U.S. states ranked by drug overdose deaths
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.
National value: 74,831 (United States).
- Lowest: 81 to 313
- Group 2: 313 to 808
- Group 3: 808 to 1,428
- Group 4: 1,428 to 2,324
- Highest: 2,324 to 8,593
Rank is derived by Quadranac: 1 = highest value; ties share a rank. Values are as published in the source table.
| 1 | California | 8,593 |
|---|---|---|
| 2 | Texas | 4,637 |
| 3 | Florida | 4,620 |
| 4 | New York | 4,238 |
| 5 | Pennsylvania | 3,149 |
| 6 | Ohio | 2,994 |
| 7 | Washington | 2,987 |
| 8 | North Carolina | 2,661 |
| 9 | Tennessee | 2,402 |
| 10 | Illinois | 2,374 |
| 11 | Arizona | 2,324 |
| 12 | Georgia | 1,934 |
| 13 | New Jersey | 1,905 |
| 14 | Michigan | 1,802 |
| 15 | Maryland | 1,707 |
| 16 | Indiana | 1,627 |
| 17 | Massachusetts | 1,503 |
| 18 | Colorado | 1,445 |
| 19 | Virginia | 1,440 |
| 20 | Kentucky | 1,435 |
| 21 | Louisiana | 1,428 |
| 22 | South Carolina | 1,399 |
| 23 | Oregon | 1,392 |
| 24 | Missouri | 1,358 |
| 25 | Alabama | 1,179 |
| 26 | Nevada | 1,161 |
| 27 | Wisconsin | 1,070 |
| 28 | Oklahoma | 967 |
| 29 | Connecticut | 926 |
| 30 | Minnesota | 914 |
| 31 | West Virginia | 808 |
| 32 | New Mexico | 733 |
| 33 | Utah | 589 |
| 34 | Kansas | 529 |
| 35 | Mississippi | 498 |
| 36 | Maine | 452 |
| 37 | Arkansas | 382 |
| 38 | Iowa | 373 |
| 39 | Alaska | 329 |
| 40 | Delaware | 324 |
| 41 | Hawaii | 313 |
| 42 | District of Columbia | 312 |
| 43 | Rhode Island | 311 |
| 44 | Idaho | 293 |
| 45 | New Hampshire | 262 |
| 46 | Vermont | 198 |
| 47 | Montana | 143 |
| 48 | Nebraska | 130 |
| 49 | Wyoming | 107 |
| 50 | North Dakota | 93 |
| 51 | South Dakota | 81 |
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 deaths (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-deaths/