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 45 reporting states. National median $100.94. Maryland pays $287.13, 184% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| VA — Virginia | $1,383.47 | +1271% | 368,959 | 73 | 26% |
| MD — Maryland | $287.13 | +184% | 47,309 | 4 | 21% |
| NY — New York | $197.84 | +96% | 3,698,623 | 162 | 29% |
| CO — Colorado | $153.07 | +52% | 412,672 | 139 | 31% |
| IA — Iowa | $152.64 | +51% | 10,114 | 4 | 23% |
| FL — Florida | $137.15 | +36% | 2,948,653 | 366 | 17% |
| PA — Pennsylvania | $135.65 | +34% | 112,175 | 15 | 16% |
| UT — Utah | $129.32 | +28% | 373,047 | 45 | 16% |
| LA — Louisiana | $126.18 | +25% | 94,193 | 20 | 20% |
| IN — Indiana | $126.09 | +25% | 13,247,667 | 48 | 15% |
| NJ — New Jersey | $124.43 | +23% | 580,139 | 156 | 36% |
| MN — Minnesota | $123.20 | +22% | 3,238,123 | 185 | 24% |
| RI — Rhode Island | $120.58 | +19% | 198,813 | 33 | 35% |
| SC — South Carolina | $120.16 | +19% | 189,513 | 14 | 19% |
| NM — New Mexico | $118.97 | +18% | 43,565 | 7 | 31% |
| CA — California | $117.81 | +17% | 482,942 | 144 | 17% |
| KS — Kansas | $112.67 | +12% | 23,967 | 7 | 30% |
| ME — Maine | $111.70 | +11% | 54,800 | 14 | 38% |
| MA — Massachusetts | $111.34 | +10% | 5,020,166 | 189 | 37% |
| CT — Connecticut | $107.88 | +7% | 87,376 | 53 | 41% |
| WA — Washington | $102.62 | +2% | 538,796 | 198 | 14% |
| NC — North Carolina | $102.18 | +1% | 39,529 | 6 | 24% |
| NV — Nevada | $100.94 | −0% | 140,548 | 113 | 22% |
| AZ — Arizona | $98.87 | −2% | 6,888,663 | 797 | 27% |
| WY — Wyoming | $90.56 | −10% | 24,617 | 7 | 19% |
| TX — Texas | $82.31 | −18% | 9,454,918 | 560 | 27% |
| NH — New Hampshire | $73.60 | −27% | 12,371 | 9 | 40% |
| MT — Montana | $70.44 | −30% | 9,797 | 6 | 44% |
| AR — Arkansas | $63.68 | −37% | 3,591 | 5 | 19% |
| ID — Idaho | $63.07 | −38% | 544,591 | 56 | 15% |
| NE — Nebraska | $59.75 | −41% | 4,429 | 3 | 9% |
| VT — Vermont | $57.79 | −43% | 146,242 | 15 | 24% |
| GA — Georgia | $53.97 | −47% | 86,251 | 28 | 5% |
| OK — Oklahoma | $52.77 | −48% | 108,147 | 7 | 20% |
| HI — Hawaii | $50.43 | −50% | 42 | 1 | 17% |
| ND — North Dakota | $47.96 | −52% | 34,000 | 12 | 27% |
| MI — Michigan | $47.27 | −53% | 10,280,809 | 128 | 28% |
| DC — District of Columbia | $43.69 | −57% | 122,671 | 27 | 27% |
| OR — Oregon | $42.68 | −58% | 870,819 | 115 | 9% |
| WI — Wisconsin | $38.25 | −62% | 63,790 | 8 | 15% |
| WV — West Virginia | $26.31 | −74% | 22,893 | 8 | 24% |
| TN — Tennessee | $15.58 | −85% | 211 | 2 | 26% |
| AL — Alabama | $7.65 | −92% | 2,779 | 1 | 21% |
| IL — Illinois | $1.26 | −99% | 846 | 2 | 11% |
| MO — Missouri | $0.00 | −100% | 3,063 | 2 | 35% |
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.