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 $106.59. Georgia pays $118.47, 11% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| HI — Hawaii | $342.29 | +221% | 679,593 | 44 | 17% |
| NJ — New Jersey | $220.64 | +107% | 4,813,555 | 263 | 36% |
| AK — Alaska | $174.71 | +64% | 653,376 | 45 | 37% |
| RI — Rhode Island | $170.52 | +60% | 380,726 | 283 | 35% |
| AZ — Arizona | $166.29 | +56% | 3,996,099 | 265 | 27% |
| DC — District of Columbia | $152.43 | +43% | 815,193 | 40 | 27% |
| ND — North Dakota | $152.39 | +43% | 261,394 | 48 | 27% |
| CT — Connecticut | $138.24 | +30% | 5,610,548 | 114 | 41% |
| VA — Virginia | $136.24 | +28% | 4,914,199 | 629 | 26% |
| PA — Pennsylvania | $132.18 | +24% | 3,260,941 | 1,071 | 16% |
| OR — Oregon | $132.14 | +24% | 2,368,093 | 136 | 9% |
| NY — New York | $130.30 | +22% | 7,821,513 | 1,445 | 29% |
| NM — New Mexico | $127.71 | +20% | 1,593,996 | 84 | 31% |
| OK — Oklahoma | $127.64 | +20% | 2,198,900 | 257 | 20% |
| MA — Massachusetts | $123.57 | +16% | 3,865,207 | 552 | 37% |
| MN — Minnesota | $120.46 | +13% | 2,387,252 | 220 | 24% |
| NC — North Carolina | $120.03 | +13% | 5,431,015 | 325 | 24% |
| GA — Georgia | $118.47 | +11% | 1,559,026 | 240 | 5% |
| KY — Kentucky | $117.72 | +10% | 4,808,120 | 287 | 23% |
| MO — Missouri | $116.61 | +9% | 2,647,062 | 1,271 | 35% |
| DE — Delaware | $112.38 | +5% | 784,621 | 26 | 22% |
| NH — New Hampshire | $110.83 | +4% | 436,979 | 66 | 40% |
| NE — Nebraska | $110.48 | +4% | 764,285 | 141 | 9% |
| IN — Indiana | $108.11 | +1% | 5,062,585 | 367 | 15% |
| CA — California | $107.42 | +1% | 15,396,869 | 1,575 | 17% |
| TN — Tennessee | $106.59 | −0% | 5,087,617 | 612 | 26% |
| CO — Colorado | $103.47 | −3% | 2,673,907 | 289 | 31% |
| IA — Iowa | $103.28 | −3% | 1,617,101 | 312 | 23% |
| TX — Texas | $100.97 | −5% | 7,417,234 | 742 | 27% |
| WA — Washington | $100.83 | −5% | 4,150,465 | 234 | 14% |
| MS — Mississippi | $97.07 | −9% | 2,820,376 | 223 | 21% |
| MI — Michigan | $94.50 | −11% | 6,165,459 | 452 | 28% |
| WY — Wyoming | $93.67 | −12% | 92,255 | 35 | 19% |
| OH — Ohio | $89.94 | −16% | 9,864,428 | 491 | 23% |
| LA — Louisiana | $86.68 | −19% | 5,430,081 | 270 | 20% |
| WV — West Virginia | $82.81 | −22% | 1,407,161 | 164 | 24% |
| FL — Florida | $76.75 | −28% | 10,973,402 | 723 | 17% |
| MD — Maryland | $72.18 | −32% | 707,770 | 150 | 21% |
| WI — Wisconsin | $71.94 | −33% | 3,092,456 | 360 | 15% |
| ID — Idaho | $71.32 | −33% | 309,048 | 83 | 15% |
| ME — Maine | $61.01 | −43% | 828,719 | 55 | 38% |
| NV — Nevada | $58.08 | −46% | 1,946,220 | 393 | 22% |
| SD — South Dakota | $53.41 | −50% | 192,701 | 66 | 35% |
| KS — Kansas | $50.64 | −52% | 979,064 | 269 | 30% |
| UT — Utah | $44.96 | −58% | 607,707 | 186 | 16% |
| SC — South Carolina | $43.84 | −59% | 3,505,760 | 345 | 19% |
| AR — Arkansas | $42.32 | −60% | 867,325 | 191 | 19% |
| IL — Illinois | $39.53 | −63% | 2,689,781 | 2,854 | 11% |
| AL — Alabama | $39.08 | −63% | 2,790,539 | 231 | 21% |
| MT — Montana | $36.31 | −66% | 684,044 | 89 | 44% |
| VT — Vermont | $25.17 | −76% | 163,574 | 29 | 24% |
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.