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 $128.20. West Virginia pays $213.97, 67% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| HI — Hawaii | $331.03 | +158% | 392,556 | 38 | 17% |
| CT — Connecticut | $327.30 | +155% | 4,637,978 | 127 | 41% |
| AK — Alaska | $304.50 | +138% | 382,646 | 36 | 37% |
| GA — Georgia | $283.51 | +121% | 914,881 | 138 | 5% |
| RI — Rhode Island | $264.92 | +107% | 305,125 | 266 | 35% |
| AZ — Arizona | $235.81 | +84% | 3,834,603 | 258 | 27% |
| ND — North Dakota | $222.73 | +74% | 171,441 | 19 | 27% |
| WV — West Virginia | $213.97 | +67% | 898,987 | 133 | 24% |
| NM — New Mexico | $205.67 | +60% | 1,205,676 | 71 | 31% |
| NJ — New Jersey | $202.53 | +58% | 3,652,002 | 280 | 36% |
| OK — Oklahoma | $197.03 | +54% | 964,076 | 184 | 20% |
| OR — Oregon | $196.53 | +53% | 1,525,566 | 129 | 9% |
| MI — Michigan | $190.77 | +49% | 5,541,328 | 407 | 28% |
| ME — Maine | $180.37 | +41% | 456,086 | 58 | 38% |
| MN — Minnesota | $174.38 | +36% | 1,686,845 | 159 | 24% |
| TX — Texas | $172.81 | +35% | 3,288,277 | 588 | 27% |
| IA — Iowa | $170.93 | +33% | 761,453 | 184 | 23% |
| MO — Missouri | $168.17 | +31% | 1,387,506 | 592 | 35% |
| KY — Kentucky | $148.73 | +16% | 4,109,439 | 241 | 23% |
| NH — New Hampshire | $146.95 | +15% | 324,321 | 62 | 40% |
| DC — District of Columbia | $144.07 | +12% | 637,541 | 27 | 27% |
| MS — Mississippi | $139.17 | +9% | 1,344,884 | 175 | 21% |
| NY — New York | $138.28 | +8% | 4,306,262 | 2,354 | 29% |
| MA — Massachusetts | $132.38 | +3% | 4,074,732 | 526 | 37% |
| PA — Pennsylvania | $128.61 | +0% | 2,714,599 | 1,240 | 16% |
| VA — Virginia | $128.20 | −0% | 3,485,989 | 343 | 26% |
| NC — North Carolina | $127.98 | −0% | 3,498,766 | 284 | 24% |
| MD — Maryland | $126.58 | −1% | 1,114,160 | 147 | 21% |
| LA — Louisiana | $126.34 | −1% | 3,776,244 | 239 | 20% |
| NE — Nebraska | $117.57 | −8% | 344,693 | 79 | 9% |
| CO — Colorado | $115.03 | −10% | 1,837,589 | 214 | 31% |
| NV — Nevada | $114.53 | −11% | 2,106,596 | 356 | 22% |
| ID — Idaho | $111.61 | −13% | 304,101 | 56 | 15% |
| WY — Wyoming | $110.89 | −14% | 53,429 | 16 | 19% |
| DE — Delaware | $105.72 | −18% | 425,935 | 32 | 22% |
| TN — Tennessee | $103.12 | −20% | 3,504,100 | 565 | 26% |
| WA — Washington | $101.98 | −20% | 3,333,513 | 194 | 14% |
| CA — California | $101.20 | −21% | 12,087,764 | 1,302 | 17% |
| OH — Ohio | $99.71 | −22% | 7,388,546 | 590 | 23% |
| IN — Indiana | $98.36 | −23% | 3,655,129 | 327 | 15% |
| AL — Alabama | $95.44 | −26% | 1,477,966 | 194 | 21% |
| SD — South Dakota | $93.64 | −27% | 102,833 | 41 | 35% |
| IL — Illinois | $86.84 | −32% | 2,921,400 | 2,494 | 11% |
| MT — Montana | $83.41 | −35% | 347,333 | 55 | 44% |
| FL — Florida | $74.27 | −42% | 6,607,394 | 665 | 17% |
| UT — Utah | $70.17 | −45% | 625,581 | 153 | 16% |
| KS — Kansas | $56.40 | −56% | 337,519 | 112 | 30% |
| WI — Wisconsin | $55.44 | −57% | 2,015,899 | 330 | 15% |
| SC — South Carolina | $54.88 | −57% | 1,608,141 | 201 | 19% |
| AR — Arkansas | $52.99 | −59% | 594,124 | 152 | 19% |
| VT — Vermont | $51.90 | −60% | 60,274 | 30 | 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.