Free tool — updated 2026

What will care cost in your state?

Enter your state, care type, and financial picture. Get an instant estimate of monthly costs, how long your savings will last, and which funding options apply to your situation.

All 50 states 4 care types 2026 data Takes 2 minutes
1Your situation
2Care type
3Your finances
4Your results

Tell us about your situation

We'll use this to calculate costs specific to your state and estimate which funding options you may qualify for.

What type of care are you planning for?

Select the most likely care setting. You can change this later to compare options.

Your financial picture

This stays private — we use it only to calculate how long savings will last and which funding options may apply.

$250,000
$0$500K$1M$2M+
$2,500 /mo
$0$2,500$5,000$10,000+

Your long-term care cost estimate

Monthly cost in your state
Nursing home
Total estimated cost
Over 3 years
Savings runway
Based on your savings
Care type Monthly cost in your state 3-year total

Funding options that may apply to you

📋 Want a complete funding walkthrough? Our How to Pay for Long-Term Care guide covers every funding source in plain English — Medicaid spend-down, VA benefits, reverse mortgages, and more.

📖 Full funding guide 📋 Free planning checklist
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Cost data based on the 2026 Genworth Cost of Care Survey, A Place for Mom 2026 data, and Medicaid Planning Assistance state data. Estimates are medians — actual costs vary by location, provider, and level of care needed. This tool is for educational planning purposes only.

Understanding long-term care costs in 2026

Long-term care costs vary enormously — by state, by care type, and by the specific provider. But understanding the ranges helps families plan with confidence rather than guessing. Here's what the data shows for 2026.

2026 national median costs by care type

These figures represent national medians from the 2026 Genworth Cost of Care Survey and A Place for Mom annual data. Actual costs in your area may be higher or lower.

Care TypeMonthly CostAnnual Cost3-Year Total
Nursing home (semi-private)$9,342$112,100$336,300
Nursing home (private room)$11,294$135,500$406,600
Assisted living$5,900$70,800$212,400
Memory care$7,200$86,400$259,200
In-home care (44 hrs/week)$6,500$78,000$234,000

Why costs vary so much by state

Alaska has the highest long-term care costs in the country — nursing homes average over $32,000 per month. Louisiana sits at the opposite end, around $6,800 per month for the same level of care. The difference comes down to labor markets, cost of living, state Medicaid reimbursement rates, and local competition among providers.

This is why using a state-specific estimate matters. A family in California planning around the national average of $9,342/month would significantly underestimate their actual costs — California nursing homes run closer to $14,000–$16,000/month in most metro areas.

Not sure how to fund these costs? GoldenCare's specialists help families compare LTC insurance options across multiple carriers — and they'll tell you honestly if insurance makes sense for your situation. Free, no-pressure consultation.

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How to use these estimates in your planning

The calculator above gives you a useful baseline — but treat it as a starting point, not a final number. A few things to keep in mind as you plan:

Care duration is unpredictable. The average long-term care need is about three years, but roughly 20% of people need care for five years or more. Cognitive conditions like Alzheimer's can stretch care needs to 8–10 years. Planning for the average is fine, but knowing the range is important.

Costs inflate over time. Long-term care costs have historically risen 3–5% per year, faster than general inflation. A cost of $9,000/month today could be $12,000–$14,000/month in ten years. LTC insurance policies with inflation protection riders are specifically designed to account for this.

Most families use multiple funding sources. Very few families pay entirely from savings or rely entirely on Medicaid. The most common approach is a combination: private savings for the first few years, LTC insurance to cover a portion, and Medicaid planning for the longer term if needed.


Frequently asked questions

The national median cost of a nursing home in 2026 is approximately $9,342/month for a semi-private room and $11,294/month for a private room. Costs vary significantly by state — from about $6,500/month in lower-cost states like Louisiana and Mississippi to over $32,000/month in Alaska. Use the calculator above to see costs in your specific state.
The national median cost of assisted living in 2026 is approximately $5,900/month. Costs range from about $3,200/month in lower-cost states to over $8,500/month in higher-cost states like Alaska and Hawaii. Memory care — a specialized form of assisted living for people with dementia — runs about 20–30% higher, averaging $7,200/month nationally.
At the national average nursing home cost of $9,342/month, $250,000 in savings would last approximately 26 months before additional funding is needed — assuming no monthly income to offset costs. Use the calculator above with your actual state, savings, and income for a more accurate estimate. Once savings are exhausted, Medicaid typically becomes the primary payer — but qualifying requires advance planning in most states.
Medicare only covers skilled nursing facility care for up to 100 days following a qualifying hospital stay — and only for skilled care like physical therapy or wound care, not long-term custodial care (help with bathing, dressing, eating). After the 100-day Medicare period ends, families must pay out of pocket until Medicaid eligibility is reached. See our How to Pay guide for a full breakdown of all funding sources.
The average length of long-term care is approximately 3 years. However, about 20% of people need care for 5 years or more, and women tend to need care longer than men on average. Cognitive conditions like Alzheimer's can significantly extend care needs — often 8–10 years. Planning for the average is a reasonable starting point, but understanding the longer scenario is important for financial preparedness.
Medicare is federal health insurance primarily for people 65+ — it covers hospital care, doctor visits, and limited skilled nursing, but does NOT cover ongoing custodial long-term care. Medicaid is a joint federal-state program for people with limited income and assets — it does cover long-term nursing home care, but eligibility requires assets below your state's limit (often $2,000) and a 5-year look-back period applies. See our funding guide for more detail.
If care is already needed, LTC insurance is generally no longer an option — policies require applicants to be in good health at the time of application. However, if care is 1–3 years away and the person is under 75 and in reasonable health, a policy may still be obtainable. The earlier a policy is purchased, the lower the premiums. GoldenCare's specialists can assess your specific situation at no cost.
The calculator uses 2026 state-level median cost data from the Genworth Cost of Care Survey and A Place for Mom annual reports. Medians are a reliable planning baseline — but actual costs in your area can vary by 20–40% depending on the specific provider, urban vs. rural location, and level of care required. For in-home care especially, costs vary widely based on hours and care level. Treat these numbers as a planning starting point and verify with local providers before making financial decisions.