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 $115.86. Wisconsin pays $60.36, 48% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| HI — Hawaii | $285.57 | +146% | 628,445 | 46 | 17% |
| AK — Alaska | $239.04 | +106% | 609,916 | 43 | 37% |
| NJ — New Jersey | $230.43 | +99% | 5,551,207 | 314 | 36% |
| TX — Texas | $201.65 | +74% | 7,451,925 | 718 | 27% |
| RI — Rhode Island | $201.41 | +74% | 446,853 | 328 | 35% |
| AZ — Arizona | $185.89 | +60% | 4,702,457 | 264 | 27% |
| CT — Connecticut | $183.69 | +59% | 6,503,644 | 126 | 41% |
| ND — North Dakota | $175.13 | +51% | 270,891 | 33 | 27% |
| OK — Oklahoma | $166.74 | +44% | 1,720,502 | 235 | 20% |
| GA — Georgia | $166.36 | +44% | 1,301,469 | 229 | 5% |
| OR — Oregon | $165.01 | +42% | 2,457,038 | 142 | 9% |
| NM — New Mexico | $159.85 | +38% | 1,870,676 | 77 | 31% |
| MO — Missouri | $146.31 | +26% | 1,898,951 | 957 | 35% |
| KY — Kentucky | $145.59 | +26% | 5,907,542 | 285 | 23% |
| DC — District of Columbia | $141.24 | +22% | 830,457 | 34 | 27% |
| IA — Iowa | $140.36 | +21% | 1,588,493 | 280 | 23% |
| MN — Minnesota | $137.99 | +19% | 2,474,332 | 206 | 24% |
| NC — North Carolina | $132.49 | +14% | 6,559,304 | 332 | 24% |
| NY — New York | $129.41 | +12% | 8,098,693 | 2,238 | 29% |
| WV — West Virginia | $123.62 | +7% | 1,507,230 | 169 | 24% |
| PA — Pennsylvania | $123.10 | +6% | 5,341,622 | 1,614 | 16% |
| MS — Mississippi | $122.96 | +6% | 2,543,394 | 227 | 21% |
| VA — Virginia | $120.51 | +4% | 5,213,524 | 623 | 26% |
| NH — New Hampshire | $119.63 | +3% | 473,442 | 76 | 40% |
| TN — Tennessee | $115.88 | +0% | 5,907,326 | 626 | 26% |
| MA — Massachusetts | $115.86 | −0% | 4,826,222 | 835 | 37% |
| MI — Michigan | $113.80 | −2% | 7,140,970 | 484 | 28% |
| NE — Nebraska | $113.59 | −2% | 763,555 | 113 | 9% |
| LA — Louisiana | $110.73 | −4% | 6,317,116 | 271 | 20% |
| DE — Delaware | $108.95 | −6% | 604,949 | 36 | 22% |
| WY — Wyoming | $107.43 | −7% | 100,982 | 27 | 19% |
| MD — Maryland | $103.79 | −10% | 1,706,422 | 154 | 21% |
| IN — Indiana | $100.93 | −13% | 5,751,927 | 382 | 15% |
| CO — Colorado | $96.30 | −17% | 2,651,697 | 267 | 31% |
| ME — Maine | $96.06 | −17% | 965,321 | 63 | 38% |
| WA — Washington | $94.91 | −18% | 4,332,387 | 226 | 14% |
| ID — Idaho | $92.26 | −20% | 408,659 | 74 | 15% |
| OH — Ohio | $90.16 | −22% | 10,765,488 | 664 | 23% |
| NV — Nevada | $86.82 | −25% | 2,028,744 | 402 | 22% |
| CA — California | $78.81 | −32% | 15,661,800 | 1,397 | 17% |
| FL — Florida | $71.90 | −38% | 10,902,801 | 751 | 17% |
| IL — Illinois | $62.89 | −46% | 3,524,053 | 2,936 | 11% |
| AL — Alabama | $61.83 | −47% | 3,109,355 | 241 | 21% |
| MT — Montana | $61.29 | −47% | 576,525 | 76 | 44% |
| WI — Wisconsin | $60.36 | −48% | 3,466,983 | 430 | 15% |
| SD — South Dakota | $59.59 | −49% | 207,090 | 60 | 35% |
| KS — Kansas | $58.92 | −49% | 671,331 | 194 | 30% |
| UT — Utah | $50.96 | −56% | 902,516 | 193 | 16% |
| AR — Arkansas | $50.30 | −57% | 852,956 | 186 | 19% |
| SC — South Carolina | $50.28 | −57% | 3,139,947 | 355 | 19% |
| VT — Vermont | $36.70 | −68% | 196,184 | 31 | 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.