9904.htm
- leg.state.fl.ushttps://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/Sections/0440.13.html
- capitol.hawaii.govhttps://www.capitol.hawaii.gov/hrscurrent/Vol07_Ch0346-0398/HRS0386/HRS_0386-0021.htm
- dli.mn.govhttps://www.dli.mn.gov/business/workers-compensation/work-comp-medical-fee-schedules-rbrvs
- erd.dli.mt.govhttps://erd.dli.mt.gov/work-comp-claims/medical-regulations/historic-wc-reimbursement-conversion-factors
- tdi.texas.govhttps://www.tdi.texas.gov/wc/fee/conversionfactors.html
Machine-readable
- data.jsonThe whole dataset — every record with its source URL and source quote.
- Open Knowledge Format bundleOne JSON object per line — every record's frontmatter and quoted span exactly as it is held here, in one fetch.
- data.csvThe same records as one flat table, for a spreadsheet or a dataframe. The last four columns are the source URL, the quoted sentence it was read from, the date we last checked it, and which columns are our reading rather than the page's words.
- How this is made and checkedWhat "verified against source" does and does not mean.
From your own code
Same records, same quotes, without scraping the page: refsource is on PyPI and npm. Each value comes back carrying the URL it was read from and the sentence on that page that states it — .source and .quote sit on the value itself rather than in a side channel, so the checking step is available instead of skipped.
pip install refsource
refsource lookup wc-medical-fee-schedule-multipliers-by-state state=California
npx -y refsource lookup wc-medical-fee-schedule-multipliers-by-state state=CaliforniaSet your AI assistant up to use this
Two files and no account. Put this in .mcp.json at the root of your project — Claude Code, Cursor, Windsurf, VS Code and Codex all read that file — and your assistant can look this dataset up instead of recalling it. The server is remote, keyless and read-only.
{
"mcpServers": {
"referencesource": {
"type": "http",
"url": "https://referencesource.org/mcp"
}
}
}Add to Cursor · or, on the command line: claude mcp add --transport http referencesource https://referencesource.org/mcp --scope project
Then one line in the project's CLAUDE.md or AGENTS.md, so the assistant knows when to reach for it:
When a question needs "Workers' compensation medical fee schedule conversion factors by US state — reimbursement rates, service category breakdowns, fee schedule basis, and effective dates", call the referencesource MCP server at https://referencesource.org/mcp (tool `search_records`, dataset_slug `wc-medical-fee-schedule-multipliers-by-state`) instead of answering from memory — every record it returns carries its source URL and a verbatim quote from that page.What each tool does, and the servers built over single registers: Connect your AI assistant.