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Cost of Elder Care by State (2026)
Care costs vary enormously across the country — a nursing home in Alaska costs more than three times one in Texas. Choose your state below for a full local breakdown, or use the free calculator for an instant estimate anywhere.
In-depth state guides
These states have a complete local guide — costs plus the specific Medicaid programs that help pay.
Every other state
We're adding full guides for these states. For now, tap any state to get an instant cost estimate in the calculator.
Get an instant estimate for any state
The free calculator covers all 50 states with six care types and an estimate of what support may cover — no sign-up.
Open the cost calculator → Get the Planning Kit — $24 →Frequently asked questions
How much does elder care cost by state?
Costs vary widely by state and care type. As 2025 national medians, in-home care runs about $35/hour, adult day care about $95/day, assisted living about $6,200/month, and a private nursing-home room about $10,800/month. Use the calculator to see estimates adjusted for any of the 50 states.
Which states have the most expensive elder care?
Generally, states in the Northeast and Alaska have the highest costs — Alaska's nursing-home care is the most expensive in the country. Southern and some Midwestern states tend to be more affordable. Our calculator shows state-by-state estimates.
Does Medicaid coverage differ by state?
Yes, significantly. Each state runs its own Medicaid program with different names, rules, waivers, and waiting lists. That's why we publish detailed, state-specific guides — start with your state if it's listed, or use the calculator plus our Medicaid waiver guide.
Cost figures are planning estimates calibrated to published 2025 median rates and adjusted by state; actual prices vary by provider, region, and level of care. This is not legal, financial, or benefits advice. © 2026 CarePath.