Data / Rankings / Drug overdose deaths, 12 months ending / US states

US states by drug overdose deaths (12 months)

California had the highest drug overdose deaths (12 months) of 51 states in September 2025, at 9,198. Wyoming had the lowest, at 83. The median was 1,000 and the figure for the United States was 71,892. Source: Centers for Disease Control and Prevention.

Highest9,198California
Lowest83Wyoming
Median1,00051 states
United States71,892History

All states, September 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,198 count9,198TexasTexas: 4,415 count4,415FloridaFlorida: 4,074 count4,074New YorkNew York: 3,807 count3,807WashingtonWashington: 3,159 count3,159PennsylvaniaPennsylvania: 2,973 count2,973ArizonaArizona: 2,914 count2,914OhioOhio: 2,518 count2,518North CarolinaNorth Carolina: 2,472 count2,472TennesseeTennessee: 2,238 count2,238IllinoisIllinois: 2,051 count2,051ColoradoColorado: 1,780 count1,780GeorgiaGeorgia: 1,714 count1,714MichiganMichigan: 1,706 count1,706New JerseyNew Jersey: 1,661 count1,661IndianaIndiana: 1,488 count1,488MarylandMaryland: 1,403 count1,403South CarolinaSouth Carolina: 1,348 count1,348OregonOregon: 1,339 count1,339MassachusettsMassachusetts: 1,335 count1,335VirginiaVirginia: 1,313 count1,313KentuckyKentucky: 1,286 count1,286MissouriMissouri: 1,280 count1,280NevadaNevada: 1,249 count1,249LouisianaLouisiana: 1,207 count1,207MinnesotaMinnesota: 1,000 count1,000WisconsinWisconsin: 957 count957AlabamaAlabama: 926 count926New MexicoNew Mexico: 907 count907OklahomaOklahoma: 906 count906ConnecticutConnecticut: 896 count896West VirginiaWest Virginia: 682 count682UtahUtah: 677 count677KansasKansas: 559 count559MississippiMississippi: 468 count468IowaIowa: 408 count408MaineMaine: 391 count391ArkansasArkansas: 371 count371DelawareDelaware: 338 count338AlaskaAlaska: 331 count331District of ColumbiaDistrict of Columbia: 325 count325HawaiiHawaii: 309 count309IdahoIdaho: 286 count286New HampshireNew Hampshire: 251 count251Rhode IslandRhode Island: 227 count227MontanaMontana: 178 count178NebraskaNebraska: 138 count138VermontVermont: 138 count138North DakotaNorth Dakota: 129 count129South DakotaSouth Dakota: 83 count83WyomingWyoming: 83 count83
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesSeptember 2025
count		Change on September 2024
1California Provisional9,198-10.6%
2Texas Provisional4,415-15.8%
3Florida Provisional4,074-30.3%
4New York Provisional3,807-27.3%
5Washington Provisional3,159-2.6%
6Pennsylvania Provisional2,973-19.4%
7Arizona Provisional2,914+18.4%
8Ohio Provisional2,518-28.4%
9North Carolina Provisional2,472-9.8%
10Tennessee Provisional2,238-21.4%
11Illinois Provisional2,051-27.2%
12Colorado Provisional1,780+3.7%
13Georgia Provisional1,714-20%
14Michigan Provisional1,706-22.2%
15New Jersey Provisional1,661-21.6%
16Indiana Provisional1,488-18.2%
17Maryland Provisional1,403-31.2%
18South Carolina Provisional1,348-17.8%
19Oregon Provisional1,339-18.4%
20Massachusetts Provisional1,335-25.9%
21Virginia Provisional1,313-24.9%
22Kentucky Provisional1,286-23.3%
23Missouri Provisional1,280-21.2%
24Nevada Provisional1,249-17.8%
25Louisiana Provisional1,207-29.4%
26Minnesota Provisional1,000-9.2%
27Wisconsin Provisional957-27.2%
28Alabama Provisional926-28.5%
29New Mexico Provisional907+9.9%
30Oklahoma Provisional906-16.8%
31Connecticut Provisional896-16.1%
32West Virginia Provisional682-30.1%
33Utah Provisional677-7.3%
34Kansas Provisional5590%
35Mississippi Provisional468-14.6%
36Iowa Provisional408+0.5%
37Maine Provisional391-23.6%
38Arkansas Provisional371-8.8%
39Delaware Provisional338-12.9%
40Alaska Provisional331-12.4%
41District of Columbia Provisional325-32.4%
42Hawaii Provisional309-3.7%
43Idaho Provisional286-18.8%
44New Hampshire Provisional251-20.3%
45Rhode Island Provisional227-40.6%
46Montana Provisional178-3.3%
47Nebraska Provisional138-7.4%
47Vermont Provisional138-38.4%
49North Dakota Provisional129+5.7%
50South Dakota Provisional83-3.5%
50Wyoming Provisional83-29.1%

Other periods

About this ranking

Drug overdose deaths that occurred in the area during the 12 months ending in the month shown. The value for March 2026 covers April 2025 through March 2026. Underlying cause of death coded X40 to X44, X60 to X64, X85 or Y10 to Y14 (ICD-10).

United States: CDC National Vital Statistics System provisional counts, as reported, not the predicted counts CDC also publishes. Recent months are incomplete and usually rise as death records arrive; periods without final data are marked provisional. Deaths are counted where they occurred. The national figure covers the 50 states and DC. CDC publishes New York City separately; the New York State value is the sum of New York City and the rest of the state. Consecutive months overlap by 11 months, so they must not be added together.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. https://data.cdc.gov/resource/xkb8-kh2a.json?%24order=%3Aid&%24limit=50000&%24where=indicator%3D%27Number+of+Drug+Overdose+Deaths%27+AND+period%3D%2712+month-ending%27. Retrieved 2026-10-09.

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Questions

Which state has the highest drug overdose deaths (12 months)?

California, with 9,198 in September 2025, according to Centers for Disease Control and Prevention.

Which state has the lowest drug overdose deaths (12 months)?

Wyoming, with 83 in September 2025.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. Retrieved 2026-10-09.

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