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 43 reporting states. National median $72.72. Massachusetts pays $39.35, 46% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| AZ — Arizona | $401.96 | +453% | 656,793 | 270 | 27% |
| AK — Alaska | $281.39 | +287% | 130,204 | 11 | 37% |
| CA — California | $220.65 | +203% | 13,694,971 | 485 | 17% |
| IA — Iowa | $160.03 | +120% | 96,014 | 16 | 23% |
| NM — New Mexico | $141.62 | +95% | 243,752 | 32 | 31% |
| TX — Texas | $132.68 | +82% | 1,731,570 | 92 | 27% |
| ME — Maine | $122.76 | +69% | 435,232 | 15 | 38% |
| IN — Indiana | $116.83 | +61% | 196,454 | 16 | 15% |
| MN — Minnesota | $115.68 | +59% | 3,917,812 | 226 | 24% |
| KY — Kentucky | $112.71 | +55% | 147,528 | 18 | 23% |
| ID — Idaho | $112.40 | +55% | 767,201 | 137 | 15% |
| PA — Pennsylvania | $111.54 | +53% | 3,230 | 1 | 16% |
| VT — Vermont | $105.72 | +45% | 1,097,388 | 28 | 24% |
| FL — Florida | $103.62 | +42% | 12,512,313 | 1,006 | 17% |
| WI — Wisconsin | $103.42 | +42% | 10,573,293 | 59 | 15% |
| NV — Nevada | $94.18 | +30% | 166,514 | 129 | 22% |
| NY — New York | $91.66 | +26% | 1,170,262 | 123 | 29% |
| DE — Delaware | $83.32 | +15% | 613 | 1 | 22% |
| NC — North Carolina | $80.46 | +11% | 3,194,737 | 142 | 24% |
| ND — North Dakota | $79.73 | +10% | 25,067 | 13 | 27% |
| WY — Wyoming | $74.32 | +2% | 8,105 | 9 | 19% |
| UT — Utah | $72.72 | −0% | 922,642 | 94 | 16% |
| MS — Mississippi | $70.49 | −3% | 1,206,742 | 26 | 21% |
| RI — Rhode Island | $68.95 | −5% | 34,738 | 1 | 35% |
| GA — Georgia | $65.67 | −10% | 286,732 | 21 | 5% |
| TN — Tennessee | $65.02 | −11% | 686,062 | 23 | 26% |
| MD — Maryland | $64.76 | −11% | 1,743 | 1 | 21% |
| KS — Kansas | $64.50 | −11% | 1,493,558 | 63 | 30% |
| VA — Virginia | $63.59 | −13% | 2,825,018 | 97 | 26% |
| LA — Louisiana | $59.88 | −18% | 6,352,692 | 397 | 20% |
| SC — South Carolina | $59.44 | −18% | 1,275,563 | 51 | 19% |
| AL — Alabama | $58.39 | −20% | 806,718 | 2 | 21% |
| CO — Colorado | $56.55 | −22% | 66,359 | 37 | 31% |
| IL — Illinois | $51.77 | −29% | 696,118 | 58 | 11% |
| OK — Oklahoma | $51.60 | −29% | 1,209,902 | 243 | 20% |
| OH — Ohio | $50.38 | −31% | 2,405,549 | 240 | 23% |
| MA — Massachusetts | $39.35 | −46% | 49 | 1 | 37% |
| AR — Arkansas | $38.74 | −47% | 1,748,523 | 131 | 19% |
| NE — Nebraska | $33.82 | −53% | 70,206 | 9 | 9% |
| MT — Montana | $30.13 | −59% | 28,562 | 3 | 44% |
| MO — Missouri | $18.52 | −75% | 2,526,519 | 23 | 35% |
| NH — New Hampshire | $17.30 | −76% | 3,085,848 | 99 | 40% |
| WA — Washington | $7.32 | −90% | 19,584 | 12 | 14% |
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.