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U.S. states ranked by drug overdose death rate per 100,000

All 50 states and District of Columbia with data in Suicide, drug overdose and firearm deaths by state, ranked from highest to lowest. Reference period: 2024.

Licence: Public domain (U.S. federal government work).
Data last updated: 2026-10-27

National value: 22.3 (United States).

Small states, hard to see on the map:

DC 46
RI 28.4
DE 31.4
CT 25.6
NJ 20.5
MD 27.6
MA 21.5
VT 30.6
NH 18.7

Lowest: 6.6 to 16.9
Group 2: 16.9 to 20.5
Group 3: 20.5 to 24.6
Group 4: 24.6 to 31.4
Highest: 31.4 to 46

The map is a visual summary; every value is in the table below, which is the keyboard and screen-reader path. Groups are quintiles of the values shown (a derived grouping). Boundaries: Natural Earth (public domain), simplified. Alaska and Hawaii are shown as insets, not to scale.

Rank is derived by Quadranac: 1 = highest value; ties share a rank. Values are as published in the source table.


1	District of Columbia	46
2	West Virginia	45.6
3	Alaska	44.9
4	Washington	38.2
5	Nevada	36.3
6	New Mexico	34.7
7	Tennessee	33.7
8	Oregon	32.9
9	Maine	32.4
10	Kentucky	31.7
11	Delaware	31.4
12	Arizona	31.3
13	Louisiana	31.2
14	Vermont	30.6
15	Rhode Island	28.4
16	Maryland	27.6
17	South Carolina	26
18	Connecticut	25.6
19	Ohio	25.4
20	Colorado	24.6
20	North Carolina	24.6
22	Pennsylvania	24.3
23	Oklahoma	23.9
24	Indiana	23.7
25	Alabama	23.1
26	California	22.1
27	Missouri	21.9
28	Hawaii	21.8
29	New York	21.7
30	Massachusetts	21.5
31	New Jersey	20.5
32	Florida	20.4
33	Illinois	18.9
34	New Hampshire	18.7
35	Wyoming	18.3
36	Wisconsin	18.1
37	Kansas	18
37	Michigan	18
39	Georgia	17.5
40	Utah	17.2
41	Mississippi	16.9
42	Virginia	16.5
43	Minnesota	15.9
44	Texas	15.2
45	Idaho	14.9
46	Montana	12.6
47	Arkansas	12.5
48	North Dakota	11.9
49	Iowa	11.6
50	South Dakota	8.8
51	Nebraska	6.6

Source: CDC, National Center for Injury Prevention and Control, Mapping Injury, Overdose, and Violence – State, data.cdc.gov dataset fpsi-y8tj (intents All_Suicide, Drug_OD and FA_Deaths; U.S. total from the National dataset t6u2-f84c; data as of 2026-06-22). Reference period: 2024.

Cite this ranking

U.S. states ranked by drug overdose death rate per 100,000 (2024). Data: CDC, National Center for Injury Prevention and Control, Mapping Injury, Overdose, and Violence – State (fpsi-y8tj); rank derived by Quadranac. Data last updated 2026-10-27. https://quadranac.com/rankings/us-states-by-drug-overdose-death-rate-per-100000/

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