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 $62.03. Utah pays $84.20, 36% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| AK — Alaska | $173.07 | +179% | 1,173,355 | 444 | 37% |
| ND — North Dakota | $98.93 | +59% | 727,920 | 170 | 27% |
| OK — Oklahoma | $94.36 | +52% | 5,518,118 | 1,724 | 20% |
| MD — Maryland | $92.31 | +49% | 12,350,716 | 3,693 | 21% |
| NY — New York | $90.54 | +46% | 33,483,010 | 16,667 | 29% |
| NM — New Mexico | $89.84 | +45% | 5,263,341 | 974 | 31% |
| HI — Hawaii | $89.82 | +45% | 1,818,048 | 698 | 17% |
| CO — Colorado | $89.67 | +45% | 7,989,895 | 2,733 | 31% |
| UT — Utah | $84.20 | +36% | 2,291,146 | 1,341 | 16% |
| SC — South Carolina | $79.56 | +28% | 7,685,134 | 2,496 | 19% |
| MN — Minnesota | $76.74 | +24% | 9,291,371 | 1,188 | 24% |
| SD — South Dakota | $75.11 | +21% | 770,671 | 260 | 35% |
| DC — District of Columbia | $74.95 | +21% | 1,319,976 | 314 | 27% |
| NE — Nebraska | $74.46 | +20% | 2,019,579 | 602 | 9% |
| MT — Montana | $72.06 | +16% | 1,666,991 | 541 | 44% |
| VA — Virginia | $70.03 | +13% | 14,132,053 | 3,545 | 26% |
| RI — Rhode Island | $69.98 | +13% | 1,843,360 | 1,743 | 35% |
| MI — Michigan | $68.71 | +11% | 18,465,079 | 4,388 | 28% |
| OR — Oregon | $68.45 | +10% | 6,869,680 | 1,520 | 9% |
| MO — Missouri | $67.62 | +9% | 6,026,849 | 3,213 | 35% |
| MA — Massachusetts | $66.73 | +8% | 15,882,906 | 5,079 | 37% |
| GA — Georgia | $66.29 | +7% | 3,052,146 | 823 | 5% |
| NJ — New Jersey | $64.19 | +3% | 13,094,625 | 3,814 | 36% |
| NV — Nevada | $63.49 | +2% | 4,910,701 | 2,285 | 22% |
| IN — Indiana | $62.85 | +1% | 15,220,803 | 2,130 | 15% |
| NC — North Carolina | $62.03 | −0% | 19,487,046 | 4,460 | 24% |
| OH — Ohio | $60.96 | −2% | 28,041,202 | 4,594 | 23% |
| KS — Kansas | $60.53 | −2% | 1,982,608 | 888 | 30% |
| WA — Washington | $59.38 | −4% | 11,674,516 | 1,860 | 14% |
| ID — Idaho | $57.70 | −7% | 2,060,903 | 623 | 15% |
| AL — Alabama | $56.83 | −8% | 7,068,592 | 2,006 | 21% |
| PA — Pennsylvania | $56.02 | −10% | 9,996,391 | 8,244 | 16% |
| CT — Connecticut | $54.77 | −12% | 19,262,854 | 1,601 | 41% |
| AZ — Arizona | $54.08 | −13% | 19,507,299 | 3,078 | 27% |
| MS — Mississippi | $53.23 | −14% | 6,164,737 | 1,690 | 21% |
| WY — Wyoming | $52.50 | −15% | 337,283 | 226 | 19% |
| FL — Florida | $52.18 | −16% | 17,233,329 | 6,468 | 17% |
| DE — Delaware | $51.73 | −17% | 2,283,669 | 505 | 22% |
| WV — West Virginia | $50.10 | −19% | 4,614,588 | 1,045 | 24% |
| NH — New Hampshire | $48.53 | −22% | 1,922,569 | 418 | 40% |
| IL — Illinois | $48.35 | −22% | 14,896,912 | 14,784 | 11% |
| TX — Texas | $46.91 | −24% | 19,295,347 | 5,848 | 27% |
| AR — Arkansas | $45.02 | −27% | 4,401,474 | 1,547 | 19% |
| KY — Kentucky | $44.07 | −29% | 13,736,646 | 2,512 | 23% |
| LA — Louisiana | $42.07 | −32% | 17,137,094 | 2,930 | 20% |
| TN — Tennessee | $41.84 | −33% | 18,206,336 | 3,800 | 26% |
| WI — Wisconsin | $41.62 | −33% | 8,056,233 | 1,654 | 15% |
| CA — California | $37.50 | −40% | 60,407,531 | 13,438 | 17% |
| IA — Iowa | $36.24 | −42% | 4,584,877 | 1,083 | 23% |
| VT — Vermont | $34.00 | −45% | 1,388,217 | 322 | 24% |
| ME — Maine | $30.57 | −51% | 2,879,480 | 470 | 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.