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 $33.94. Ohio pays $96.82, 185% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| AK — Alaska | $210.31 | +520% | 161,573 | 26 | 37% |
| VA — Virginia | $112.34 | +231% | 1,729,427 | 72 | 26% |
| DC — District of Columbia | $97.49 | +187% | 226,418 | 11 | 27% |
| OH — Ohio | $96.82 | +185% | 9,189,648 | 153 | 23% |
| NY — New York | $92.92 | +174% | 1,950,713 | 182 | 29% |
| IA — Iowa | $89.67 | +164% | 2,208,112 | 71 | 23% |
| CT — Connecticut | $88.58 | +161% | 6,285,566 | 35 | 41% |
| MO — Missouri | $83.03 | +145% | 2,519,626 | 98 | 35% |
| WA — Washington | $81.31 | +140% | 4,810,935 | 103 | 14% |
| MN — Minnesota | $79.10 | +133% | 4,494,010 | 82 | 24% |
| NM — New Mexico | $78.01 | +130% | 1,581,592 | 38 | 31% |
| IN — Indiana | $72.01 | +112% | 1,273,110 | 100 | 15% |
| ME — Maine | $61.63 | +82% | 4,081,215 | 56 | 38% |
| ND — North Dakota | $60.71 | +79% | 382,312 | 10 | 27% |
| OR — Oregon | $60.28 | +78% | 1,117,518 | 45 | 9% |
| IL — Illinois | $52.76 | +55% | 225,639 | 30 | 11% |
| MI — Michigan | $52.02 | +53% | 8,197,045 | 153 | 28% |
| OK — Oklahoma | $49.04 | +44% | 48,233 | 50 | 20% |
| TN — Tennessee | $47.37 | +40% | 1,484,396 | 64 | 26% |
| RI — Rhode Island | $47.10 | +39% | 73,446 | 56 | 35% |
| UT — Utah | $46.30 | +36% | 980,280 | 28 | 16% |
| AL — Alabama | $42.81 | +26% | 868,919 | 43 | 21% |
| SC — South Carolina | $41.67 | +23% | 248,212 | 65 | 19% |
| DE — Delaware | $40.10 | +18% | 88,422 | 8 | 22% |
| PA — Pennsylvania | $36.54 | +8% | 454,836 | 101 | 16% |
| KY — Kentucky | $33.94 | −0% | 2,510,261 | 77 | 23% |
| CA — California | $33.54 | −1% | 3,012,472 | 268 | 17% |
| FL — Florida | $32.58 | −4% | 1,236,482 | 134 | 17% |
| HI — Hawaii | $29.71 | −12% | 128,530 | 13 | 17% |
| NC — North Carolina | $27.24 | −20% | 2,137,089 | 86 | 24% |
| MA — Massachusetts | $27.02 | −20% | 4,193,983 | 108 | 37% |
| MD — Maryland | $24.11 | −29% | 380,635 | 47 | 21% |
| WY — Wyoming | $22.17 | −35% | 4,461 | 7 | 19% |
| AZ — Arizona | $21.68 | −36% | 367,933 | 47 | 27% |
| NJ — New Jersey | $19.68 | −42% | 760,054 | 91 | 36% |
| GA — Georgia | $19.65 | −42% | 112,092 | 21 | 5% |
| VT — Vermont | $18.77 | −45% | 101,946 | 8 | 24% |
| NE — Nebraska | $18.69 | −45% | 445,855 | 36 | 9% |
| CO — Colorado | $16.44 | −52% | 76,125 | 33 | 31% |
| AR — Arkansas | $15.73 | −54% | 402,329 | 74 | 19% |
| TX — Texas | $15.30 | −55% | 586,602 | 122 | 27% |
| ID — Idaho | $14.64 | −57% | 339,637 | 21 | 15% |
| SD — South Dakota | $14.37 | −58% | 394,283 | 46 | 35% |
| WV — West Virginia | $13.53 | −60% | 381,755 | 39 | 24% |
| KS — Kansas | $12.73 | −62% | 271,523 | 52 | 30% |
| MS — Mississippi | $11.94 | −65% | 503,360 | 54 | 21% |
| WI — Wisconsin | $10.55 | −69% | 1,298,226 | 99 | 15% |
| NV — Nevada | $10.12 | −70% | 67,218 | 23 | 22% |
| NH — New Hampshire | $8.63 | −75% | 403,407 | 33 | 40% |
| LA — Louisiana | $0.60 | −98% | 362,522 | 61 | 20% |
| MT — Montana | $0.42 | −99% | 339,242 | 22 | 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.