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 50 reporting states. National median $144.96. Texas pays $165.91, 14% above the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| WY — Wyoming | $358.95 | +148% | 487,374 | 55 | 19% |
| NV — Nevada | $323.00 | +123% | 715,794 | 64 | 22% |
| SD — South Dakota | $318.34 | +120% | 61 | 2 | 35% |
| MN — Minnesota | $292.50 | +102% | 54,337 | 42 | 24% |
| ND — North Dakota | $250.58 | +73% | 34,358 | 10 | 27% |
| WA — Washington | $249.40 | +72% | 12,820,975 | 663 | 14% |
| AZ — Arizona | $233.54 | +61% | 11,847,352 | 361 | 27% |
| WI — Wisconsin | $226.25 | +56% | 1,300,789 | 62 | 15% |
| NE — Nebraska | $224.64 | +55% | 451,597 | 47 | 9% |
| TN — Tennessee | $222.73 | +54% | 140,433 | 11 | 26% |
| OK — Oklahoma | $222.10 | +53% | 2,858,827 | 144 | 20% |
| CA — California | $189.48 | +31% | 115,242,934 | 1,600 | 17% |
| NM — New Mexico | $183.97 | +27% | 584,436 | 16 | 31% |
| ME — Maine | $180.53 | +25% | 3,017,183 | 180 | 38% |
| ID — Idaho | $177.77 | +23% | 2,141,693 | 150 | 15% |
| IA — Iowa | $174.06 | +20% | 5,354,643 | 337 | 23% |
| MD — Maryland | $172.42 | +19% | 1,375,310 | 61 | 21% |
| PA — Pennsylvania | $172.29 | +19% | 11,847,156 | 1,698 | 16% |
| NJ — New Jersey | $171.55 | +18% | 935,269 | 108 | 36% |
| NH — New Hampshire | $170.34 | +18% | 935,952 | 83 | 40% |
| TX — Texas | $165.91 | +14% | 12,021,443 | 772 | 27% |
| KS — Kansas | $165.03 | +14% | 6,674 | 8 | 30% |
| VT — Vermont | $148.72 | +3% | 1,572,053 | 70 | 24% |
| CT — Connecticut | $147.47 | +2% | 23,763,206 | 81 | 41% |
| NY — New York | $144.98 | +0% | 446,504 | 123 | 29% |
| MA — Massachusetts | $144.95 | −0% | 5,876,768 | 555 | 37% |
| WV — West Virginia | $132.61 | −9% | 6,487,266 | 391 | 24% |
| RI — Rhode Island | $130.63 | −10% | 851,295 | 126 | 35% |
| IL — Illinois | $123.56 | −15% | 26,443,041 | 849 | 11% |
| AL — Alabama | $119.58 | −18% | 5,856,209 | 243 | 21% |
| OR — Oregon | $118.32 | −18% | 152,503 | 62 | 9% |
| DC — District of Columbia | $109.19 | −25% | 1,722,579 | 101 | 27% |
| UT — Utah | $109.02 | −25% | 224,228 | 65 | 16% |
| LA — Louisiana | $107.25 | −26% | 13,823,064 | 824 | 20% |
| NC — North Carolina | $102.34 | −29% | 5,026,154 | 544 | 24% |
| GA — Georgia | $98.75 | −32% | 144,472 | 46 | 5% |
| VA — Virginia | $94.41 | −35% | 39,044 | 20 | 26% |
| DE — Delaware | $81.48 | −44% | 209,044 | 50 | 22% |
| MS — Mississippi | $75.25 | −48% | 75,949 | 16 | 21% |
| AR — Arkansas | $71.38 | −51% | 19,696,898 | 534 | 19% |
| MO — Missouri | $69.91 | −52% | 1,236,817 | 176 | 35% |
| OH — Ohio | $68.55 | −53% | 12,045,648 | 549 | 23% |
| CO — Colorado | $64.30 | −56% | 88,147 | 29 | 31% |
| AK — Alaska | $59.28 | −59% | 555 | 1 | 37% |
| MI — Michigan | $47.88 | −67% | 4,207,218 | 294 | 28% |
| FL — Florida | $44.84 | −69% | 4,807,855 | 704 | 17% |
| KY — Kentucky | $36.20 | −75% | 291,108 | 67 | 23% |
| SC — South Carolina | $26.31 | −82% | 7,054,435 | 357 | 19% |
| HI — Hawaii | $25.79 | −82% | 71,028 | 16 | 17% |
| IN — Indiana | $21.15 | −85% | 6,890,400 | 409 | 15% |
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.