State rankings

Assisted Living Costs by State

District of Columbia has the highest Annual Cost ($83,730), followed by Alaska ($81,960) and Rhode Island ($81,915). Missouri has the lowest ($36,000).

EconomicsHealth51 states · 5 metricsUpdated Jun 18, 2025Original page
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Annual Cost

Green is better, red is worse (lower is better). Click a place to highlight it.

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All 51 ranked

Best first.

Distribution Median and middle halfThe median is the middle value: half of places are above it, half below. The middle half is the range holding the central 50% of places.More in the glossary →

Each dot is one state; the lines mark the median and the middle half.

Median
$52,404
Middle half $46,155 – $62,276
Average
$55,090
51 states
Lowest (best)
$36,000
Missouri
Highest (worst)
$83,730
District of Columbia

Data

Click a column to sort, a row to highlight that place on the charts.

51 states · # = rank by Annual Cost
#
1Missouri$36,000$75,504
2South Dakota$40,200$100,672
3North Dakota$40,695$91,520
4Kentucky$41,370$77,792
5Utah$42,000$86,944
5Mississippi$42,000$57,200
7Alabama$42,030$57,200
8Georgia$42,420$66,352
9South Carolina$43,338$68,640
10Louisiana$44,979$50,336
11Nevada$45,000$86,944
12Arkansas$45,120$59,488
13Idaho$46,050$76,648
14Oklahoma$46,260$80,080
15Texas$47,970$68,640
16Florida$48,000$68,640
16Arizona$48,000$82,368
18North Carolina$48,120$68,640
19Nebraska$48,915$82,368
20Pennsylvania$49,200$77,792
21Tennessee$49,260$70,928
22West Virginia$49,920$66,352
23Wyoming$50,025$74,360
24Michigan$51,000$77,792
25Indiana$51,390$75,504
26Iowa$52,404$89,232
27Montana$53,400$91,520
28Illinois$53,850$80,080
29New Mexico$53,970$64,064
30Minnesota$54,090$98,384
31New York$54,960$77,792
31Kansas$54,960$73,216
33Wisconsin$55,200$86,944
34Ohio$55,620$75,504
35Colorado$57,000$96,096
36Maryland$58,800$80,080
37Oregon$60,540$91,520
38Connecticut$61,551$80,080
39California$63,000$89,232
39Virginia$63,000$75,504
39Vermont$63,000$99,528
42Hawaii$64,500$97,240
43Maine$70,380$98,384
44Delaware$71,940$77,792
45Washington$72,000$96,096
46New Hampshire$72,630$89,232
47New Jersey$77,940$84,656
48Massachusetts$78,000$86,944
49Rhode Island$81,915$96,096
50Alaska$81,960$77,792
51District of Columbia$83,730$86,944

What correlates with Annual Cost?

Pearson r against 2,095 other state metrics sharing at least 31 states. Correlation is not causation.

Higher together

Places that have a higher Annual Cost tend to score higher on these

  1. Assisted Living Community AMCNursing Home Costs by State
    r = +0.84 · very strong · n = 51
    Plot
  2. Owners Who Would Spend $4K+ to Save Their DogPet Ownership Statistics by State
    r = +0.77 · very strong · n = 50
    Plot
  3. Livable Wage w/ 2 Children (Hourly)Living Wage by State
    r = +0.76 · very strong · n = 51
    Plot
  4. Livable Wage w/ 2 Children (Annual)Living Wage by State
    r = +0.76 · very strong · n = 51
    Plot
  5. Average RentAverage Rent by State
    r = +0.76 · very strong · n = 45
    Plot
  6. Misc Costs IndexCost of Living Index by State
    r = +0.75 · very strong · n = 51
    Plot

Opposite directions

Places that have a higher Annual Cost tend to score lower on these

  1. % of Registered RepublicansRegistered Voters by Party
    r = −0.71 · very strong · n = 31
    Plot
  2. Trump % Vote RecievedTrump Approval Rating by State
    r = −0.71 · very strong · n = 51
    Plot
  3. Trump VotesMost Republican States
    r = −0.71 · very strong · n = 51
    Plot
  4. CLA RatingMost Conservative States
    r = −0.71 · very strong · n = 50
    Plot
  5. Presidential Margin (Republican minus Democratic, Points)Presidential Election Results by State, 2016–2024
    r = −0.70 · very strong · n = 51
    Plot
  6. Republican Vote Share (President, %)Presidential Election Results by State, 2016–2024
    r = −0.70 · very strong · n = 51
    Plot

Quick answers

Which state has the highest Annual Cost?
District of Columbia has the highest Annual Cost, at $83,730, followed by Alaska ($81,960) and Rhode Island ($81,915).
Which state has the lowest Annual Cost?
Missouri has the lowest Annual Cost, at $36,000.
What is the median Annual Cost across US states?
The median is $52,404 across the 51 US states with data.
Where does this assisted living costs by state data come from?
Rankodex compiles it from World Population Review and the primary sources it cites: Cost of Care Survey 2019.

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