Workers’ comp insurance cost for home-health agencies in Virginia

Published 2026-06-11 · by Brokly

Direct answer: Virginia home-health agencies pay a filed workers’-comp manual rate of $1.19 per $100 of payroll (2024 filed rate) — the 39th-highest of 51 US jurisdictions. Modeled on real payrolls, most <5-employee home-health agencies land around $710–$2.8k/yr, before experience mods and schedule credits.

What do Virginia home-health agencies pay for workers’ comp?

Modeled annual premium across the real size distribution of VA home-health agencies

bar height = how many home-health agencies are that size · figures = modeled annual cost

typical · most VA home-health agencies
<5 emp
$980/yr
5–9 emp
$3k/yr
10–19 emp
$5.9k/yr
20–49 emp
$14k/yr
50–99 emp
$29k/yr
100–249 emp
$57k/yr
SMALLER
MID-SIZE
LARGER
A <5-employee VA home-health agency: modeled $710–$2.8k/yr in workers’-comp premium (that band’s own average wage, before experience mods and schedule credits). Bar heights show how many of the 1,478 VA home-health agencies fall in each size band.

Cohort: size distribution of 1,478 VA home-health agencies (Census CBP 2023); premiums modeled from one filed rate ($1.19/$100 payroll, 2024). Bands shown cover 1,469 of 1,478 establishments (99.4%) 9 establishments in larger, very small-count, or data-suppressed size bands are not shown. 2023 payroll dollars, not inflation-adjusted. Illustrative benchmark — not a quote or coverage recommendation.

Filed manual rate (VA)
$1.19 / $100 payroll
as of 2024
Typical <5-employee home-health agency (32% of VA)
$710–$2.8k / yr modeled
as of 2024 · CBP 2023

Sources: Oregon DCBS workers' compensation premium rate ranking study, June 2025 (calendar-year 2024 rates) (as of calendar year 2024, retrieved 2026-06-04) · US Census County Business Patterns 2023, state file (Home health care services (NAICS 621610)) (as of 2023, retrieved 2026-06-05)

How does Virginia compare to nearby ranks?

Calculated manual rates, $ per $100 payroll, NCCI class 8835 (Home Healthcare), 2024. See all 51 jurisdictions →

RankStateRate / $100 payroll
35Massachusetts$1.45
36Tennessee$1.43
37Indiana$1.41
38Minnesota$1.28
39Virginia$1.19
40Wisconsin$1.17
41Kansas$1.17
42Maryland$1.15
43Kentucky$1.06

Sources: Oregon DCBS workers' compensation premium rate ranking study, June 2025 (calendar-year 2024 rates) (as of calendar year 2024, retrieved 2026-06-04)

Frequently asked questions

What does workers' comp cost home-health agencies in Virginia?

Modeled from the 2024 filed manual rate of $1.19 per $100 of payroll: a <5-employee home-health agency lands around $710–$2.8k per year before experience mods and schedule credits.

What drives the rate up or down?

Three levers: payroll (the exposure base), claims history (the experience modifier), and schedule credits/debits the insurer applies. Home-health work is NCCI class 8835 (Home Healthcare) — nurses, aides, and other staff delivering care in patients' homes; office-based healthcare classes like 8832 (Physician & Clerical) are rated separately.

Home-health agencies in nearby-ranked states: Wisconsin ($1.17) · Indiana ($1.41) · Kansas ($1.17) · Maryland ($1.15)

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Illustrative benchmark — not a quote or coverage recommendation. Figures are modeled from public filings and Census data for 1,478 Virginia home-health agencies; your premium depends on your payroll, claims history, and carrier.