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 44 reporting states. National median $137.47. Texas pays $0.00, 100% below the median.
State-by-state detail is in the table below.
| State | Avg paid / claim | vs median | Claims | Providers | Coverage |
|---|---|---|---|---|---|
| IN — Indiana | $2,327.52 | +1593% | 6,044 | 3 | 15% |
| MT — Montana | $1,011.92 | +636% | 116,722 | 45 | 44% |
| CA — California | $494.90 | +260% | 78,598 | 64 | 17% |
| RI — Rhode Island | $412.07 | +200% | 802,387 | 33 | 35% |
| AL — Alabama | $406.83 | +196% | 520,325 | 2 | 21% |
| KS — Kansas | $384.62 | +180% | 2,093,794 | 130 | 30% |
| HI — Hawaii | $347.78 | +153% | 50,592 | 6 | 17% |
| VA — Virginia | $337.73 | +146% | 427,246 | 108 | 26% |
| WY — Wyoming | $264.34 | +92% | 65,039 | 8 | 19% |
| CT — Connecticut | $216.27 | +57% | 12,214 | 1 | 41% |
| MA — Massachusetts | $213.59 | +55% | 505,722 | 24 | 37% |
| ME — Maine | $198.01 | +44% | 1,869,251 | 72 | 38% |
| WI — Wisconsin | $195.04 | +42% | 86,008 | 38 | 15% |
| OH — Ohio | $188.38 | +37% | 12,329 | 2 | 23% |
| MO — Missouri | $184.50 | +34% | 4,904,830 | 167 | 35% |
| NH — New Hampshire | $173.08 | +26% | 2,853,783 | 39 | 40% |
| NJ — New Jersey | $171.82 | +25% | 9,784,308 | 219 | 36% |
| ND — North Dakota | $169.19 | +23% | 1,019,649 | 26 | 27% |
| CO — Colorado | $163.53 | +19% | 4,026,628 | 291 | 31% |
| DC — District of Columbia | $151.16 | +10% | 416,296 | 28 | 27% |
| AK — Alaska | $151.08 | +10% | 1,395,579 | 61 | 37% |
| MD — Maryland | $147.85 | +8% | 162,938 | 7 | 21% |
| NC — North Carolina | $127.08 | −8% | 7,356,184 | 202 | 24% |
| NV — Nevada | $126.01 | −8% | 96,492 | 4 | 22% |
| WV — West Virginia | $123.40 | −10% | 1,014,772 | 57 | 24% |
| NM — New Mexico | $117.22 | −15% | 726,605 | 52 | 31% |
| PA — Pennsylvania | $106.28 | −23% | 34,295 | 4 | 16% |
| AZ — Arizona | $104.23 | −24% | 2,424,579 | 49 | 27% |
| DE — Delaware | $95.44 | −31% | 53,417 | 6 | 22% |
| NY — New York | $95.21 | −31% | 1,931 | 1 | 29% |
| ID — Idaho | $91.27 | −34% | 285,884 | 1 | 15% |
| MI — Michigan | $86.76 | −37% | 247,275 | 2 | 28% |
| MS — Mississippi | $84.13 | −39% | 1,117 | 1 | 21% |
| MN — Minnesota | $78.06 | −43% | 157,930 | 14 | 24% |
| TN — Tennessee | $74.89 | −46% | 4,712,275 | 103 | 26% |
| FL — Florida | $74.87 | −46% | 33,212 | 16 | 17% |
| OK — Oklahoma | $66.10 | −52% | 11,996 | 1 | 20% |
| KY — Kentucky | $65.87 | −52% | 3,930,391 | 150 | 23% |
| IA — Iowa | $56.93 | −59% | 699,846 | 103 | 23% |
| LA — Louisiana | $54.06 | −61% | 1,575,471 | 66 | 20% |
| IL — Illinois | $51.47 | −63% | 10,075 | 1 | 11% |
| VT — Vermont | $8.84 | −94% | 654,893 | 14 | 24% |
| TX — Texas | $0.00 | −100% | 53 | 1 | 27% |
| WA — Washington | $0.00 | −100% | 49 | 1 | 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.