Assisted living communities offer housing and care options for seniors who remain active but need help with some activities of daily living (ADLs) like bathing or toileting. Residents in assisted living communities enjoy senior-focused services, amenities, and activities along with a welcome sense of community. These communities focus on physical health, intellectual stimulation, and social connection. But how much do they cost? Assisted living prices depend on how much or how little assistance a person needs, and in some cases, rent and services may even be tied together. Location, on-site amenities, services, and more also factor into the cost of assisted living.
While you may be seeking out the average cost of assisted living, it’s actually more helpful to understand the median cost. The median — meaning half the prices are higher and half are lower than that number — shows a more realistic picture of what someone can expect to spend, because assisted living average costs can be easily skewed by extremely high or low numbers. This is especially true in states, such as New York, that have many ultra-luxury assisted living communities, as the average in those cases may not truly represent the middle.
A Place for Mom compiled data on assisted living costs based upon partner community information. This data set shows the national median cost of assisted living communities in 2023 as the following:
In some areas, assisted living costs are closer to $7,200 a month, while states with a lower cost of living offer assisted living prices closer to $3,300 a month. Prices of luxury assisted living communities and budget assisted living communities can vary greatly because of the services provided at each. Additionally, assisted living costs may vary by ZIP code, city, or state.
Between 2019 and 2020, the median cost of assisted living across the country rose by 4.65%. The following table outlines the percentage of change over the last decade.
|Year||Percentage of change of the national median cost of assisted living from the previous year|
According to data from Genworth, the median cost of assisted living is continuing to steadily rise over time with different percentages of change each year, as shown in the chart above.[02,03,04,05,06,07,08,09,10,11,12]
How much an assisted living facility costs by state is related to that state’s cost of living index. Each assisted living community has its own design, levels of care, technology, location, and activities. All these factors affect the cost of assisted living facilities in different states.
For example, you may be wondering how much assisted living costs in a popular retirement state like Florida. The median cost of assisted living in Florida is $4,195 a month.
It can be quite expensive to live in some states, while it’s cheaper to live in others. Even between cities within a state, the cost of living index can vary greatly.
A cost of living index compares what it takes to maintain a certain standard of living in a given location. Cost of living is not only housing costs but also electricity, gas, water, taxes, food, and any expense related to living and thriving in that location.
Cost of living indexes typically center 100 as the national average. So, places with index numbers below 100 have a lower cost of living and places above 100 have a higher cost of living. Typically, a higher cost of living index number indicates that you can expect to see higher assisted living costs in that state. For example, many Northeastern states have high cost of living index numbers and more expensive median assisted living costs.
Similar to the cost of living index, the median cost of assisted living places is typically higher in the Northeast, Hawaii, and Alaska. Likewise, median assisted living costs by state are typically lower in the Midwest and the South.
According to the A Place for Mom’s proprietary data, these are the five states that had the least expensive median cost of assisted living per month in 2023:
These are the five states that had the most expensive median cost of assisted living per month in 2023:
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If you’re wondering how much it costs for assisted living per month across the U.S., read through the table below. It outlines the median monthly and yearly base fee of a private, one-bedroom apartment in assisted living and also notes the cost of living index by state:
|State||Median Monthly Price (2023)||Median Yearly Price (2023)||Cost of Living Index (2023)|
Depending on the pricing model of the assisted living providers surveyed, the above figures may reflect base fees that don’t include extra services like assistance with activities of daily living, medication management, and more.
Just as costs vary from state to state, assisted living expenses can even vary from ZIP code to ZIP code. To learn more about assisted living pricing in your zip code, visit the Genworth Cost of Care calculator and enter your ZIP code or the ZIP code of your loved one.
If we assume that each partner pays the national median monthly cost of assisted living ($4,807) and both have their own unit, then the couple would be paying $9,614 a month for assisted living.
However, it’s challenging to calculate the cost of assisted living for many couples because of the following factors:
If you’re planning to live in assisted living as a couple, it’s a good idea to ask prospective communities how they approach fees for couples and if they offer any sort of couple discount.
Base-fee and other upfront costs of assisted living homes typically include the following:
Assisted living costs fluctuate depending on the size and floor plan of a resident’s apartment, the age of a building, on-site amenities, and an area’s cost of living. Most communities also have a one-time entrance fee, sometimes called a “community” or “move-in” fee, which is typically between $2,000 and $5,000.
Residents usually pay more for additional services. Many communities may provide an assisted living cost breakdown to prospective residents, with a variety of add-on expenses for assisted living, such as:
Assisted living communities may offer the following cost structures to residents:
The median stay at an assisted living community is 22 months, according to the American Health Care Association. In 2023, the median cost of assisted living nationwide is $4,807 per month.
If we calculate a 22-month stay in assisted living at this 2022 rate, the resident will have spent $105,754 during their time in assisted living.
For some seniors, it may make sense to compare the costs of assisted living vs. nursing home care. The chart below compares the median costs of different senior care types, nationally, as collected from the 2021 Genworth data  and APFM proprietary data.
While Genworth has yet to release 2022 data for some care types, it’s important to note that senior living costs are anticipated to continue to rise in response to inflation and increased demand as baby boomers reach retirement age by the end of the decade.
|Care type||Latest median daily cost (nationally)||Latest median monthly cost (nationally)||Latest median yearly cost (nationally)|
|Nursing home facility, private room||$297 (Genworth, 2021)||$9,034 (Genworth, 2021)||$108,405 (Genworth, 2021)|
|Nursing home facility, semi-private room||$260 (Genworth, 2021)||$7,908 (Genworth, 2021)||$94,900 (Genworth, 2021)|
|Home health aide (based on 40 hours per week)||$154 (Genworth, 2021)||$4,680 (Genworth, 2021)||$56,160 (Genworth, 2021)|
|Homemaker services (based on 40 hours per week)||$240 (APFM, 2023)||$7,300 (APFM, 2023)||$87,600 (APFM, 2023)|
|Assisted living facility||$158 (APFM, 2023)||$4,807 (APFM, 2023)||$57,684 (APFM, 2023)|
|Memory care||$197.10 (APFM, 2023)||$5,995 (APFM, 2023)||$71,940 (APFM, 2023)|
|Adult day health care||$78 (Genworth, 2021)||$1,690 (Genworth, 2021)||$20,280 (Genworth, 2021)|
Living at home or with family may be another viable option for seniors. However, all the individualized variables make it difficult to determine the median cost of personal living arrangements.
Additionally, your loved one may opt to live at home with a visiting nurse, and it can be difficult to estimate those home care costs. Agency fees, state minimum wage laws, and localized nurse and health care worker shortages may cause the fees for a visiting nurse to vary greatly from city to city.
Our advisors help 300,000 families each year find the right senior care for their loved ones.
Adult day services centers may be an option for those who remain at home. As of 2020, 4,127 centers in the U.S. provided care to more than 237,000 participants on any given day of that year.
People may also utilize home health care agencies to prolong their time living at home, as well. As of 2017, more than 4.5 million people received care from home health care agencies during that year.
Seniors who choose or need senior living may first choose assisted living. More than 800,000 people reside in assisted living communities, and approximately 60% of assisted living residents will move out of their assisted living community and into a skilled nursing facility.
As of 2017, 1.3 million residents lived in nursing homes in the U.S. Roughly half of residents spend at least one year in their nursing home.
It can be challenging to determine how many people live in memory care, because “memory care” may refer to stand-alone communities or a type of service offered in units within assisted living communities. People with dementia may also reside in nursing homes because of their unique health situations.
Read related article:Assisted Living Alternatives: Your Care Options Explained
Remember that costs will depend on every resident’s unique situation, so being as prepared and informed as possible can help your family avoid surprising costs and sticker shock.
To learn more about a potential assisted living community’s pricing, consider asking the following 10 questions:
It can feel overwhelming trying to figure out how to pay for long-term care, but there may be multiple options available to your loved one.
Some pathways to pay for assisted living include the following:
Navigating the transition into assisted living may feel overwhelming, but you’re not alone. The specialized Senior Living Advisors at A Place for Mom offer free senior living consultations to help with your search for assisted living. These compassionate professionals can help you find local, assisted living options that may suit your loved one’s unique situation, all at no cost to your family.
A Place for Mom. (2022). Summary Assisted Living Placements.
Genworth. (2021). Cost of Care Survey.
Genworth. (2012, April 10). Genworth’s 9th annual Cost of Care Survey shows long term care in-home services costs rise in Texas.
Genworth. (2013, April 9). Genworth 2013 annual Cost of Care Survey: At home care costs up in Hawaii.
Genworth. (2014, April 14). Genworth 2014 annual Cost of Care Survey: At home care costs increase in Alabama.
Genworth. (2016, May 10). Genworth 2016 annual Cost of Care study: Costs continue to rise, particularly for services in home.
Genworth. (2017, September 26). Genworth 2017 annual Cost of Care Survey: Costs continue to rise across all care settings.
Genworth. (2018, October 16). Genworth’s 15th annual Cost of Care survey shows continuing rise in long term care costs.
Genworth. (2019, October 10). US national median long term care support services costs.
Genworth. (2020, December 2). US national median long term care support services costs.
Missouri Economic Research and Information Center. Cost of living data series.
American Health Care Association. National Center for Assisted Living. Facts and figures.
A Place for Mom. (2021). Summary 2021 memory care placements.
Centers for Disease Control and Prevention. National Center for Health Statistics. (2022, December 14). Adult day services centers.
Centers for Disease Control and Prevention. National Center for Health Statistics. (2022, December 14). Home health care.
Centers for Disease Control and Prevention. National Center for Health Statistics. (2022, December 15). Nursing home care.
Health in Aging Foundation. (2020, October). Nursing homes.
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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