Cost of care

What senior care costs in every state (2026)

Nursing home, assisted living and in-home care costs for all fifty states, side by side. Sort by any column, or type a state; pick one for the full breakdown.

Median senior care costs by state, 2025
Alabama$27$4,425$8,334
Alaska$38$9,882$27,831
Arizona$38$6,250$8,365
Arkansas$25$4,637$7,452
California$40$7,000$12,167
Colorado$42$6,584$10,159
Connecticut$36$9,118$15,208
Delaware$35$7,600$14,494
Florida$32$5,610$10,342
Georgia$32$5,300$8,821
Hawaii$41$12,096$15,473
Idaho$39$5,175$10,494
Illinois$36$6,219$8,304
Indiana$35$5,639$8,943
Iowa$41$5,381$9,277
Kansas$34$5,975$8,669
Kentucky$33$5,528$9,718
Louisiana$26$5,163$7,604
Maine$45$8,205$13,976
Maryland$35$7,173$12,927
Massachusetts$40$9,600$14,448
Michigan$35$5,818$11,254
Minnesota$44$6,573$10,646
Mississippi$24$4,369$9,581
Missouri$33$5,400$6,741
Montana$38$6,075$8,973
Nebraska$36$6,350$8,377
Nevada$37$6,241$11,786
New Hampshire$40$8,025$12,243
New Jersey$38$8,710$12,775
New Mexico$30$5,950$9,125
New York$35$7,110$15,528
North Carolina$30$6,496$9,733
North Dakota$34$4,729$11,528
Ohio$34$6,103$9,186
Oklahoma$33$6,150$7,026
Oregon$40$6,875$16,760
Pennsylvania$34$6,480$11,954
Rhode Island$40$7,781$12,106
South Carolina$31$5,350$9,034
South Dakota$44$4,900$9,444
Tennessee$31$5,845$9,429
Texas$30$5,666$5,627
Utah$39$5,475$8,669
Vermont$45$8,597$14,113
Virginia$35$6,945$10,250
Washington$45$7,600$13,155
West Virginia$30$6,340$12,836
Wisconsin$36$6,540$10,646
Wyoming$46$5,325$9,916

Source: CareScout Cost of Care Survey 2025 (surveyed July–November 2025), state medians. In-home care is the hourly rate for a non-medical caregiver; nursing home is a semi-private room. Local prices vary.

Nationally, in-home care runs a median of $35/hour, assisted living $6,200/month, and a semi-private nursing home room $9,581/month. (CareScout Cost of Care Survey 2025 medians; local prices vary.)

Looking at help at home rather than a move? What home care costs turns the hourly rate into monthly totals for every schedule, and lists the rate in every state.

Where’s Washington, DC? The 2025 survey doesn’t publish DC-level tables, so we don’t publish DC figures we can’t verify. For DC ZIP codes, the assessment shows national medians and says so plainly.

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Questions people ask about care costs

How much does assisted living cost per month?

The national median is $6,200 a month (CareScout Cost of Care Survey 2025). State medians run from $4,369 in Mississippi to $12,096 in Hawaii. That is the base rate; level-of-care fees for medication management or bathing help are often added on top, so ask for the full fee schedule.

How much does in-home care cost per hour?

The national median for a non-medical in-home caregiver is $35 an hour, which works out to roughly $3,050 a month at 20 hours a week. State medians run from $24 in Mississippi to $46 in Wyoming. What home care costs breaks the hourly rate into monthly totals and lists every state.

What does a nursing home cost per month?

The national median for a semi-private room is $9,581 a month; private rooms run higher. State medians run from $5,627 in Texas to $27,831 in Alaska, the widest spread of any care level.

Does Medicare pay for assisted living or a nursing home?

Not for long-term care. Medicare does not pay for assisted living, and it pays for a nursing home only as short-term skilled care after a qualifying hospital stay: up to 100 days, with a daily coinsurance after day 20. Ongoing custodial care is paid by the family, by long-term care insurance, by VA benefits for some veterans, or by Medicaid once assets are spent down. How to pay for care and Medicaid basics walk through each path.

Why is Washington, DC not listed?

The 2025 survey does not publish DC-level tables, and we only publish figures we can verify against the source. For a DC ZIP code the assessment shows national medians and says so.

Where do these figures come from?

Every figure is a state or national median from the CareScout Cost of Care Survey 2025 (surveyed July to November 2025), or arithmetic on one, such as the 20-hours-a-week monthly total. Memory care is not a surveyed category, so the state pages show it only as a labeled estimate of 20 to 25 percent above assisted living.

Source: CareScout Cost of Care Survey 2025 (surveyed July–November 2025), state median figures, from the most recent full cost-of-care survey published. Local prices vary. Memory care isn’t a surveyed category; state pages show a labeled estimate (20–25% above assisted living).