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How Much Does Direct Primary Care Cost in Each State? (2027)

Tabflows TeamOctober 29, 20266 min read

How Much Does Direct Primary Care Cost in My State?

Every state figure on this page is its typical starting price on the Tabflows DPC Finder: the middle of the cheapest membership an adult can join on their own at each practice that publishes one, taken from the practice's own website. It updates whenever the Finder does, so it always matches the state's Finder page.

Among the 35 states where at least 10 practices on the DPC Finder publish a monthly price for one adult, Kansas has the lowest typical starting price at $65 a month, followed by Kentucky at $75, while Massachusetts has the highest at $127, followed by New York at $125.

Hand-drawn sketch: a simple map of the United States with price tags pinned on a few states and a magnifying glass.

Direct primary care (DPC) is a membership model where you pay your doctor's office a flat monthly fee for most of your primary care, including visits, messaging and often discounted labs and medications. Because each practice sets its own price, what you pay depends a lot on where you live and which practice you choose. The table below shows what that looks like in every state.

DPC Membership Prices in Every State

Each state name links to its page in the DPC Finder, where you can browse practices by city.

StatePractices on the DPC FinderTypical starting price per month
Alabama68 practices, 18 publish an adult price$83, from $50 to $150
Alaska15 practices, 6 publish an adult price$100, from $99 to $150
Arizona189 practices, 39 publish an adult price$85, from $49 to $180
Arkansas25 practices, 9 publish an adult price$80, from $50 to $150
California296 practices, 51 publish an adult price$125, from $50 to $400
Colorado196 practices, 68 publish an adult price$105, from $40 to $425
Connecticut33 practices, 5 publish an adult price$60, from $34 to $95
Delaware42 practices, 3 publish an adult price$150, from $70 to $189
District of Columbia19 practices, 1 publish an adult priceToo few published prices yet
Florida503 practices, 131 publish an adult price$93, from $40 to $250
Georgia152 practices, 37 publish an adult price$90, from $25 to $364
Hawaii27 practices, 3 publish an adult price$125, from $100 to $350
Idaho58 practices, 13 publish an adult price$100, from $50 to $175
Illinois122 practices, 38 publish an adult price$87, from $15 to $300
Indiana90 practices, 32 publish an adult price$93, from $35 to $200
Iowa32 practices, 18 publish an adult price$89, from $55 to $450
Kansas72 practices, 26 publish an adult price$65, from $40 to $150
Kentucky65 practices, 16 publish an adult price$75, from $45 to $500
Louisiana60 practices, 11 publish an adult price$99, from $50 to $150
Maine64 practices, 40 publish an adult price$100, from $49 to $185
Maryland121 practices, 9 publish an adult price$100, from $50 to $150
Massachusetts68 practices, 15 publish an adult price$127, from $38 to $200
Michigan133 practices, 40 publish an adult price$80, from $50 to $300
Minnesota69 practices, 21 publish an adult price$99, from $40 to $300
Mississippi22 practices, 7 publish an adult price$99, from $45 to $165
Missouri107 practices, 38 publish an adult price$83, from $49 to $420
Montana31 practices, 16 publish an adult price$90, from $45 to $150
Nebraska38 practices, 7 publish an adult price$99, from $29 to $130
Nevada65 practices, 11 publish an adult price$100, from $75 to $225
New Hampshire37 practices, 25 publish an adult price$90, from $40 to $250
New Jersey97 practices, 9 publish an adult price$150, from $95 to $199
New Mexico40 practices, 9 publish an adult price$100, from $65 to $325
New York178 practices, 30 publish an adult price$125, from $59 to $300
North Carolina175 practices, 75 publish an adult price$85, from $25 to $399
North Dakota7 practices, 1 publish an adult priceToo few published prices yet
Ohio164 practices, 46 publish an adult price$99, from $17 to $399
Oklahoma88 practices, 22 publish an adult price$87, from $50 to $149
Oregon75 practices, 26 publish an adult price$105, from $50 to $160
Pennsylvania179 practices, 47 publish an adult price$99, from $16 to $500
Rhode Island23 practices, 0 publish an adult priceToo few published prices yet
South Carolina110 practices, 25 publish an adult price$80, from $49 to $155
South Dakota8 practices, 4 publish an adult price$120, from $60 to $203
Tennessee104 practices, 27 publish an adult price$85, from $20 to $225
Texas507 practices, 104 publish an adult price$100, from $15 to $349
Utah59 practices, 14 publish an adult price$80, from $25 to $250
Vermont28 practices, 11 publish an adult price$120, from $50 to $150
Virginia159 practices, 49 publish an adult price$99, from $45 to $250
Washington152 practices, 65 publish an adult price$110, from $50 to $335
West Virginia13 practices, 4 publish an adult price$87, from $59 to $149
Wisconsin86 practices, 25 publish an adult price$75, from $35 to $138
Wyoming22 practices, 4 publish an adult price$68, from $50 to $119

How to Read the State Table

The typical starting price is the middle price among the practices in that state that publish a monthly price for one adult. Half charge less and half charge more. For each practice it is the cheapest membership an adult can join on their own, so children's tiers and family caps are left out, and it is the starting price an adult would see on the practice's website.

The range runs from the lowest to the highest of those starting prices, so it shows how far apart practices in the same state can be.

Some states say there are too few published prices yet. A state gets a typical price once at least three of its practices publish a current adult price, the same rule its DPC Finder page uses. The cheapest and most expensive lists below rank only states with at least 10, because a median of a few prices can swing a long way when one practice changes its rates. Every state still has its practices on its state page.

A price only counts if it was verified within the last 180 days. The DPC Finder collects prices from each practice's own website and re-checks them, and this page updates with it.

Which States Have the Cheapest and Most Expensive DPC?

These are the five lowest and five highest typical starting prices among states where at least 10 practices on the DPC Finder publish an adult price.

Lowest typical pricesPer monthHighest typical pricesPer month
Kansas$65Massachusetts$127
Kentucky$75New York$125
Wisconsin$75California$125
Michigan$80Vermont$120
South Carolina$80Washington$110

The 2027 HSA limit for direct primary care is 150 dollars a month for one person under IRS Rev. Proc. 2026-24, so compare a practice's own price with it rather than its state's typical figure. A price under the limit is not enough on its own to keep a member HSA eligible: among other rules, the membership has to cover only primary care from primary care practitioners for a fixed periodic fee that is the sole compensation. Our 2027 DPC and HSA guide explains how it works.

Why Direct Primary Care Prices Vary From State to State

There is no single reason one state costs more than another, but a few things come up again and again.

Cost of living and rent

A practice in a high-rent city pays more for space, staff and insurance than one in a small town, and its prices reflect that. That is part of why prices in the same state can differ so much between a big city and a small town.

Age-banded pricing

Many practices charge different rates by age, with lower prices for younger adults and higher ones for older adults. Each state's figure counts the cheapest membership an adult can join, so in states where age bands are common, older adults will often pay more than the typical price shown (more in our DPC pricing report).

What the membership includes

Two practices at different prices may simply be selling different things. One might include house calls, in-office medication dispensing and same-day visits, while another keeps the fee low and charges separately for extras. Our DPC pricing report counts how many practices on the DPC Finder list each of these services, the same way the Finder's state pages count them.

Employer contracts

Many practices in the Finder list employer plans. Practices that serve a lot of employer groups sometimes set their public price differently, since much of their panel pays a negotiated rate that never appears on the website. If your employer offers DPC, your cost may be lower than the public price, or nothing at all.

How to Compare Two DPC Practices

Once you have a shortlist, the monthly fee is only one piece. These are the questions that usually make the biggest difference to what you actually pay over a year.

What to checkWhy it mattersWhat to ask
What visits are includedSome memberships cover unlimited visits, others cap them or charge for some services"Are office visits, telehealth and messaging all included?"
Lab pricingMany practices pass labs through at close to their own cost, which can save a lot"Do you offer labs at cost, and can I see the price list?"
MedicationsIn-office dispensing of generics can be far cheaper than a pharmacy copay"Do you dispense medications in the office, and which ones?"
After-hours accessBeing able to text or call your doctor at night can keep you out of urgent care"How do I reach the doctor after hours or on weekends?"
Enrollment feeMore than half of practices with published prices list one"Is there a one-time enrollment fee, and is it ever waived?"
Family pricingMany practices offer child rates or a family cap that limits the total"What is the price for my whole household, and is there a cap?"
Your age tierOlder adults often pay more than the lowest adult price"Which tier applies to me at my age?"

It also helps to think about how a membership fits with the rest of your coverage. DPC covers primary care, not hospital stays or specialists, so most members pair it with some form of insurance. Our guide to what insurance to pair with DPC explains the common options.

How to Find Direct Primary Care Near You

The fastest way to see real prices near you is the DPC Finder. Each state in the table above links to its own Finder page, and each state page breaks down into city pages listing the practices nearby, along with their published prices and services where the practice lists them.

When you find a practice you like, check its website for the full price list and call or message the office with the questions from the comparison table. Some practices offer a free meet-and-greet visit, which is a good chance to ask how they handle labs, medications and after-hours messages.

If you are a physician thinking about opening a practice in your state, the same table is a helpful map of local pricing. Our guides on how much to charge for a DPC membership and how to start a DPC practice go deeper, and DPC laws by state covers the rules that apply where you practice.

The DPC Finder is run by Tabflows, a dedicated tech team that connects the tools a clinic already uses (EHR, billing, messaging) so follow-ups, tasks and patient context end up in one place. Keeping the Finder's practice list and prices current is part of that same work, and this page's figures update with it.

FAQs

How much does direct primary care cost by state?

Prices vary by state and by practice. This page gives each state's typical starting price on the Tabflows DPC Finder: the middle of the cheapest membership an adult can join on their own at each practice that publishes one, taken from the practice's own website. The figures update whenever the Finder does, so each state's figure matches its Finder page.

Which states have the cheapest and most expensive direct primary care?

It changes as practices update their prices, so this page takes it from the DPC Finder and updates with it. Its section on the cheapest and most expensive states lists the five lowest and five highest typical starting prices among states where at least 10 practices publish an adult price..

Why does DPC cost more in some states than others?

A state's typical price reflects local cost of living and rent, how many practices use age bands, what the membership includes (labs, medications, house calls, after-hours access) and how much of a practice's revenue comes from employer contracts. A higher price often buys more included services, so compare what each membership covers, not just the monthly fee.

How do I find a direct primary care practice near me and see its price?

Use the Tabflows DPC Finder at tabflows.com/dpc-finder. Each state page lists the DPC practices in that state with city pages, and shows published prices where the practice lists them on its own website.

Why does my state say there are not enough published prices yet?

A state gets a typical starting price once at least three of its practices publish a current adult price on their own website, the same rule its DPC Finder page uses. Below that, the state's Finder page still lists every practice, and each practice page shows any price it publishes.