Workers’ comp insurance cost for physician offices in Iowa

Q: What does workers' comp cost physician offices in Iowa?

Modeled from the 2024 filed manual rate of $0.27 per $100 of payroll: a <5-employee physician practice lands around $360–$1.4k per year before experience mods and schedule credits.

Q: 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. Physician-office work is NCCI class 8832 (Physician & Clerical) — the '& Clerical' is part of the class design, so receptionists and billing staff are rated in the same class as the clinical team rather than split out separately.

Published 2026-06-11 · by Brokly

Direct answer: Iowa physician offices pay a filed workers’-comp manual rate of $0.27 per $100 of payroll (2024 filed rate) — the 30th-highest of 51 US jurisdictions. Modeled on real payrolls, most <5-employee physician offices land around $360–$1.4k/yr, before experience mods and schedule credits.

43% of IA physician offices have <5 employees — the chart below prices every size band from its own observed payroll.
Iowa sits 30th of 51: AL pays more ($0.29), MS less ($0.22).
Workers’ comp is one of several coverages — see everything your physician practice needs in Iowa →

What do Iowa physician offices pay for workers’ comp?

Modeled annual premium across the real size distribution of IA physician offices

bar height = how many physician offices are that size · figures = modeled annual cost

typical · most IA physician offices

▼

<5 emp

≈$590/yr

5–9 emp

≈$2.2k/yr

10–19 emp

≈$3.8k/yr

20–49 emp

≈$9.9k/yr

50–99 emp

≈$20k/yr

100–249 emp

≈$38k/yr

SMALLER

MID-SIZE

LARGER

A <5-employee IA physician practice: modeled $360–$1.4k/yr in workers’-comp premium (that band’s own average wage, before experience mods and schedule credits). Bar heights show how many of the 1,033 IA physician offices fall in each size band.

Cohort: size distribution of 1,033 IA physician offices (Census CBP 2023); premiums modeled from one filed rate ($0.27/$100 payroll, 2024). Bands shown cover 1,024 of 1,033 establishments (99.1%) — 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 (IA)

$0.27 / $100 payroll

as of 2024

Typical <5-employee physician practice (43% of IA)

$360–$1.4k / 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 (Offices of physicians (NAICS 621111)) (as of 2023, retrieved 2026-06-05)

How does Iowa compare to nearby ranks?

Calculated manual rates, $ per $100 payroll, NCCI class 8832 (Physician & Clerical), 2024. See all 51 jurisdictions →

Rank	State	Rate / $100 payroll
26	Wisconsin	$0.28
27	Georgia	$0.28
28	Oregon	$0.27
29	Nebraska	$0.27
30	Iowa	$0.27
31	Florida	$0.25
32	South Dakota	$0.25
33	North Carolina	$0.25
34	Massachusetts	$0.23

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 physician offices in Iowa?

Modeled from the 2024 filed manual rate of $0.27 per $100 of payroll: a <5-employee physician practice lands around $360–$1.4k 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. Physician-office work is NCCI class 8832 (Physician & Clerical) — the '& Clerical' is part of the class design, so receptionists and billing staff are rated in the same class as the clinical team rather than split out separately.

Physician offices in nearby-ranked states: Florida ($0.25) · Oregon ($0.27) · Georgia ($0.28) · North Carolina ($0.25)

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Illustrative benchmark — not a quote or coverage recommendation. Figures are modeled from public filings and Census data for 1,033 Iowa physician offices; your premium depends on your payroll, claims history, and carrier.