Long-term care costs by state
Pick a state and see what each kind of care costs there, by the hour or day, month and year.
The lookup needs JavaScript, which is off in this browser. The notes below still explain what each care type covers and how CareScout works out its figures.
No account. What you pick never leaves your device.
This tool organizes information and is provided as is. It isn't legal, medical, tax or financial advice. Before you sign or rely on anything, check with a licensed attorney in your state or province. Terms
How to use it
What the numbers are
CareScout, a long-term care company owned by Genworth, asked care providers what they charge. About 16,000 nursing homes, assisted living communities, adult day centers and home care agencies answered between July and November 2025, and the state medians came out in March 2026. A median is the middle price: half the places charged more, half less. It's not what any one place will charge you.
Each care type is priced the way providers charge for it, and CareScout works out the rest from that one rate:
- Non-medical caregiver at home: by the hour. The year is 44 hours a week for 52 weeks. In 2025 CareScout merged home health aides and homemakers into this one category, so there's no separate figure for either.
- Adult day health care: by the day. The year is 5 days a week for 52 weeks.
- Assisted living: by the month, private pay, for a one-bedroom unit. The year is 12 months.
- Nursing home: by the day, for a shared (semi-private) or private room. The year is 365 days.
- Private duty nurse: by the hour. CareScout's month and year are for 1 hour a week, so read the hourly rate first.
CareScout rounds each hourly or daily rate to the dollar but works out the month and year from the unrounded figure, so they can be a few dollars off the rounded rate times the hours.
When a state shows no figure
Where too few providers answered, the tool says "CareScout had too little data for this state" instead of a number. That happens for 10 of the 306 state and care type pairs, for example adult day care in Delaware and private duty nursing in Alaska. The District of Columbia isn't in CareScout's state tables, so its figures come from CareScout's own cost-of-care data for DC. One published figure is a misprint: Virginia's adult day month prints as "$17,50". The tool shows $1,750, which is $20,995 a year divided by 12, and marks it.
Your hours of help at home
CareScout's month for an in-home caregiver assumes 44 hours a week, close to full time. If you'd need less, enter your hours a week and the tool adds an estimate: the state's hourly rate times your hours times 52 weeks, divided by 12. To price particular help, like a ride home after a procedure or the nights after a hospital stay, use the in-home care cost calculator instead.
Before you decide
Prices vary a lot inside a state, between cities and between providers. Use these figures to compare settings and states, then get quotes from places near you. Ask an assisted living community about an entrance fee and what more care adds to the monthly rate. Medicare pays nothing toward assisted living rent, meals or personal care: see what Medicare pays for in assisted living, and the low income assisted living options.
In Canada, each province caps what a long-term care resident pays: see long-term care costs in Canada.
Read next
- The average cost of assisted living for a single person, plus care fees.
- Assisted living or a nursing home: which costs you less.
- Senior living cost for one person, from independent living to memory care.
- Private duty nursing: the cost, and who supervises your nurse.
Source: CareScout 2025 Cost of Care Survey, ranked median costs by state, July to November 2025, published March 2026. CareScout is named, not recommended, and nothing here is financial advice.