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 $63.68. Washington pays $13.58, 79% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| VA — Virginia | $291.54 | +358% | 66,473 | 38 | 26% |
| NY — New York | $219.99 | +245% | 684,427 | 41 | 29% |
| MI — Michigan | $210.21 | +230% | 1,962,412 | 123 | 28% |
| NH — New Hampshire | $167.39 | +163% | 2,468,321 | 33 | 40% |
| FL — Florida | $160.36 | +152% | 18,360 | 9 | 17% |
| DE — Delaware | $156.88 | +146% | 95 | 1 | 22% |
| AK — Alaska | $146.04 | +129% | 365,423 | 89 | 37% |
| IA — Iowa | $145.53 | +129% | 51,449 | 22 | 23% |
| LA — Louisiana | $140.22 | +120% | 88,797 | 29 | 20% |
| MD — Maryland | $135.86 | +113% | 414,745 | 43 | 21% |
| WY — Wyoming | $134.03 | +110% | 8,282 | 21 | 19% |
| KY — Kentucky | $118.39 | +86% | 516,433 | 63 | 23% |
| NC — North Carolina | $111.98 | +76% | 2,194,810 | 231 | 24% |
| MO — Missouri | $105.49 | +66% | 37,489 | 13 | 35% |
| ND — North Dakota | $102.25 | +61% | 42,714 | 18 | 27% |
| WV — West Virginia | $87.33 | +37% | 545,462 | 96 | 24% |
| MS — Mississippi | $87.22 | +37% | 3,877 | 4 | 21% |
| KS — Kansas | $83.78 | +32% | 18,055 | 11 | 30% |
| PA — Pennsylvania | $80.56 | +27% | 1,858,115 | 155 | 16% |
| MA — Massachusetts | $74.52 | +17% | 39,911 | 10 | 37% |
| ID — Idaho | $69.43 | +9% | 72,161 | 65 | 15% |
| GA — Georgia | $69.35 | +9% | 186,445 | 15 | 5% |
| WI — Wisconsin | $67.61 | +6% | 5,735,442 | 224 | 15% |
| UT — Utah | $65.74 | +3% | 439,732 | 18 | 16% |
| OK — Oklahoma | $61.61 | −3% | 5,195,430 | 137 | 20% |
| TX — Texas | $61.40 | −4% | 323,858 | 16 | 27% |
| IL — Illinois | $55.69 | −13% | 3,987,827 | 468 | 11% |
| OR — Oregon | $54.93 | −14% | 473,897 | 207 | 9% |
| SD — South Dakota | $53.96 | −15% | 498,669 | 38 | 35% |
| MN — Minnesota | $50.87 | −20% | 8,805,346 | 235 | 24% |
| SC — South Carolina | $50.63 | −20% | 1,238,561 | 102 | 19% |
| MT — Montana | $47.97 | −25% | 1,538,154 | 53 | 44% |
| ME — Maine | $44.50 | −30% | 227,154 | 8 | 38% |
| NV — Nevada | $43.22 | −32% | 607,247 | 190 | 22% |
| AR — Arkansas | $42.64 | −33% | 82,324 | 5 | 19% |
| CO — Colorado | $36.30 | −43% | 196,323 | 24 | 31% |
| OH — Ohio | $35.75 | −44% | 1,623,116 | 10 | 23% |
| AZ — Arizona | $34.73 | −45% | 40,135,726 | 1,185 | 27% |
| TN — Tennessee | $34.51 | −46% | 10,259 | 8 | 26% |
| IN — Indiana | $34.28 | −46% | 5,736,286 | 52 | 15% |
| RI — Rhode Island | $23.94 | −62% | 1,774,276 | 182 | 35% |
| CT — Connecticut | $23.34 | −63% | 204,640 | 50 | 41% |
| WA — Washington | $13.58 | −79% | 139,287 | 114 | 14% |
| AL — Alabama | $9.79 | −85% | 3,040,642 | 5 | 21% |
| CA — California | $5.70 | −91% | 238,842 | 71 | 17% |
| VT — Vermont | $1.23 | −98% | 940,130 | 37 | 24% |
| NM — New Mexico | $0.08 | −100% | 343,041 | 13 | 31% |
| NJ — New Jersey | $0.03 | −100% | 153 | 2 | 36% |
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.