Medicare Assignment Rate by State

Nationwide, 51.2% of listed suppliers accept Medicare assignment. North Dakota has the highest rate among states with at least 100 listings.

Why does the assignment rate matter?

A supplier that accepts assignment agrees to take the Medicare-approved amount as payment in full for covered items. The rate ranges from 37.9% in Hawaii to 73.8% in North Dakota. Read the assignment guide to learn what the flag means for your costs.

Rank	State	Rate	Accept assignment	All suppliers
1	North Dakota	73.8%	124	168
2	Puerto Rico	73.0%	143	196
3	Vermont	68.5%	87	127
4	Wisconsin	67.1%	729	1,087
5	New York	64.6%	3,114	4,824
6	Illinois	63.8%	1,334	2,092
7	South Dakota	61.5%	142	231
8	Maine	61.0%	192	315
9	Michigan	60.8%	972	1,599
10	West Virginia	59.5%	238	400
11	Delaware	58.4%	87	149
12	Tennessee	57.9%	842	1,454
13	Minnesota	57.5%	649	1,129
14	Utah	56.8%	233	410
15	Kentucky	56.4%	572	1,014
16	Florida	55.6%	2,225	3,999
17	Oregon	54.7%	328	600
18	Kansas	53.9%	367	681
19	Nevada	53.5%	244	456
20	Arizona	52.2%	632	1,210
21	Rhode Island	51.6%	94	182
22	Wyoming	51.5%	68	132
23	North Carolina	51.3%	987	1,925
24	Georgia	50.8%	910	1,790
25	Maryland	50.8%	472	930
26	Colorado	50.5%	467	924
27	Indiana	50.4%	655	1,300
28	New Jersey	50.3%	881	1,753
29	Nebraska	50.2%	230	458
30	Mississippi	50.1%	289	577
31	Idaho	49.5%	155	313
32	Oklahoma	47.5%	367	772
33	Iowa	47.0%	380	809
34	Virginia	46.9%	650	1,386
35	Missouri	46.6%	564	1,211
36	Montana	46.6%	108	232
37	Texas	45.6%	1,980	4,340
38	Ohio	45.1%	902	2,002
39	Arkansas	45.0%	288	640
40	Alabama	44.8%	452	1,009
41	New Hampshire	44.6%	104	233
42	South Carolina	44.4%	404	909
43	Louisiana	44.0%	354	805
44	New Mexico	43.8%	141	322
45	Pennsylvania	43.2%	929	2,150
46	Connecticut	43.0%	279	649
47	Washington	41.6%	421	1,013
48	Massachusetts	40.7%	429	1,055
49	California	38.4%	1,709	4,453
50	Hawaii	37.9%	67	177

Rates describe the supplier network, not every item a supplier sells. Confirm assignment for your specific item before you order.