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10 states with highest smoking costs, 2026 Here are the 10 states with the highest total cost per smoker in 2026: District of Columbia: $5,863,664 Maryland: $5,843,123 New York: $5,788,994 Connecticut: $5,505,490 Rhode Island: $5,473,821 Massachusetts: $5,360,623 Hawaii: $5,076,818 Washington: $5,055,862 Alaska: $5,054,561 New Jersey: $5,001,299 Advertisement Article continues below this ad 10 states with lowest smoking costs, 2026 Here are the 10 states with the lowest total cost per smoker in 2026: Mississippi: $3,384,149 North Carolina: $3,392,493 Missouri: $3,422,674 Alabama: $3,467,538 Tennessee: $3,468,310 Kentucky: $3,505,557 West Virginia: $3,512,274 South Carolina: $3,528,443 North Dakota: $3,556,248 Georgia: $3,574,943 Advertisement Article continues below this ad

Intra-regional and inter-regional abnormalities and cognitive control deficits in young adult smokers