The ranking is based on data from the CDC’s National Center for Health Statistics. The figures represent provisional drug overdose death counts for 2020 and have been adjusted to account for underreporting.
Of the nearly 3.4 million deaths recorded in the U.S. last year, 93,331 were caused by fatal overdoses.
Here’s how each state and the District of Columbia compare.
- California — 9,538 overdose deaths
Total deaths: 320,753 - Florida — 7,579
Total deaths: 243,105 - Pennsylvania — 5,278
Total deaths: 156,617 - Ohio — 5,215
Total deaths: 143,947 - New York — 5,132
Total deaths: 201,514 - Texas — 4,192
Total deaths: 253,702 - Illinois — 3,573
Total deaths: 128,730 - North Carolina — 3,260
Total deaths: 110,110 - Tennessee — 3,128
Total deaths: 88,401 - New Jersey — 2,841
Total deaths: 95,550 - Michigan — 2,770
Total deaths: 115,484 - Maryland — 2,761
Total deaths: 59,646 - Arizona — 2,660
Total deaths: 77,089 - Massachusetts — 2,318
Total deaths: 68,930 - Indiana — 2,268
Total deaths: 79,149 - Virginia — 2,187
Total deaths: 79,510 - Kentucky — 2,104
Total deaths: 55,709 - Louisiana — 1,925
Total deaths: 56,831 - Missouri — 1,921
Total deaths: 76,269 - Georgia — 1,863
Total deaths: 103,508 - South Carolina — 1,730
Total deaths: 60,285 - Washington — 1,724
Total deaths: 63,018 - Wisconsin — 1,539
Total deaths: 62,468 - Colorado — 1,512
Total deaths: 47,595 - Connecticut — 1,385
Total deaths: 38,123 - West Virginia — 1,377
Total deaths: 25,647 - Minnesota — 1,066
Total deaths: 52,186 - Alabama — 1,009
Total deaths: 63,362 - Nevada — 916
Total deaths: 31,391 - New Mexico — 813
Total deaths: 23,080 - Oregon — 799
Total deaths: 40,238 - Oklahoma — 753
Total deaths: 46,426 - Utah — 623
Total deaths: 22,212 - Mississippi — 522
Total deaths: 39,310 - Arkansas — 515
Total deaths: 37,820 - District of Columbia — 511
Total deaths: 7,458 - Maine — 490
Total deaths: 15,620 - Kansas — 471
Total deaths: 31,124 - Delaware — 449
Total deaths: 10,991 - Iowa — 419
Total deaths: 35,658 - Rhode Island — 396
Total deaths: 12,160 - New Hampshire — 393
Total deaths: 13,512 - Idaho — 283
Total deaths: 16,468 - Hawaii — 274
Total deaths: 12,070 - Nebraska — 210
Total deaths: 19,702 - Vermont — 186
Total deaths: 6,177 - Montana — 157
Total deaths: 12,008 - Alaska — 146
Total deaths: 5,008 - North Dakota — 123
Total deaths: 8,839 - Wyoming — 101
Total deaths: 5,527 - South Dakota — 74
Total deaths: 10,126
