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 $34.14. Hawaii pays $36.11, 6% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| DC — District of Columbia | $108.94 | +219% | 339,586 | 30 | 27% |
| AK — Alaska | $107.26 | +214% | 324,604 | 116 | 37% |
| IL — Illinois | $63.36 | +86% | 3,446,957 | 1,221 | 11% |
| GA — Georgia | $58.15 | +70% | 379,948 | 62 | 5% |
| AR — Arkansas | $56.30 | +65% | 4,640,483 | 499 | 19% |
| SC — South Carolina | $56.23 | +65% | 2,101,656 | 288 | 19% |
| TX — Texas | $55.14 | +62% | 5,050,363 | 1,324 | 27% |
| OH — Ohio | $47.93 | +40% | 3,865,486 | 849 | 23% |
| VA — Virginia | $46.93 | +37% | 3,528,841 | 404 | 26% |
| NM — New Mexico | $46.31 | +36% | 2,053,706 | 292 | 31% |
| UT — Utah | $45.75 | +34% | 347,498 | 205 | 16% |
| CT — Connecticut | $43.66 | +28% | 8,566,062 | 348 | 41% |
| PA — Pennsylvania | $43.41 | +27% | 3,091,272 | 1,281 | 16% |
| NY — New York | $43.25 | +27% | 14,501,967 | 2,449 | 29% |
| FL — Florida | $41.44 | +21% | 10,512,125 | 2,106 | 17% |
| LA — Louisiana | $41.40 | +21% | 1,904,490 | 372 | 20% |
| OK — Oklahoma | $39.33 | +15% | 183,008 | 99 | 20% |
| NH — New Hampshire | $37.98 | +11% | 645,486 | 134 | 40% |
| NE — Nebraska | $37.91 | +11% | 689,399 | 215 | 9% |
| AZ — Arizona | $37.61 | +10% | 3,924,482 | 482 | 27% |
| MA — Massachusetts | $37.33 | +9% | 4,638,475 | 744 | 37% |
| HI — Hawaii | $36.11 | +6% | 330,485 | 110 | 17% |
| ID — Idaho | $35.52 | +4% | 888,007 | 235 | 15% |
| VT — Vermont | $35.22 | +3% | 95,617 | 60 | 24% |
| WY — Wyoming | $34.98 | +2% | 94,458 | 44 | 19% |
| WV — West Virginia | $34.14 | −0% | 762,488 | 207 | 24% |
| RI — Rhode Island | $33.52 | −2% | 977,052 | 365 | 35% |
| ND — North Dakota | $32.82 | −4% | 92,239 | 33 | 27% |
| OR — Oregon | $32.40 | −5% | 1,276,492 | 356 | 9% |
| MD — Maryland | $31.41 | −8% | 2,494,503 | 573 | 21% |
| CO — Colorado | $31.24 | −8% | 2,086,564 | 638 | 31% |
| KY — Kentucky | $30.86 | −10% | 3,967,750 | 779 | 23% |
| IN — Indiana | $30.35 | −11% | 2,614,922 | 496 | 15% |
| NC — North Carolina | $29.46 | −14% | 809,063 | 296 | 24% |
| MN — Minnesota | $28.51 | −16% | 1,455,659 | 304 | 24% |
| WA — Washington | $28.17 | −17% | 3,059,226 | 476 | 14% |
| CA — California | $25.73 | −25% | 16,447,588 | 2,115 | 17% |
| MI — Michigan | $25.55 | −25% | 5,150,826 | 547 | 28% |
| TN — Tennessee | $25.04 | −27% | 2,437,981 | 353 | 26% |
| NV — Nevada | $23.58 | −31% | 1,639,184 | 319 | 22% |
| IA — Iowa | $22.89 | −33% | 373,715 | 177 | 23% |
| SD — South Dakota | $22.62 | −34% | 187,900 | 59 | 35% |
| AL — Alabama | $22.22 | −35% | 984,484 | 317 | 21% |
| MO — Missouri | $21.68 | −36% | 641,582 | 335 | 35% |
| WI — Wisconsin | $21.61 | −37% | 3,956,752 | 633 | 15% |
| NJ — New Jersey | $21.35 | −37% | 5,315,784 | 729 | 36% |
| DE — Delaware | $20.55 | −40% | 811,467 | 93 | 22% |
| MS — Mississippi | $20.28 | −41% | 3,416,442 | 368 | 21% |
| KS — Kansas | $15.31 | −55% | 347,954 | 211 | 30% |
| ME — Maine | $15.23 | −55% | 787,753 | 146 | 38% |
| MT — Montana | $13.04 | −62% | 542,554 | 157 | 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.