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 $95.07. Nevada pays $42.97, 55% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| NC — North Carolina | $1,639.96 | +1625% | 4,585 | 3 | 24% |
| VA — Virginia | $608.66 | +540% | 333,774 | 125 | 26% |
| NY — New York | $574.27 | +504% | 472,427 | 168 | 29% |
| MS — Mississippi | $338.42 | +256% | 52,458 | 5 | 21% |
| AK — Alaska | $245.08 | +158% | 484,450 | 38 | 37% |
| LA — Louisiana | $225.44 | +137% | 98 | 1 | 20% |
| CT — Connecticut | $224.14 | +136% | 1,017,884 | 24 | 41% |
| OR — Oregon | $214.97 | +126% | 1,981 | 2 | 9% |
| MI — Michigan | $195.40 | +106% | 240,226 | 29 | 28% |
| KY — Kentucky | $188.11 | +98% | 421,531 | 47 | 23% |
| MA — Massachusetts | $151.57 | +59% | 5,410,110 | 297 | 37% |
| RI — Rhode Island | $143.04 | +50% | 205,792 | 6 | 35% |
| CA — California | $136.92 | +44% | 15,110,030 | 663 | 17% |
| NJ — New Jersey | $133.91 | +41% | 26,748 | 9 | 36% |
| AL — Alabama | $129.39 | +36% | 52,157 | 6 | 21% |
| ID — Idaho | $122.65 | +29% | 298,330 | 60 | 15% |
| WA — Washington | $115.40 | +21% | 108,094 | 36 | 14% |
| HI — Hawaii | $113.63 | +20% | 154,612 | 1 | 17% |
| TN — Tennessee | $113.38 | +19% | 359,423 | 72 | 26% |
| MN — Minnesota | $106.15 | +12% | 564,174 | 49 | 24% |
| NM — New Mexico | $103.40 | +9% | 461,157 | 43 | 31% |
| GA — Georgia | $97.84 | +3% | 141,245 | 8 | 5% |
| IA — Iowa | $96.88 | +2% | 1,415,760 | 93 | 23% |
| CO — Colorado | $95.11 | +0% | 641,316 | 99 | 31% |
| TX — Texas | $95.02 | −0% | 530,096 | 156 | 27% |
| NH — New Hampshire | $93.01 | −2% | 1,567,369 | 34 | 40% |
| ME — Maine | $89.87 | −5% | 12,453 | 8 | 38% |
| OH — Ohio | $87.22 | −8% | 17,364,365 | 842 | 23% |
| WY — Wyoming | $84.93 | −11% | 419,259 | 174 | 19% |
| PA — Pennsylvania | $83.77 | −12% | 1,490,435 | 183 | 16% |
| AR — Arkansas | $80.54 | −15% | 2,351,152 | 175 | 19% |
| UT — Utah | $80.54 | −15% | 735,198 | 92 | 16% |
| IL — Illinois | $79.71 | −16% | 16,666 | 3 | 11% |
| WI — Wisconsin | $69.05 | −27% | 16,111 | 6 | 15% |
| FL — Florida | $65.42 | −31% | 15,918,575 | 1,912 | 17% |
| SC — South Carolina | $64.46 | −32% | 63 | 1 | 19% |
| AZ — Arizona | $61.93 | −35% | 317,102 | 44 | 27% |
| WV — West Virginia | $60.04 | −37% | 43,001 | 4 | 24% |
| IN — Indiana | $52.60 | −45% | 4,917 | 5 | 15% |
| VT — Vermont | $51.13 | −46% | 7,502 | 9 | 24% |
| ND — North Dakota | $48.07 | −49% | 6,719 | 2 | 27% |
| MT — Montana | $45.37 | −52% | 602,889 | 36 | 44% |
| NV — Nevada | $42.97 | −55% | 378,666 | 11 | 22% |
| MO — Missouri | $27.12 | −71% | 11,298 | 5 | 35% |
| OK — Oklahoma | $23.20 | −76% | 69,607 | 52 | 20% |
| DE — Delaware | $12.77 | −87% | 11,133 | 1 | 22% |
| MD — Maryland | $4.12 | −96% | 4,880 | 5 | 21% |
| DC — District of Columbia | $0.00 | −100% | 27,471 | 3 | 27% |
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.