What each state pays for the same procedure. Start from a code — no need to pick a state first.
Restricted to widely-billed codes: a procedure billed in four states cannot tell you whether your rate is unusual.
Average paid per claim across 51 reporting states. National median $85.17. Wyoming pays $68.35, 20% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| AK — Alaska | $199.22 | +134% | 459,993 | 149 | 37% |
| OR — Oregon | $143.87 | +69% | 3,488,223 | 1,383 | 9% |
| CA — California | $141.50 | +66% | 12,155,173 | 4,317 | 17% |
| UT — Utah | $139.41 | +64% | 1,881,955 | 375 | 16% |
| NE — Nebraska | $136.89 | +61% | 583,623 | 513 | 9% |
| SC — South Carolina | $123.82 | +45% | 2,156,878 | 642 | 19% |
| NM — New Mexico | $118.96 | +40% | 2,809,416 | 923 | 31% |
| MD — Maryland | $114.65 | +35% | 1,151,315 | 448 | 21% |
| ND — North Dakota | $109.92 | +29% | 162,863 | 141 | 27% |
| DC — District of Columbia | $109.47 | +29% | 469,530 | 120 | 27% |
| MA — Massachusetts | $102.77 | +21% | 2,881,189 | 1,022 | 37% |
| MN — Minnesota | $102.15 | +20% | 6,098,027 | 1,155 | 24% |
| NY — New York | $101.83 | +20% | 3,796,202 | 1,753 | 29% |
| MI — Michigan | $101.41 | +19% | 7,265,072 | 1,959 | 28% |
| CO — Colorado | $100.65 | +18% | 3,837,144 | 1,691 | 31% |
| MS — Mississippi | $99.81 | +17% | 1,935,346 | 283 | 21% |
| PA — Pennsylvania | $93.64 | +10% | 2,877,826 | 558 | 16% |
| VA — Virginia | $91.25 | +7% | 3,603,321 | 1,350 | 26% |
| RI — Rhode Island | $90.08 | +6% | 383,631 | 365 | 35% |
| HI — Hawaii | $89.38 | +5% | 573,323 | 443 | 17% |
| SD — South Dakota | $88.30 | +4% | 322,789 | 186 | 35% |
| GA — Georgia | $86.06 | +1% | 1,523,801 | 890 | 5% |
| OH — Ohio | $85.93 | +1% | 12,569,974 | 2,661 | 23% |
| AL — Alabama | $85.58 | +0% | 1,603,098 | 379 | 21% |
| CT — Connecticut | $85.35 | +0% | 10,353,118 | 2,188 | 41% |
| IL — Illinois | $85.17 | −0% | 1,567,970 | 1,178 | 11% |
| ID — Idaho | $85.05 | −0% | 144,591 | 257 | 15% |
| KS — Kansas | $84.40 | −1% | 1,110,908 | 736 | 30% |
| AR — Arkansas | $83.19 | −2% | 3,604,861 | 437 | 19% |
| WV — West Virginia | $79.17 | −7% | 706,541 | 315 | 24% |
| MT — Montana | $78.75 | −8% | 2,189,656 | 1,207 | 44% |
| NV — Nevada | $78.71 | −8% | 1,712,987 | 979 | 22% |
| AZ — Arizona | $78.44 | −8% | 591,997 | 387 | 27% |
| NC — North Carolina | $77.00 | −10% | 6,120,244 | 1,715 | 24% |
| TX — Texas | $75.52 | −11% | 2,536,736 | 1,718 | 27% |
| KY — Kentucky | $75.50 | −11% | 7,504,227 | 1,272 | 23% |
| IN — Indiana | $75.37 | −12% | 3,794,861 | 692 | 15% |
| WI — Wisconsin | $74.43 | −13% | 1,579,868 | 903 | 15% |
| IA — Iowa | $74.22 | −13% | 1,198,966 | 615 | 23% |
| TN — Tennessee | $71.91 | −16% | 1,717,363 | 437 | 26% |
| NH — New Hampshire | $70.69 | −17% | 786,828 | 195 | 40% |
| NJ — New Jersey | $69.62 | −18% | 356,766 | 194 | 36% |
| MO — Missouri | $68.44 | −20% | 476,598 | 442 | 35% |
| WY — Wyoming | $68.35 | −20% | 162,487 | 137 | 19% |
| VT — Vermont | $66.13 | −22% | 1,453,038 | 670 | 24% |
| WA — Washington | $62.95 | −26% | 3,854,804 | 944 | 14% |
| DE — Delaware | $62.42 | −27% | 787,735 | 240 | 22% |
| OK — Oklahoma | $59.35 | −30% | 273,194 | 267 | 20% |
| FL — Florida | $52.46 | −38% | 849,342 | 504 | 17% |
| LA — Louisiana | $39.30 | −54% | 1,428,450 | 913 | 20% |
| ME — Maine | $29.82 | −65% | 282,512 | 143 | 38% |
Average paid per claim is a ratio internal to the claims data, so unlike per-enrollee measures it needs no external denominator. It remains subject to one caveat: this extract carries no claim-type field, so fee-for-service claims and managed-care encounter records are mixed together, and states derive encounter amounts inconsistently. The coverage column indicates how much of each state’s program these claims represent.