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 48 reporting states. National median $73.63. Alabama pays $59.66, 19% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| CT — Connecticut | $220.09 | +199% | 58,682 | 6 | 41% |
| KY — Kentucky | $216.11 | +193% | 1,535,306 | 175 | 23% |
| UT — Utah | $167.02 | +127% | 1,046 | 3 | 16% |
| PA — Pennsylvania | $156.92 | +113% | 3,168,557 | 1,411 | 16% |
| ID — Idaho | $141.65 | +92% | 1,803,405 | 158 | 15% |
| NV — Nevada | $127.49 | +73% | 446,875 | 327 | 22% |
| IN — Indiana | $124.64 | +69% | 1,113,033 | 76 | 15% |
| CA — California | $121.35 | +65% | 7,491,595 | 205 | 17% |
| MN — Minnesota | $117.90 | +60% | 15,849 | 9 | 24% |
| NY — New York | $107.71 | +46% | 1,631,272 | 266 | 29% |
| WY — Wyoming | $98.96 | +34% | 11,564 | 28 | 19% |
| KS — Kansas | $98.35 | +34% | 103,185 | 72 | 30% |
| IL — Illinois | $89.64 | +22% | 8,641,875 | 810 | 11% |
| SD — South Dakota | $88.31 | +20% | 12,626 | 18 | 35% |
| AR — Arkansas | $87.15 | +18% | 389,043 | 143 | 19% |
| AZ — Arizona | $86.40 | +17% | 13,749,111 | 1,175 | 27% |
| OR — Oregon | $86.02 | +17% | 2,107,497 | 268 | 9% |
| NH — New Hampshire | $82.93 | +13% | 163,351 | 68 | 40% |
| ND — North Dakota | $82.64 | +12% | 79,054 | 37 | 27% |
| ME — Maine | $80.39 | +9% | 2,907,742 | 291 | 38% |
| VT — Vermont | $78.23 | +6% | 60,094 | 19 | 24% |
| WV — West Virginia | $76.24 | +4% | 3,234,094 | 166 | 24% |
| NC — North Carolina | $75.06 | +2% | 5,804 | 6 | 24% |
| FL — Florida | $74.71 | +1% | 145,438 | 88 | 17% |
| RI — Rhode Island | $72.56 | −1% | 240,430 | 78 | 35% |
| CO — Colorado | $69.97 | −5% | 1,175,652 | 295 | 31% |
| NJ — New Jersey | $69.74 | −5% | 231,340 | 64 | 36% |
| MI — Michigan | $65.53 | −11% | 817,929 | 210 | 28% |
| OK — Oklahoma | $65.14 | −12% | 11,060,955 | 636 | 20% |
| GA — Georgia | $63.66 | −14% | 62,836 | 24 | 5% |
| DC — District of Columbia | $63.38 | −14% | 528,175 | 83 | 27% |
| MD — Maryland | $63.37 | −14% | 2,762,379 | 383 | 21% |
| AL — Alabama | $59.66 | −19% | 620,769 | 16 | 21% |
| SC — South Carolina | $57.06 | −23% | 53,272 | 37 | 19% |
| TX — Texas | $56.65 | −23% | 194,219 | 92 | 27% |
| WA — Washington | $55.60 | −24% | 2,837,643 | 318 | 14% |
| HI — Hawaii | $55.27 | −25% | 144 | 2 | 17% |
| OH — Ohio | $53.60 | −27% | 486,225 | 248 | 23% |
| MA — Massachusetts | $49.13 | −33% | 253,707 | 28 | 37% |
| WI — Wisconsin | $46.56 | −37% | 54,127 | 4 | 15% |
| MT — Montana | $43.52 | −41% | 5,833 | 23 | 44% |
| VA — Virginia | $42.20 | −43% | 1,123,247 | 104 | 26% |
| DE — Delaware | $40.88 | −44% | 108,353 | 14 | 22% |
| TN — Tennessee | $39.50 | −46% | 44,704 | 7 | 26% |
| IA — Iowa | $38.65 | −48% | 2,219 | 1 | 23% |
| LA — Louisiana | $37.88 | −49% | 62,359 | 55 | 20% |
| MO — Missouri | $31.38 | −57% | 1,246,839 | 41 | 35% |
| AK — Alaska | $0.00 | −100% | 372 | 1 | 37% |
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.