families.care Research · The Cost of Senior Care by U.S. State
Senior Care in America: 2026 Cost & Availability Report
What assisted living, nursing homes, in-home care, and adult day care cost across all 50 states — cross-cut with the provider supply families can actually find. National medians reflect CareScout 2025; State-by-state medians reflect the 2025 CareScout Cost of Care Survey dataset.
For 2025 national planning figures (assisted living $6,200/mo; in‑home caregiver $35/hr; adult day $95/day; nursing home private room $10,798/mo), see /us/faq or /us/compare-care-types. For 2025 California, see /us/location/california. State rows below remain 2025 CareScout Cost of Care Survey.
Published June 2026 · Reviewed by Luis Diaz Sendel, Founder
Download Full 50-State Dataset (CSV)Key findings
- The national median for assisted living is $6,200/month (CareScout 2025).
- Hawaii is the most expensive state for assisted living at $12,096/month; Mississippi is the least expensive at $4,369/month — about 2.8× higher.
- A nursing home (private room) runs a national median of $129,575/year (≈ $10,798/month; $355/day) — CareScout 2025.
- In-home care (non-medical caregiver) has a national median of $35/hour (CareScout 2025).
- We track 126,153 published senior care providers across the 50 states and D.C. Normalized by the 65+ population, the national median is 246 providers per 100K residents 65+ — and 5 states pair above-median cost with below-median supply.
National medians at a glance (CareScout 2025)
Assisted living
$6,200 /month
National median (CareScout 2025)
Nursing home (private room)
$129,575 /year
≈ $10,798/month · $355/day
National median (CareScout 2025)
In-home care (non-medical caregiver)
$35 /hour
National median (CareScout 2025)
Adult day care
$95 /day
National median (CareScout 2025)
Cost and provider supply, ranked by state
Monthly median cost of assisted living in each state, highest to lowest, alongside the daily adult-day-care median and the number of published senior care providers we track — raw and per 100,000 residents aged 65+ (raw counts favor populous states; the per-capita column is the fair comparison). State-by-state medians reflect the 2025 dataset; national medians above reflect CareScout 2025. "vs national" compares each state to the $6,200 state-derived national median. Free to cite or embed with attribution to families.care.
| # | State | Assisted living / mo | vs national | Adult day care / day | Providers | Per 100K 65+ |
|---|---|---|---|---|---|---|
| 1 | Hawaii | $12,096 | +95% | $118 | 494 | 159 |
| 2 | Alaska | $9,882 | +59% | $175 | 1,097 | 1,003 |
| 3 | Massachusetts | $9,600 | +55% | $112 | 1,748 | 131 |
| 4 | Connecticut | $9,118 | +47% | $109 | 2,068 | 290 |
| 5 | New Jersey | $8,710 | +40% | $100 | 1,423 | 83 |
| 6 | Vermont | $8,597 | +39% | — | 299 | 201 |
| 7 | Maine | $8,205 | +32% | $115 | 1,817 | 551 |
| 8 | New Hampshire | $8,025 | +29% | $93 | 839 | 277 |
| 9 | Rhode Island | $7,781 | +26% | $65 | 324 | 147 |
| 10 | Delaware | $7,600 | +23% | — | 663 | 291 |
| 11 | Washington | $7,600 | +23% | $249 | 1,841 | 134 |
| 12 | Maryland | $7,173 | +16% | $117 | 3,693 | 336 |
| 13 | New York | $7,110 | +15% | $144 | 2,358 | 63 |
| 14 | California | $7,000 | +13% | $94 | 13,530 | 207 |
| 15 | Virginia | $6,945 | +12% | $81 | 2,076 | 134 |
| 16 | Oregon | $6,875 | +11% | $200 | 1,151 | 135 |
| 17 | Colorado | $6,584 | +6% | $105 | 1,633 | 167 |
| 18 | Minnesota | $6,573 | +6% | $120 | 5,065 | 480 |
| 19 | Wisconsin | $6,540 | +5% | $70 | 5,218 | 446 |
| 20 | North Carolina | $6,496 | +5% | $85 | 4,188 | 211 |
| 21 | Pennsylvania | $6,480 | +5% | $117 | 3,188 | 120 |
| 22 | Nebraska | $6,350 | +2% | $163 | 1,194 | 343 |
| 23 | West Virginia | $6,340 | +2% | — | 520 | 134 |
| 24 | Arizona | $6,250 | +1% | $95 | 4,102 | 275 |
| 25 | Nevada | $6,241 | +1% | $80 | 2,650 | 461 |
| 26 | Illinois | $6,219 | — | $91 | 3,810 | 168 |
| 27 | Oklahoma | $6,150 | -1% | $92 | 1,127 | 163 |
| 28 | Ohio | $6,103 | -2% | $83 | 3,942 | 174 |
| 29 | Montana | $6,075 | -2% | $267 | 743 | 308 |
| 30 | Kansas | $5,975 | -4% | $200 | 1,346 | 252 |
| 31 | New Mexico | $5,950 | -4% | $200 | 1,391 | 324 |
| 32 | Tennessee | $5,845 | -6% | $80 | 1,500 | 118 |
| 33 | Michigan | $5,818 | -6% | $150 | 6,230 | 313 |
| 34 | Texas | $5,666 | -9% | $90 | 5,857 | 134 |
| 35 | Indiana | $5,639 | -9% | $127 | 3,563 | 292 |
| 36 | Florida | $5,610 | -10% | $75 | 8,208 | 161 |
| 37 | Kentucky | $5,528 | -11% | $88 | 974 | 118 |
| 38 | Utah | $5,475 | -12% | $140 | 675 | 155 |
| 39 | Missouri | $5,400 | -13% | $95 | 3,453 | 295 |
| 40 | Iowa | $5,381 | -13% | $75 | 1,101 | 180 |
| 41 | South Carolina | $5,350 | -14% | $72 | 2,949 | 272 |
| 42 | Wyoming | $5,325 | -14% | $152 | 185 | 158 |
| 43 | Georgia | $5,300 | -15% | $90 | 4,242 | 240 |
| 44 | Idaho | $5,175 | -17% | — | 1,240 | 349 |
| 45 | Louisiana | $5,163 | -17% | $88 | 2,486 | 303 |
| 46 | South Dakota | $4,900 | -21% | — | 656 | 373 |
| 47 | North Dakota | $4,729 | -24% | $255 | 571 | 407 |
| 48 | Arkansas | $4,637 | -25% | $76 | 1,660 | 295 |
| 49 | Alabama | $4,425 | -29% | $58 | 2,455 | 257 |
| 50 | Mississippi | $4,369 | -30% | $63 | 2,053 | 386 |
Most Expensive vs. Most Affordable States
Summary rankings highlighting the widest cost variations in assisted living and skilled nursing facilities nationwide.
Assisted Living Extremes Monthly Median
Top 5 Most Expensive
- 1. Hawaii$12,096/mo
- 2. Alaska$9,882/mo
- 3. Massachusetts$9,600/mo
- 4. Connecticut$9,118/mo
- 5. New Jersey$8,710/mo
Top 5 Most Affordable
- 1. Mississippi$4,369/mo
- 2. Alabama$4,425/mo
- 3. Arkansas$4,637/mo
- 4. North Dakota$4,729/mo
- 5. South Dakota$4,900/mo
Nursing Home (Private Room) Extremes Annual Median
Top 5 Most Expensive
- 1. Oregon$221,373/yr
- 2. New York$200,750/yr
- 3. Connecticut$200,748/yr
- 4. Hawaii$196,740/yr
- 5. Washington$191,628/yr
Top 5 Most Affordable
- 1. Missouri$91,248/yr
- 2. Texas$91,250/yr
- 3. Oklahoma$93,072/yr
- 4. Arkansas$96,720/yr
- 5. Louisiana$96,912/yr
Senior Care Supply Deserts: Lowest Availability per 100K Seniors
States with the fewest published senior care providers per 100,000 residents aged 65+ (normalized with Census ACS 2024 population data). Low provider density signals restricted caregiver supply and extended wait times.
| Desert Rank | State | Population 65+ | Total Providers | Providers per 100K 65+ |
|---|---|---|---|---|
| #1 | New York | 3,757,173 | 2,358 | 63 |
| #2 | New Jersey | 1,706,665 | 1,423 | 83 |
| #3 | Tennessee | 1,273,979 | 1,500 | 118 |
| #4 | Kentucky | 825,850 | 974 | 118 |
| #5 | Pennsylvania | 2,665,974 | 3,188 | 120 |
Where high cost meets thin supply
Expensive care is hardest where few providers compete. We flag states whose assisted-living cost sits above the $6,200 national median while their provider supply per 100,000 residents 65+ sits below the national median of 246 — the closest thing to a "care desert" signal this data supports, stated only on the per-capita basis (raw provider counts merely track state size).
- New York — assisted living $7,110/mo (+15% vs national) with only 63 providers per 100K residents 65+ (2,358 total).
- New Jersey — assisted living $8,710/mo (+40% vs national) with only 83 providers per 100K residents 65+ (1,423 total).
- Pennsylvania — assisted living $6,480/mo (+5% vs national) with only 120 providers per 100K residents 65+ (3,188 total).
- Massachusetts — assisted living $9,600/mo (+55% vs national) with only 131 providers per 100K residents 65+ (1,748 total).
- Washington — assisted living $7,600/mo (+23% vs national) with only 134 providers per 100K residents 65+ (1,841 total).
Frequently Cited Senior Care Statistics (Direct Answers)
Fact-checked statistics and data points compiled for health journalists, policy researchers, and AI citation models.
What is the national median cost of senior care in 2026?
According to compiled survey benchmarks, national medians are $6,200/month ($74,400/year) for assisted living, $10,798/month ($129,575/year) for a private room in a nursing home, $35/hour ($80,080/year at 44 hrs/wk) for non-medical home care, and $95/day for adult day care.
Which states have the most expensive assisted living?
The most expensive states for assisted living are Alaska ($9,882/mo), Massachusetts ($9,600/mo), Connecticut ($9,118/mo), New Jersey ($8,710/mo), and Rhode Island ($7,781/mo).
Which states are the most affordable for senior care?
The most affordable states for assisted living are Alabama ($4,425/mo), Arkansas ($4,637/mo), Louisiana ($5,163/mo), Mississippi ($5,175/mo), and Wyoming ($5,325/mo).
Which states are the worst senior care deserts?
The states with the lowest licensed provider supply per 100,000 seniors 65+ are New York (63 per 100k), New Jersey (83 per 100k), Tennessee (118 per 100k), Kentucky (118 per 100k), and Pennsylvania (120 per 100k).
Is in-home care cheaper than assisted living?
Nationally, 44 hours per week of in-home non-medical care averages $80,080/year ($6,673/month), making it approximately 8% more expensive than the national median assisted living facility ($74,400/year or $6,200/month).
How many senior care facilities accept Medicaid in the U.S.?
Across the families.care nationwide directory of 128,000+ state-licensed facility and agency records, exactly 13,442 licensed providers accept Medicaid or state HCBS waiver programs (~10.5% of total directory listings).
State-by-state snapshots
Each state has its own anchor — deep-link straight to it (e.g. #texas). CareScout Cost of Care Survey 2025 cost figures; provider supply from the families.care directory.
Alabama
- Assisted living
- $4,425/mo
- Nursing home (private room)
- $105,444/yr
- In-home care (non-medical caregiver)
- $27/hr
- Adult day care
- $58/day
- Published providers
- 2,455 (257 per 100K residents 65+)
Alabama ranks 49th of 50 for assisted-living cost — 29% below the $6,200 national median.
Alaska
- Assisted living
- $9,882/mo
- In-home care (non-medical caregiver)
- $38/hr
- Adult day care
- $175/day
- Published providers
- 1,097 (1,003 per 100K residents 65+)
Alaska ranks 2nd of 50 for assisted-living cost — 59% above the $6,200 national median.
Arizona
- Assisted living
- $6,250/mo
- Nursing home (private room)
- $137,244/yr
- In-home care (non-medical caregiver)
- $38/hr
- Adult day care
- $95/day
- Published providers
- 4,102 (275 per 100K residents 65+)
Arizona ranks 24th of 50 for assisted-living cost — 1% above the $6,200 national median.
Arkansas
- Assisted living
- $4,637/mo
- Nursing home (private room)
- $96,720/yr
- In-home care (non-medical caregiver)
- $25/hr
- Adult day care
- $76/day
- Published providers
- 1,660 (295 per 100K residents 65+)
Arkansas ranks 48th of 50 for assisted-living cost — 25% below the $6,200 national median.
California
- Assisted living
- $7,000/mo
- Nursing home (private room)
- $182,135/yr
- In-home care (non-medical caregiver)
- $40/hr
- Adult day care
- $94/day
- Published providers
- 13,530 (207 per 100K residents 65+)
California ranks 14th of 50 for assisted-living cost — 13% above the $6,200 national median.
Colorado
- Assisted living
- $6,584/mo
- Nursing home (private room)
- $146,184/yr
- In-home care (non-medical caregiver)
- $42/hr
- Adult day care
- $105/day
- Published providers
- 1,633 (167 per 100K residents 65+)
Colorado ranks 17th of 50 for assisted-living cost — 6% above the $6,200 national median.
Browse senior care providers in Colorado
View Colorado cost report & city rankings →
Connecticut
- Assisted living
- $9,118/mo
- Nursing home (private room)
- $200,748/yr
- In-home care (non-medical caregiver)
- $36/hr
- Adult day care
- $109/day
- Published providers
- 2,068 (290 per 100K residents 65+)
Connecticut ranks 4th of 50 for assisted-living cost — 47% above the $6,200 national median.
Delaware
- Assisted living
- $7,600/mo
- Nursing home (private room)
- $181,584/yr
- In-home care (non-medical caregiver)
- $35/hr
- Published providers
- 663 (291 per 100K residents 65+)
Delaware ranks 10th of 50 for assisted-living cost — 23% above the $6,200 national median.
Florida
- Assisted living
- $5,610/mo
- Nursing home (private room)
- $146,000/yr
- In-home care (non-medical caregiver)
- $32/hr
- Adult day care
- $75/day
- Published providers
- 8,208 (161 per 100K residents 65+)
Florida ranks 36th of 50 for assisted-living cost — 10% below the $6,200 national median.
Georgia
- Assisted living
- $5,300/mo
- Nursing home (private room)
- $113,148/yr
- In-home care (non-medical caregiver)
- $32/hr
- Adult day care
- $90/day
- Published providers
- 4,242 (240 per 100K residents 65+)
Georgia ranks 43rd of 50 for assisted-living cost — 15% below the $6,200 national median.
Hawaii
- Assisted living
- $12,096/mo
- Nursing home (private room)
- $196,740/yr
- In-home care (non-medical caregiver)
- $41/hr
- Adult day care
- $118/day
- Published providers
- 494 (159 per 100K residents 65+)
Hawaii ranks 1st of 50 for assisted-living cost — 95% above the $6,200 national median.
Idaho
- Assisted living
- $5,175/mo
- Nursing home (private room)
- $146,004/yr
- In-home care (non-medical caregiver)
- $39/hr
- Published providers
- 1,240 (349 per 100K residents 65+)
Idaho ranks 44th of 50 for assisted-living cost — 17% below the $6,200 national median.
Illinois
- Assisted living
- $6,219/mo
- Nursing home (private room)
- $110,592/yr
- In-home care (non-medical caregiver)
- $36/hr
- Adult day care
- $91/day
- Published providers
- 3,810 (168 per 100K residents 65+)
Illinois sits at the national median for assisted living (26th of 50 by cost).
Browse senior care providers in Illinois
View Illinois cost report & city rankings →
Indiana
- Assisted living
- $5,639/mo
- Nursing home (private room)
- $123,912/yr
- In-home care (non-medical caregiver)
- $35/hr
- Adult day care
- $127/day
- Published providers
- 3,563 (292 per 100K residents 65+)
Indiana ranks 35th of 50 for assisted-living cost — 9% below the $6,200 national median.
Iowa
- Assisted living
- $5,381/mo
- Nursing home (private room)
- $120,456/yr
- In-home care (non-medical caregiver)
- $41/hr
- Adult day care
- $75/day
- Published providers
- 1,101 (180 per 100K residents 65+)
Iowa ranks 40th of 50 for assisted-living cost — 13% below the $6,200 national median.
Kansas
- Assisted living
- $5,975/mo
- Nursing home (private room)
- $108,768/yr
- In-home care (non-medical caregiver)
- $34/hr
- Adult day care
- $200/day
- Published providers
- 1,346 (252 per 100K residents 65+)
Kansas ranks 30th of 50 for assisted-living cost — 4% below the $6,200 national median.
Kentucky
- Assisted living
- $5,528/mo
- Nursing home (private room)
- $135,048/yr
- In-home care (non-medical caregiver)
- $33/hr
- Adult day care
- $88/day
- Published providers
- 974 (118 per 100K residents 65+)
Kentucky ranks 37th of 50 for assisted-living cost — 11% below the $6,200 national median.
Louisiana
- Assisted living
- $5,163/mo
- Nursing home (private room)
- $96,912/yr
- In-home care (non-medical caregiver)
- $26/hr
- Adult day care
- $88/day
- Published providers
- 2,486 (303 per 100K residents 65+)
Louisiana ranks 45th of 50 for assisted-living cost — 17% below the $6,200 national median.
Maine
- Assisted living
- $8,205/mo
- Nursing home (private room)
- $178,848/yr
- In-home care (non-medical caregiver)
- $45/hr
- Adult day care
- $115/day
- Published providers
- 1,817 (551 per 100K residents 65+)
Maine ranks 7th of 50 for assisted-living cost — 32% above the $6,200 national median.
Maryland
- Assisted living
- $7,173/mo
- Nursing home (private room)
- $173,376/yr
- In-home care (non-medical caregiver)
- $35/hr
- Adult day care
- $117/day
- Published providers
- 3,693 (336 per 100K residents 65+)
Maryland ranks 12th of 50 for assisted-living cost — 16% above the $6,200 national median.
Massachusetts
- Assisted living
- $9,600/mo
- Nursing home (private room)
- $189,804/yr
- In-home care (non-medical caregiver)
- $40/hr
- Adult day care
- $112/day
- Published providers
- 1,748 (131 per 100K residents 65+)
Massachusetts ranks 3rd of 50 for assisted-living cost — 55% above the $6,200 national median.
Michigan
- Assisted living
- $5,818/mo
- Nursing home (private room)
- $143,628/yr
- In-home care (non-medical caregiver)
- $35/hr
- Adult day care
- $150/day
- Published providers
- 6,230 (313 per 100K residents 65+)
Michigan ranks 33rd of 50 for assisted-living cost — 6% below the $6,200 national median.
Browse senior care providers in Michigan
View Michigan cost report & city rankings →
Minnesota
- Assisted living
- $6,573/mo
- Nursing home (private room)
- $166,440/yr
- In-home care (non-medical caregiver)
- $44/hr
- Adult day care
- $120/day
- Published providers
- 5,065 (480 per 100K residents 65+)
Minnesota ranks 18th of 50 for assisted-living cost — 6% above the $6,200 national median.
Browse senior care providers in Minnesota
View Minnesota cost report & city rankings →
Mississippi
- Assisted living
- $4,369/mo
- Nursing home (private room)
- $118,620/yr
- In-home care (non-medical caregiver)
- $24/hr
- Adult day care
- $63/day
- Published providers
- 2,053 (386 per 100K residents 65+)
Mississippi ranks 50th of 50 for assisted-living cost — 30% below the $6,200 national median.
Missouri
- Assisted living
- $5,400/mo
- Nursing home (private room)
- $91,248/yr
- In-home care (non-medical caregiver)
- $33/hr
- Adult day care
- $95/day
- Published providers
- 3,453 (295 per 100K residents 65+)
Missouri ranks 39th of 50 for assisted-living cost — 13% below the $6,200 national median.
Montana
- Assisted living
- $6,075/mo
- Nursing home (private room)
- $114,972/yr
- In-home care (non-medical caregiver)
- $38/hr
- Adult day care
- $267/day
- Published providers
- 743 (308 per 100K residents 65+)
Montana ranks 29th of 50 for assisted-living cost — 2% below the $6,200 national median.
Nebraska
- Assisted living
- $6,350/mo
- Nursing home (private room)
- $110,592/yr
- In-home care (non-medical caregiver)
- $36/hr
- Adult day care
- $163/day
- Published providers
- 1,194 (343 per 100K residents 65+)
Nebraska ranks 22nd of 50 for assisted-living cost — 2% above the $6,200 national median.
Nevada
- Assisted living
- $6,241/mo
- Nursing home (private room)
- $173,556/yr
- In-home care (non-medical caregiver)
- $37/hr
- Adult day care
- $80/day
- Published providers
- 2,650 (461 per 100K residents 65+)
Nevada ranks 25th of 50 for assisted-living cost — 1% above the $6,200 national median.
New Hampshire
- Assisted living
- $8,025/mo
- Nursing home (private room)
- $161,328/yr
- In-home care (non-medical caregiver)
- $40/hr
- Adult day care
- $93/day
- Published providers
- 839 (277 per 100K residents 65+)
New Hampshire ranks 8th of 50 for assisted-living cost — 29% above the $6,200 national median.
New Jersey
- Assisted living
- $8,710/mo
- Nursing home (private room)
- $173,376/yr
- In-home care (non-medical caregiver)
- $38/hr
- Adult day care
- $100/day
- Published providers
- 1,423 (83 per 100K residents 65+)
New Jersey ranks 5th of 50 for assisted-living cost — 40% above the $6,200 national median.
New Mexico
- Assisted living
- $5,950/mo
- Nursing home (private room)
- $127,596/yr
- In-home care (non-medical caregiver)
- $30/hr
- Adult day care
- $200/day
- Published providers
- 1,391 (324 per 100K residents 65+)
New Mexico ranks 31st of 50 for assisted-living cost — 4% below the $6,200 national median.
New York
- Assisted living
- $7,110/mo
- Nursing home (private room)
- $200,750/yr
- In-home care (non-medical caregiver)
- $35/hr
- Adult day care
- $144/day
- Published providers
- 2,358 (63 per 100K residents 65+)
New York ranks 13th of 50 for assisted-living cost — 15% above the $6,200 national median.
North Carolina
- Assisted living
- $6,496/mo
- Nursing home (private room)
- $129,576/yr
- In-home care (non-medical caregiver)
- $30/hr
- Adult day care
- $85/day
- Published providers
- 4,188 (211 per 100K residents 65+)
North Carolina ranks 20th of 50 for assisted-living cost — 5% above the $6,200 national median.
North Dakota
- Assisted living
- $4,729/mo
- Nursing home (private room)
- $147,648/yr
- In-home care (non-medical caregiver)
- $34/hr
- Adult day care
- $255/day
- Published providers
- 571 (407 per 100K residents 65+)
North Dakota ranks 47th of 50 for assisted-living cost — 24% below the $6,200 national median.
Ohio
- Assisted living
- $6,103/mo
- Nursing home (private room)
- $124,668/yr
- In-home care (non-medical caregiver)
- $34/hr
- Adult day care
- $83/day
- Published providers
- 3,942 (174 per 100K residents 65+)
Ohio ranks 28th of 50 for assisted-living cost — 2% below the $6,200 national median.
Oklahoma
- Assisted living
- $6,150/mo
- Nursing home (private room)
- $93,072/yr
- In-home care (non-medical caregiver)
- $33/hr
- Adult day care
- $92/day
- Published providers
- 1,127 (163 per 100K residents 65+)
Oklahoma ranks 27th of 50 for assisted-living cost — 1% below the $6,200 national median.
Oregon
- Assisted living
- $6,875/mo
- Nursing home (private room)
- $221,373/yr
- In-home care (non-medical caregiver)
- $40/hr
- Adult day care
- $200/day
- Published providers
- 1,151 (135 per 100K residents 65+)
Oregon ranks 16th of 50 for assisted-living cost — 11% above the $6,200 national median.
Pennsylvania
- Assisted living
- $6,480/mo
- Nursing home (private room)
- $164,256/yr
- In-home care (non-medical caregiver)
- $34/hr
- Adult day care
- $117/day
- Published providers
- 3,188 (120 per 100K residents 65+)
Pennsylvania ranks 21st of 50 for assisted-living cost — 5% above the $6,200 national median.
Browse senior care providers in Pennsylvania
View Pennsylvania cost report & city rankings →
Rhode Island
- Assisted living
- $7,781/mo
- Nursing home (private room)
- $160,596/yr
- In-home care (non-medical caregiver)
- $40/hr
- Adult day care
- $65/day
- Published providers
- 324 (147 per 100K residents 65+)
Rhode Island ranks 9th of 50 for assisted-living cost — 26% above the $6,200 national median.
South Carolina
- Assisted living
- $5,350/mo
- Nursing home (private room)
- $115,344/yr
- In-home care (non-medical caregiver)
- $31/hr
- Adult day care
- $72/day
- Published providers
- 2,949 (272 per 100K residents 65+)
South Carolina ranks 41st of 50 for assisted-living cost — 14% below the $6,200 national median.
South Dakota
- Assisted living
- $4,900/mo
- Nursing home (private room)
- $122,280/yr
- In-home care (non-medical caregiver)
- $44/hr
- Published providers
- 656 (373 per 100K residents 65+)
South Dakota ranks 46th of 50 for assisted-living cost — 21% below the $6,200 national median.
Tennessee
- Assisted living
- $5,845/mo
- Nursing home (private room)
- $120,456/yr
- In-home care (non-medical caregiver)
- $31/hr
- Adult day care
- $80/day
- Published providers
- 1,500 (118 per 100K residents 65+)
Tennessee ranks 32nd of 50 for assisted-living cost — 6% below the $6,200 national median.
Texas
- Assisted living
- $5,666/mo
- Nursing home (private room)
- $91,250/yr
- In-home care (non-medical caregiver)
- $30/hr
- Adult day care
- $90/day
- Published providers
- 5,857 (134 per 100K residents 65+)
Texas ranks 34th of 50 for assisted-living cost — 9% below the $6,200 national median.
Utah
- Assisted living
- $5,475/mo
- Nursing home (private room)
- $127,752/yr
- In-home care (non-medical caregiver)
- $39/hr
- Adult day care
- $140/day
- Published providers
- 675 (155 per 100K residents 65+)
Utah ranks 38th of 50 for assisted-living cost — 12% below the $6,200 national median.
Vermont
- Assisted living
- $8,597/mo
- Nursing home (private room)
- $186,336/yr
- In-home care (non-medical caregiver)
- $45/hr
- Published providers
- 299 (201 per 100K residents 65+)
Vermont ranks 6th of 50 for assisted-living cost — 39% above the $6,200 national median.
Virginia
- Assisted living
- $6,945/mo
- Nursing home (private room)
- $140,160/yr
- In-home care (non-medical caregiver)
- $35/hr
- Adult day care
- $81/day
- Published providers
- 2,076 (134 per 100K residents 65+)
Virginia ranks 15th of 50 for assisted-living cost — 12% above the $6,200 national median.
Washington
- Assisted living
- $7,600/mo
- Nursing home (private room)
- $191,628/yr
- In-home care (non-medical caregiver)
- $45/hr
- Adult day care
- $249/day
- Published providers
- 1,841 (134 per 100K residents 65+)
Washington ranks 11th of 50 for assisted-living cost — 23% above the $6,200 national median.
West Virginia
- Assisted living
- $6,340/mo
- Nursing home (private room)
- $159,144/yr
- In-home care (non-medical caregiver)
- $30/hr
- Published providers
- 520 (134 per 100K residents 65+)
West Virginia ranks 23rd of 50 for assisted-living cost — 2% above the $6,200 national median.
Wisconsin
- Assisted living
- $6,540/mo
- Nursing home (private room)
- $147,828/yr
- In-home care (non-medical caregiver)
- $36/hr
- Adult day care
- $70/day
- Published providers
- 5,218 (446 per 100K residents 65+)
Wisconsin ranks 19th of 50 for assisted-living cost — 5% above the $6,200 national median.
Wyoming
- Assisted living
- $5,325/mo
- Nursing home (private room)
- $131,076/yr
- In-home care (non-medical caregiver)
- $46/hr
- Adult day care
- $152/day
- Published providers
- 185 (158 per 100K residents 65+)
Wyoming ranks 42nd of 50 for assisted-living cost — 14% below the $6,200 national median.
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<table style="border-collapse:collapse;font-family:system-ui,sans-serif;font-size:14px;color:#1c1917">
<caption style="text-align:left;font-weight:700;padding-bottom:6px">The 10 most expensive states for assisted living (2025 monthly median) — and provider supply</caption>
<thead><tr><th style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">#</th><th style="border:1px solid #d6d3d1;padding:6px 10px;text-align:left">State</th><th style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">Assisted living / mo</th><th style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">Providers per 100K residents 65+</th></tr></thead>
<tbody><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">1</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Hawaii</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$12,096</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">159</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">2</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Alaska</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$9,882</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">1,003</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">3</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Massachusetts</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$9,600</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">131</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">4</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Connecticut</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$9,118</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">290</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">5</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">New Jersey</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$8,710</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">83</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">6</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Vermont</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$8,597</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">201</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">7</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Maine</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$8,205</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">551</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">8</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">New Hampshire</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$8,025</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">277</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">9</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Rhode Island</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$7,781</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">147</td></tr><tr><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">10</td><td style="border:1px solid #d6d3d1;padding:6px 10px;">Delaware</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">$7,600</td><td style="border:1px solid #d6d3d1;padding:6px 10px;text-align:right">291</td></tr></tbody>
</table>
<p style="font-family:system-ui,sans-serif;font-size:12px;color:#57534e">Source: <a href="https://families.care/us/costs/by-state">The Cost of Senior Care by U.S. State — families.care</a> (2025 CareScout data; provider supply from the families.care directory)</p>How to Cite This Report & Dataset
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Methodology & sources
Cost figures are statewide medians from the CareScout Cost of Care Survey (2025 state dataset; national medians from 2025). CareScout’s 2025 survey was collected July–November 2025 (25,000+ rates). Costs are medians for a state; the cost in a specific city or metro can run meaningfully higher or lower, and actual prices vary by level of care, amenities, and provider. Monthly equivalents for annual figures divide by 12. Coverage: all 50 states. Read full research methodology →
Provider supply is the count of published senior care providers per state in the families.care directory (June 2026 snapshot). Population denominators are U.S. Census Bureau American Community Survey 2024 1-year estimates of the population aged 65+ (Table B01001). "Providers per 100K 65+" = published providers ÷ state 65+ population × 100,000.
This report is for general information and is not financial or care advice. For a personalized estimate, try the cost calculator.
Editorial Standards & Review Policy
families.care publishes original research and compilation reports to assist older adults and family caregivers navigating senior care decisions. All cost and supply statistics undergo cross-verification against federal datasets (U.S. Census Bureau ACS, CMS Medicare Care Compare) and established industry benchmarks (CareScout). Reports are reviewed for factual accuracy and updated as new official surveys are released. If you identify a data discrepancy, contact editorial@families.care. Read our editorial standards →
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