The Real Cost of Smoking by State – WalletHub Study

With smokers having an elevated risk of severe symptoms from COVID-19 and the economic and societal costs of smoking totaling more than $300 billion per year, the personal-finance website WalletHub today released its report on The Real Cost of Smoking by State.

To encourage the estimated 34.2 million tobacco users in the U.S. to kick this dangerous habit, WalletHub calculated the potential monetary losses — including the lifetime and annual costs of a cigarette pack per day, health care expenditures, income losses and other costs — brought on by smoking and exposure to secondhand smoke.

States with the Lowest Smoking Costs States with the Highest Smoking Costs
1. Mississippi 42. California
2. Missouri 43. Washington
3. Alabama 44. Alaska
4. North Carolina 45. Minnesota
5. Tennessee 46. Hawaii
6. Kentucky 47. Rhode Island
7. South Carolina 48. Connecticut
8. Georgia 49. New York
9. Louisiana 50. District of Columbia
10. Idaho 51. Massachusetts

Key Stats

  • The estimated financial cost of smoking over a lifetime is just above $2.2 million per smoker.
  • The average out-of-pocket cost per smoker is $122,884 over a lifetime. Smokers in New York will pay the highest cost, $183,434, which is 2.1 times higher than in Missouri, where smokers will pay the lowest cost at $86,023.
  • Each smoker will incur an average of $566,018 in income loss over a lifetime. Smokers in the District of Columbia will lose the highest amount, $797,178, which is two times higher than in Mississippi, where smokers will lose the lowest amount at $395,643.
  •  Each smoker will incur an average of $164,720 in smoking-related health-care costs over a lifetime. Smokers in Massachusetts will pay the highest amount, $289,789, which is 2.6 times higher than in Kentucky, where smokers will pay the lowest amount at $110,280.

To view the full report and your state or the District’s rank, please visit:

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