PILLAR RANKING • November 11, 2026
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Most Affordable: State Rankings
Ranked by the cost of care against the income of seniors who live alone (Genworth costs, Census ACS 2025 incomes).
Top 3 States
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All 51 States Ranked
Higher score = better| Rank | State | Grade | Score | Details | |
|---|---|---|---|---|---|
| #1 | Texas | A | 100.0 | $3,998/mo AL · $5,639/mo NH · senior income $34,824/yr | View → |
| #2 | South Dakota | A | 100.0 | $3,350/mo AL · $9,086/mo NH · senior income $36,058/yr | View → |
| #3 | Missouri | A | 100.0 | $3,000/mo AL · $6,548/mo NH · senior income $33,880/yr | View → |
| #4 | Utah | A | 99.5 | $3,500/mo AL · $8,616/mo NH · senior income $36,330/yr | View → |
| #5 | Wyoming | A | 98.5 | $4,169/mo AL · $10,213/mo NH · senior income $40,122/yr | View → |
| #6 | North Dakota | A | 97.5 | $3,391/mo AL · $9,148/mo NH · senior income $35,649/yr | View → |
| #7 | Arizona | A | 96.9 | $4,000/mo AL · $7,832/mo NH · senior income $37,936/yr | View → |
| #8 | Nevada | B | 91.8 | $3,750/mo AL · $11,545/mo NH · senior income $38,438/yr | View → |
| #9 | Nebraska | B | 91.3 | $4,076/mo AL · $8,631/mo NH · senior income $36,883/yr | View → |
| #10 | Illinois | B | 88.5 | $4,488/mo AL · $8,145/mo NH · senior income $37,420/yr | View → |
| #11 | South Carolina | B | 87.4 | $3,612/mo AL · $9,227/mo NH · senior income $32,678/yr | View → |
| #12 | Maryland | B | 86.7 | $4,900/mo AL · $12,876/mo NH · senior income $43,649/yr | View → |
| #13 | Kansas | B | 85.5 | $4,580/mo AL · $7,989/mo NH · senior income $36,074/yr | View → |
| #14 | Virginia | B | 84.1 | $5,250/mo AL · $8,929/mo NH · senior income $39,906/yr | View → |
| #15 | Oklahoma | B | 84.1 | $3,855/mo AL · $6,641/mo NH · senior income $30,770/yr | View → |
| #16 | Idaho | B | 82.3 | $3,838/mo AL · $10,370/mo NH · senior income $35,264/yr | View → |
| #17 | Georgia | B | 81.2 | $3,535/mo AL · $9,086/mo NH · senior income $31,384/yr | View → |
| #18 | Iowa | B | 79.0 | $4,367/mo AL · $9,195/mo NH · senior income $35,226/yr | View → |
| #19 | Florida | B | 76.7 | $4,000/mo AL · $10,652/mo NH · senior income $35,113/yr | View → |
| #20 | Alabama | C | 74.9 | $3,503/mo AL · $8,397/mo NH · senior income $28,866/yr | View → |
| #21 | Colorado | C | 74.0 | $4,750/mo AL · $10,339/mo NH · senior income $38,846/yr | View → |
| #22 | Minnesota | C | 73.0 | $4,508/mo AL · $12,532/mo NH · senior income $38,984/yr | View → |
| #23 | Mississippi | C | 71.3 | $3,500/mo AL · $9,931/mo NH · senior income $28,748/yr | View → |
| #24 | Indiana | C | 70.0 | $4,283/mo AL · $8,741/mo NH · senior income $33,284/yr | View → |
| #25 | North Carolina | C | 69.6 | $4,010/mo AL · $9,086/mo NH · senior income $31,512/yr | View → |
| #26 | Michigan | C | 69.2 | $4,250/mo AL · $10,965/mo NH · senior income $34,908/yr | View → |
| #27 | Wisconsin | C | 68.7 | $4,600/mo AL · $10,370/mo NH · senior income $35,557/yr | View → |
| #28 | New Mexico | C | 67.4 | $4,498/mo AL · $10,057/mo NH · senior income $34,312/yr | View → |
| #29 | Ohio | C | 66.7 | $4,635/mo AL · $9,305/mo NH · senior income $33,717/yr | View → |
| #30 | Hawaii | C | 66.5 | $5,375/mo AL · $15,540/mo NH · senior income $45,600/yr | View → |
| #31 | Kentucky | C | 64.9 | $3,448/mo AL · $8,992/mo NH · senior income $28,392/yr | View → |
| #32 | Tennessee | C | 63.4 | $4,105/mo AL · $9,399/mo NH · senior income $30,924/yr | View → |
| #33 | Delaware | C | 62.8 | $5,995/mo AL · $14,599/mo NH · senior income $42,770/yr | View → |
| #34 | Arkansas | C | 62.0 | $3,760/mo AL · $7,362/mo NH · senior income $27,080/yr | View → |
| #35 | Pennsylvania | C | 58.8 | $4,100/mo AL · $12,187/mo NH · senior income $33,682/yr | View → |
| #36 | Connecticut | C | 55.1 | $5,129/mo AL · $15,508/mo NH · senior income $40,573/yr | View → |
| #37 | Washington | C | 55.0 | $6,000/mo AL · $13,095/mo NH · senior income $41,855/yr | View → |
| #38 | New Hampshire | C | 54.3 | $6,053/mo AL · $12,845/mo NH · senior income $40,594/yr | View → |
| #39 | Louisiana | C | 54.1 | $3,748/mo AL · $7,707/mo NH · senior income $26,111/yr | View → |
| #40 | Montana | D | 50.1 | $4,450/mo AL · $9,336/mo NH · senior income $31,232/yr | View → |
| #41 | New Jersey | D | 41.2 | $6,495/mo AL · $12,751/mo NH · senior income $40,496/yr | View → |
| #42 | New York | F | 35.8 | $4,580/mo AL · $15,164/mo NH · senior income $35,086/yr | View → |
| #43 | California | F | 33.2 | $5,250/mo AL · $12,046/mo NH · senior income $37,191/yr | View → |
| #44 | Oregon | F | 31.4 | $5,045/mo AL · $16,292/mo NH · senior income $36,546/yr | View → |
| #45 | Vermont | F | 28.7 | $5,250/mo AL · $14,099/mo NH · senior income $35,000/yr | View → |
| #46 | West Virginia | F | 28.6 | $4,160/mo AL · $12,845/mo NH · senior income $28,235/yr | View → |
| #47 | Massachusetts | F | 15.5 | $6,500/mo AL · $14,881/mo NH · senior income $37,845/yr | View → |
| #48 | Maine | F | 6.4 | $5,865/mo AL · $13,315/mo NH · senior income $32,828/yr | View → |
| #49 | District of Columbia | F | 0.0 | $6,978/mo AL · $11,952/mo NH · senior income $35,684/yr | View → |
| #50 | Alaska | F | 0.0 | $6,830/mo AL · $31,282/mo NH · senior income $40,113/yr | View → |
| #51 | Rhode Island | F | 0.0 | $6,826/mo AL · $11,748/mo NH · senior income $31,690/yr | View → |
Scores are 0–100 relative to other states. Pillar grades are assigned by within-pillar rank position. Read methodology →