Elder Care Index

Assisted Living Nursing Home Memory Care Home Health Aide Medicaid

Assisted Living Costs by State

National Median: $4,591/mo

Assisted living is for seniors who need help with daily tasks like bathing, dressing, and medication — but don't need round-the-clock medical care like a nursing home. It's the middle ground between living independently and a skilled nursing facility.

Figuring out assisted living costs for a loved one can feel overwhelming, but you're not alone in navigating this. You'll quickly notice that prices vary quite a bit across the country, and there are good reasons for that. Things like the overall cost of living in a state, specific state regulations around care and staffing ratios, and even what communities pay their caregivers all play a big role in the differences you see.

The most important thing to know when comparing costs is that what's included in the monthly fee varies wildly. Some communities offer an all-inclusive rate, covering everything from housing to personal care. Others might have a lower base rate but then charge extra for every little bit of assistance, like help with bathing or medication management. Always dig into the details to understand what you're truly getting for the price to avoid surprises.

And if you're looking into financial assistance, remember that Medicaid waiver coverage for assisted living also differs dramatically by state. While most states offer some form of assistance for services, it rarely covers room and board, and eligibility rules and available benefits can vary significantly. It’s worth researching your specific state's programs thoroughly.

All 50 States + DC — Ranked by Cost

#StateMonthly Costvs National AvgMedicaid Help
1Missouri$3,000-35%Details →
2South Dakota$3,350-27%Details →
3North Dakota$3,391-26%Details →
4Kentucky$3,448-25%Details →
5Mississippi$3,500-24%Details →
6Utah$3,500-24%Details →
7Alabama$3,503-24%Details →
8Georgia$3,535-23%Details →
9South Carolina$3,612-21%Details →
10Louisiana$3,748-18%Details →
11Nevada$3,750-18%Details →
12Arkansas$3,760-18%Details →
13Idaho$3,838-16%Details →
14Oklahoma$3,855-16%Details →
15Texas$3,998-13%Details →
16Arizona$4,000-13%Details →
17Florida$4,000-13%Details →
18North Carolina$4,010-13%Details →
19Nebraska$4,076-11%Details →
20Pennsylvania$4,100-11%Details →
21Tennessee$4,105-11%Details →
22West Virginia$4,160-9%Details →
23Wyoming$4,169-9%Details →
24Michigan$4,250-7%Details →
25Indiana$4,283-7%Details →
26Iowa$4,367-5%Details →
27Montana$4,450-3%Details →
28Illinois$4,488-2%Details →
29New Mexico$4,498-2%Details →
30Minnesota$4,508-2%Details →
31Kansas$4,580-0%Details →
32New York$4,580-0%Details →
33Wisconsin$4,600+0%Details →
34Ohio$4,635+1%Details →
35Colorado$4,750+3%Details →
36Maryland$4,900+7%Details →
37Oregon$5,045+10%Details →
38Connecticut$5,129+12%Details →
39California$5,250+14%Details →
40Vermont$5,250+14%Details →
41Virginia$5,250+14%Details →
42Hawaii$5,375+17%Details →
43Maine$5,865+28%Details →
44Delaware$5,995+31%Details →
45Washington$6,000+31%Details →
46New Hampshire$6,053+32%Details →
47New Jersey$6,495+41%Details →
48Massachusetts$6,500+42%Details →
49Rhode Island$6,826+49%Details →
50Alaska$6,830+49%Details →
51District of Columbia$6,978+52%Details →