Adult Day Care Costs by State (2026)

Compare adult day care costs across all 50 states and DC

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Assisted Living Memory Care Nursing Home Home Health Aide Adult Day Care Independent Living
National Average: $82/day

Adult day care is the most affordable form of senior care, offering daytime supervision, activities, and meals while family caregivers work or rest. Costs range from under $40/day to over $150/day depending on location.

Cheapest State Missouri: $58/day
Most Expensive Alaska: $135/day
Cost Range $77/day

Cheapest & Most Expensive States for Adult Day Care

5 Most Affordable

1. Missouri $58/day
2. Mississippi $62/day
3. Arkansas $65/day
4. Kentucky $65/day
5. Louisiana $65/day

5 Most Expensive

1. Alaska $135/day
2. District of Columbia $115/day
3. Rhode Island $108/day
4. Hawaii $108/day
5. New Jersey $105/day

Adult Day Care Costs in All 50 States + DC

# State Daily Rate Monthly Est. vs. National Avg
1 Missouri $58/day $1,258/mo 29% below
2 Mississippi $62/day $1,345/mo 24% below
3 Arkansas $65/day $1,410/mo 21% below
4 Kentucky $65/day $1,410/mo 21% below
5 Louisiana $65/day $1,410/mo 21% below
6 Oklahoma $65/day $1,410/mo 21% below
7 Alabama $68/day $1,475/mo 17% below
8 South Carolina $68/day $1,475/mo 17% below
9 South Dakota $68/day $1,475/mo 17% below
10 West Virginia $68/day $1,475/mo 17% below
11 Georgia $72/day $1,562/mo 12% below
12 North Carolina $72/day $1,562/mo 12% below
13 North Dakota $72/day $1,562/mo 12% below
14 Tennessee $72/day $1,562/mo 12% below
15 Texas $72/day $1,562/mo 12% below
16 Utah $72/day $1,562/mo 12% below
17 Idaho $75/day $1,627/mo 8% below
18 Indiana $75/day $1,627/mo 8% below
19 Kansas $75/day $1,627/mo 8% below
20 Nebraska $75/day $1,627/mo 8% below
21 Nevada $75/day $1,627/mo 8% below
22 Wyoming $75/day $1,627/mo 8% below
23 Iowa $78/day $1,692/mo 5% below
24 Michigan $78/day $1,692/mo 5% below
25 Montana $78/day $1,692/mo 5% below
26 New Mexico $78/day $1,692/mo 5% below
27 Ohio $78/day $1,692/mo 5% below
28 Pennsylvania $78/day $1,692/mo 5% below
29 Wisconsin $78/day $1,692/mo 5% below
30 Arizona $80/day $1,736/mo 2% below
31 Florida $80/day $1,736/mo 2% below
32 Illinois $82/day $1,779/mo at average
33 Minnesota $82/day $1,779/mo at average
34 Colorado $85/day $1,844/mo 4% above
35 Virginia $85/day $1,844/mo 4% above
36 Maryland $88/day $1,909/mo 7% above
37 Oregon $90/day $1,953/mo 10% above
38 Vermont $90/day $1,953/mo 10% above
39 Delaware $92/day $1,996/mo 12% above
40 Maine $92/day $1,996/mo 12% above
41 New Hampshire $95/day $2,061/mo 16% above
42 Washington $95/day $2,061/mo 16% above
43 New York $98/day $2,126/mo 20% above
44 Connecticut $100/day $2,170/mo 22% above
45 California $105/day $2,278/mo 28% above
46 Massachusetts $105/day $2,278/mo 28% above
47 New Jersey $105/day $2,278/mo 28% above
48 Hawaii $108/day $2,343/mo 32% above
49 Rhode Island $108/day $2,343/mo 32% above
50 District of Columbia $115/day $2,495/mo 40% above
51 Alaska $135/day $2,929/mo 65% above

Ranked cheapest to most expensive. Source: Genworth Cost of Care Survey 2024, adjusted to 2026. Adult Day = per weekday, ~21.7 days/month.

What Is Adult Day Care?

Adult day care centers provide daytime supervision, social activities, meals, and some health services for seniors who need assistance but don't require 24-hour care. They typically operate during business hours (Monday-Friday) and serve as a vital resource for family caregivers.

Programs may include social activities, arts and crafts, exercise programs, health monitoring, medication management, physical therapy, personal care assistance, and nutritious meals and snacks. Some centers specialize in dementia care.

Adult day care is typically the most affordable form of senior care because it provides part-time rather than full-time services. It allows seniors to continue living at home while receiving structured daytime support, and gives family caregivers the flexibility to maintain employment or personal responsibilities.

Frequently Asked Questions

How much does adult day care cost per day in 2026?
The national average cost of adult day care in 2026 is $82 per day. At 5 days per week (~21.7 days/month), that's approximately $1,779 per month — making it the most affordable form of senior care.
What is included in adult day care?
Adult day care typically includes supervised activities, social engagement, meals and snacks, health monitoring, medication management, and personal care assistance. Some centers also offer physical therapy, transportation, and specialized dementia programs.
Does Medicare or Medicaid cover adult day care?
Medicare does not cover adult day care. However, many state Medicaid waiver programs cover adult day services for eligible individuals. Some long-term care insurance policies also cover adult day care. VA benefits may cover it for eligible veterans.
Who is adult day care best suited for?
Adult day care is ideal for seniors who are mostly independent but need daytime supervision, social interaction, or assistance while their family caregiver is at work. It's also beneficial for seniors with mild to moderate dementia who are safe at home during evenings and nights.
What is the cheapest state for adult day care?
States in the South and rural areas tend to have the lowest adult day care rates, often well below the $82/day national average. Alabama, Virginia, and South Carolina are typically among the most affordable.

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More Resources

All 51 State Guides Cost Calculator Cost by State Table How to Pay Guide All Articles

Data sources: Genworth Cost of Care Survey 2024 (adjusted to 2026), World Population Review 2026, CareScout 2024, state Medicaid agency publications. Costs represent state medians — individual facility prices will vary. Last updated March 2026.