50-state comparison hub · last verified August 24, 2026
Genworth Cost of Care · 2024

Assisted living costs across all 50 states.

Median monthly and annual assisted-living facility cost for every U.S. state — sourced from the Genworth Cost of Care Survey and per-state published tables. Sort, filter, and open any state to see the source and context. The figures are a published reference for families weighing aging in place against facility care — they are not quotes, and they vary by city, care level, and memory-care needs.

Read this first

Variance disclaimer.Figures shown are published median monthly costs. Actual costs vary by city, care level (standard assisted living vs memory care), and the amenity tier of the specific community. The values here are a reference, not a quote — get real estimates from 2–3 local facilities before deciding. Coastal and metro counties often run 15–40% above the state median; rural counties often run below.

Two pathways

The same line item, two costs.

A senior can either move into an assisted-living facility (recurring monthly cost) or stay in the home they already own (one-time line-item remodel cost). The table below is the facility side; the editorial cost guide is the home-modification side. Both run against the same line-item discipline so a family can compare like-for-like before the salesperson shows up.

Facility care
Recurring

Assisted living (this index).

Median monthly cost of an assisted-living community by state, including room & board, three meals daily, personal-care assistance, and 24-hour on-site staff. Memory-care premiums and amenity tiers are not included in the median.

Aging in place
One-time line items

Home modifications.

Grab bars, curbless showers, door widening, ramp builds, and porch lifts — sized to the existing 1955–1985 ranch or 1960–1985 split-level homes most seniors already own. Funded partially by USDA Section 504, VA HISA, and state HCBS waivers.

The 50-state table

Compare by monthly cost, annual cost, or alphabetically.

Fifty rows, one per state. The cream-colored badges sit at the band floor (≤ $4,000); the dark badges sit at the ceiling (≥ $6,000); neutral badges fall in between. Open any state for that row’s source citation and any per-state editor notes.

Loading the 50-state table…

City guides · live

Anchor your city to the state median.

Four cities already have local cost snapshots anchored to the state median. Use them to bracket the city-to-state variance in the table above.

  • Tampa, FL — Hillsborough County walk-in tub, curbless shower, ramp build
  • Phoenix, AZ — Maricopa County walk-in tub, curbless shower, ramp build
  • Santa Rosa, CA — Sonoma County walk-in tub, grab-bar, ramp build
  • Denver, CO — Denver County walk-in tub, curbless shower, ramp build
Cost guides · live

Read the per-line-item cost guide for the work above.

Seven cost guides now ship alongside the comparison table — one per line-item family on the Aging in place card above. Each one carries the national band, the cost drivers, the contractor checklist, and the variance disclaimer a family needs to read a quote before the salesperson walks the room. Reroute the intro card above to the per-line-item questions the family actually has, instead of guessing at a single national figure.

FAQ

The questions families ask this page.

Five short, plain-English answers. The variance disclaimer comes first because it is the load-bearing note: these figures are reference, not quotes.

No. The figures are published median monthly costs from the Genworth Cost of Care Survey, the standard public reference for senior-care costs by state. Your actual cost will vary by city (Bay Area vs Central Valley), care level (standard assisted living vs memory care), and the floor plan/amenity tier of the specific community. The values are a reference, not a quote — request estimates from 2–3 local facilities before making a financial decision.

About the editor · FTC disclosure

Who vetted this index.

Daniel Holt, CAPS

CAPS · NAHB

Twenty-plus years in the trades — framing, finish, project management. Reviewed every product on Greybough against the same field rubric: does it install in a real bathroom, not a photo studio?

Spotted a stale state figure or a missing citation? Tell the editor.

From numbers to quotes

Get a real estimate from a CAPS-credentialed pro.

The state median above is a reference. Once a family knows the line-item scope, the next step is two or three local estimates from a CAPS-credentialed remodeler — not a national listicle quote. Greybough routes vetted briefs to a per-metro pool; the family never pays for the introduction.

Get a real quote from a certified pro

A better next call starts with a better brief.

Tell us about the project and your ZIP code — we route the lead to a CAPS-certified senior-friendly remodeler in your area. They pay a flat $100 for the introduction; the family never pays for it. Your Audit Kit is emailed automatically as soon as you submit.

Vetted Local Quotes

Tell us about the project.

Five quick fields. We route to a CAPS-certified pro within one business day.

By submitting you agree we may share your brief with vetted local contractors. The Audit Kit is emailed automatically; we never sell or spam.