January 14, 2026

The cost of smoking

WalletHub calculated the potential monetary losses — including the lifetime and annual costs of a pack of cigarettes per day, health care expenditures, income losses and other costs — brought on by smoking and exposure to secondhand smoke.
 
States with the Highest Smoking CostsStates with the Lowest Smoking Costs
1. District of Columbia42. Georgia 
2. Maryland43. North Dakota 
3. New York44. South Carolina 
4. Connecticut45. West Virginia 
5. Rhode Island46. Kentucky 
6. Massachusetts47. Tennessee 
7. Hawaii48. Alabama 
8. Washington49. Missouri 
9. Alaska50. North Carolina 
10. New Jersey51. Mississippi 

Key Stats
  • The estimated lifetime cost of smoking is nearly $4.3 million per smoker.
     
  • The average out-of-pocket cost per smoker is $179,745 over a lifetime. Smokers in New York will pay the most, shelling out 1.8 times more than smokers in North Carolina, who pay the least.
     
  • Each smoker will lose an average of $675,601 income over a lifetime. Smokers in the District of Columbia will lose the most income – 1.9 times more than in Mississippi, where smokers will lose the least income.
     
  • Each smoker will incur an average of $232,498 in smoking-related health care costs over a lifetime. Smokers in the District of Columbia will pay the highest amount – 2.9 times more than in Tennessee, where smokers will pay the lowest amount.
  • Full report

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