{
  "name": "Workers' compensation medical fee schedule conversion factors by US state \u2014 reimbursement rates, service category breakdowns, fee schedule basis, and effective dates",
  "description": "State-by-state comparison of workers' compensation medical fee schedule conversion factors \u2014 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'.",
  "url": "https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/",
  "licence": "unknown",
  "last_verified": "2026-08-15",
  "stale_after": "2027-02-11",
  "sources": [
    "https://www.dli.mn.gov/business/workers-compensation/work-comp-medical-fee-schedules-rbrvs",
    "https://www.tdi.texas.gov/wc/fee/conversionfactors.html"
  ],
  "records": [
    {
      "state": "Minnesota",
      "fee_schedule_basis": "RBRVS",
      "primary_conversion_factor": "$67.29",
      "surgery_conversion_factor": "$67.29",
      "other_conversion_factors": "Pathology and laboratory: $59.91; Physical medicine/rehabilitation: $60.56; Chiropractic: $52.15",
      "effective_date": "Oct. 1, 2025",
      "update_methodology": "annual update per Minnesota Rules Chapter 5221",
      "source_citation": "Minnesota Rules Chapter 5221, Parts 5221.4005 to 5221.4062",
      "id": "minnesota",
      "url": "https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/minnesota/",
      "source": "https://www.dli.mn.gov/business/workers-compensation/work-comp-medical-fee-schedules-rbrvs",
      "source_quote": "<https://www.dli.mn.gov/sites/default/files/pdf/fees_RBRVS_instructions25.pdf> Instructions for using the Minnesota workers' compensation RBRVS table <https://www.dli.mn.gov/sites/default/files/pdf/steps2accessMedicareRVUtables_2025.pdf> Step-by-step instructions to access Medicare's relative value tables beginning Oct. 1, 2025 RBRVS conversion factors <https://www.dli.mn.gov/sites/default/files/pdf/fees_RBRVS_explanation_of_conversion_factors25.pdf> Explanation of conversion factors 2025-2026 For dates of service from Oct. 1, 2025, through Sept. 30, 2026, the relative value fee schedule conversion factors are: for medical/surgical services in part 5221.4030: $67.29;",
      "verified_fields": [
        "effective_date",
        "fee_schedule_basis",
        "primary_conversion_factor",
        "state",
        "surgery_conversion_factor"
      ],
      "derived_fields": [
        "other_conversion_factors",
        "source_citation",
        "update_methodology"
      ]
    },
    {
      "state": "Texas",
      "fee_schedule_basis": "RBRVS",
      "primary_conversion_factor": "$72.07",
      "surgery_conversion_factor": "$90.48 (facility setting); $72.07 (office setting)",
      "other_conversion_factors": "Anesthesia: $72.07; Evaluation and management: $72.07; General medicine: $72.07; Pathology: $72.07; Physical medicine and rehabilitation: $72.07; Radiology: $72.07",
      "effective_date": "1/1/26",
      "update_methodology": "annual adjustment by Medicare Economic Index (MEI)",
      "source_citation": "28 Texas Administrative Code \u00a7134.203",
      "id": "texas",
      "url": "https://referencesource.org/wc-medical-fee-schedule-multipliers-by-state/texas/",
      "source": "https://www.tdi.texas.gov/wc/fee/conversionfactors.html",
      "source_quote": "Call Comp Connection for Health Care Providers at&#160;800-252-7031 option 3, or email CompConnection@tdi.texas.gov . Conversion factors to be applied for services provided based on the following time frames Applicable from | Applicable to | Anesthesia | Evaluation and management | General medicine | Pathology | Physical medicine and rehabilitation | Radiology | Surgery in an office setting | Surgery in a facility setting | MEI percentage adjustment | 1/1/26 | 12/31/26 | $72.07 |",
      "verified_fields": [
        "effective_date",
        "primary_conversion_factor",
        "state"
      ],
      "derived_fields": [
        "other_conversion_factors",
        "source_citation",
        "update_methodology"
      ]
    }
  ]
}