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 50 reporting states. National median $57.47. West Virginia pays $85.37, 49% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| RI — Rhode Island | $266.04 | +363% | 139,447 | 21 | 35% |
| SC — South Carolina | $214.49 | +273% | 178 | 2 | 19% |
| MI — Michigan | $157.76 | +175% | 553,399 | 105 | 28% |
| CA — California | $150.73 | +162% | 21,746,024 | 730 | 17% |
| MN — Minnesota | $137.23 | +139% | 572,328 | 72 | 24% |
| FL — Florida | $136.87 | +138% | 6,864,510 | 462 | 17% |
| HI — Hawaii | $125.43 | +118% | 1,185,727 | 45 | 17% |
| PA — Pennsylvania | $97.08 | +69% | 1,468,075 | 205 | 16% |
| NY — New York | $96.42 | +68% | 1,767,183 | 166 | 29% |
| WV — West Virginia | $85.37 | +49% | 76,489 | 10 | 24% |
| KY — Kentucky | $79.23 | +38% | 1,046,517 | 94 | 23% |
| OH — Ohio | $77.23 | +34% | 3,767,633 | 275 | 23% |
| TX — Texas | $75.45 | +31% | 277,208 | 177 | 27% |
| NM — New Mexico | $74.16 | +29% | 1,405,716 | 56 | 31% |
| AZ — Arizona | $70.54 | +23% | 3,997,180 | 127 | 27% |
| NJ — New Jersey | $68.13 | +19% | 3,042,964 | 181 | 36% |
| CO — Colorado | $68.12 | +19% | 553,722 | 65 | 31% |
| ND — North Dakota | $67.82 | +18% | 157,655 | 9 | 27% |
| WA — Washington | $65.05 | +13% | 3,259,086 | 103 | 14% |
| LA — Louisiana | $64.30 | +12% | 385,364 | 112 | 20% |
| NV — Nevada | $64.18 | +12% | 2,808,991 | 53 | 22% |
| ME — Maine | $60.30 | +5% | 526,847 | 20 | 38% |
| KS — Kansas | $60.10 | +5% | 169,156 | 24 | 30% |
| OR — Oregon | $59.31 | +3% | 666,061 | 49 | 9% |
| VA — Virginia | $57.51 | +0% | 3,210,371 | 183 | 26% |
| MA — Massachusetts | $57.43 | −0% | 2,669,613 | 84 | 37% |
| NE — Nebraska | $57.14 | −1% | 381,715 | 32 | 9% |
| IA — Iowa | $52.02 | −9% | 342,386 | 34 | 23% |
| MO — Missouri | $50.56 | −12% | 1,626,191 | 126 | 35% |
| WI — Wisconsin | $49.59 | −14% | 2,967,213 | 120 | 15% |
| NH — New Hampshire | $49.21 | −14% | 185,716 | 12 | 40% |
| SD — South Dakota | $48.94 | −15% | 408,780 | 26 | 35% |
| AK — Alaska | $48.83 | −15% | 239,686 | 9 | 37% |
| TN — Tennessee | $47.65 | −17% | 2,260,702 | 160 | 26% |
| DC — District of Columbia | $41.23 | −28% | 968,845 | 20 | 27% |
| MS — Mississippi | $40.70 | −29% | 3,570,811 | 95 | 21% |
| MD — Maryland | $37.21 | −35% | 935,628 | 137 | 21% |
| AL — Alabama | $35.61 | −38% | 1,230,232 | 114 | 21% |
| DE — Delaware | $32.98 | −43% | 232,884 | 27 | 22% |
| UT — Utah | $31.96 | −44% | 192,941 | 40 | 16% |
| GA — Georgia | $31.72 | −45% | 394,612 | 22 | 5% |
| ID — Idaho | $26.47 | −54% | 232,288 | 24 | 15% |
| NC — North Carolina | $26.19 | −54% | 4,945,249 | 203 | 24% |
| IN — Indiana | $22.62 | −61% | 2,712,040 | 140 | 15% |
| WY — Wyoming | $16.55 | −71% | 11,808 | 3 | 19% |
| CT — Connecticut | $14.96 | −74% | 3,400,876 | 54 | 41% |
| OK — Oklahoma | $12.72 | −78% | 347,962 | 46 | 20% |
| VT — Vermont | $11.20 | −81% | 41,498 | 4 | 24% |
| AR — Arkansas | $6.53 | −89% | 1,294,020 | 65 | 19% |
| MT — Montana | $0.01 | −100% | 169,360 | 15 | 44% |
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.