Drug overdose deaths: U.S. states ranked (2024)
Measure: Drug overdose deaths. All 50 states and District of Columbia with data in Suicide, drug overdose and firearm deaths by state, ranked from highest to lowest. Reference period: 2024.
National value: 74,831 (United States).
- Lowest: 81 to 313
- Group 2: 313 to 808
- Group 3: 808 to 1,428
- Group 4: 1,428 to 2,324
- Highest: 2,324 to 8,593
Rank is derived by Quadranac: 1 = highest value; ties share a rank. Values are as published in the source table.
| 1 | California | 8,593 |
|---|---|---|
| 2 | Texas | 4,637 |
| 3 | Florida | 4,620 |
| 4 | New York | 4,238 |
| 5 | Pennsylvania | 3,149 |
| 6 | Ohio | 2,994 |
| 7 | Washington | 2,987 |
| 8 | North Carolina | 2,661 |
| 9 | Tennessee | 2,402 |
| 10 | Illinois | 2,374 |
| 11 | Arizona | 2,324 |
| 12 | Georgia | 1,934 |
| 13 | New Jersey | 1,905 |
| 14 | Michigan | 1,802 |
| 15 | Maryland | 1,707 |
| 16 | Indiana | 1,627 |
| 17 | Massachusetts | 1,503 |
| 18 | Colorado | 1,445 |
| 19 | Virginia | 1,440 |
| 20 | Kentucky | 1,435 |
| 21 | Louisiana | 1,428 |
| 22 | South Carolina | 1,399 |
| 23 | Oregon | 1,392 |
| 24 | Missouri | 1,358 |
| 25 | Alabama | 1,179 |
| 26 | Nevada | 1,161 |
| 27 | Wisconsin | 1,070 |
| 28 | Oklahoma | 967 |
| 29 | Connecticut | 926 |
| 30 | Minnesota | 914 |
| 31 | West Virginia | 808 |
| 32 | New Mexico | 733 |
| 33 | Utah | 589 |
| 34 | Kansas | 529 |
| 35 | Mississippi | 498 |
| 36 | Maine | 452 |
| 37 | Arkansas | 382 |
| 38 | Iowa | 373 |
| 39 | Alaska | 329 |
| 40 | Delaware | 324 |
| 41 | Hawaii | 313 |
| 42 | District of Columbia | 312 |
| 43 | Rhode Island | 311 |
| 44 | Idaho | 293 |
| 45 | New Hampshire | 262 |
| 46 | Vermont | 198 |
| 47 | Montana | 143 |
| 48 | Nebraska | 130 |
| 49 | Wyoming | 107 |
| 50 | North Dakota | 93 |
| 51 | South Dakota | 81 |
Source: CDC, National Center for Injury Prevention and Control, Mapping Injury, Overdose, and Violence – State, data.cdc.gov dataset fpsi-y8tj (intents All_Suicide, Drug_OD and FA_Deaths; U.S. total from the National dataset t6u2-f84c; data as of 2026-06-22). Reference period: 2024.
Cite this ranking
U.S. states ranked by drug overdose deaths (2024). Data: CDC, National Center for Injury Prevention and Control, Mapping Injury, Overdose, and Violence – State (fpsi-y8tj); rank derived by Quadranac. Data last updated 2026-10-27. https://quadranac.com/rankings/us-states-by-drug-overdose-deaths/