Fentanyl Overdose Death Rate by State 2025

About This Dataset

Fentanyl Overdose Death Rate by State 2025
What this chart shows. Overdose deaths involving synthetic opioids other than methadone, the category that includes fentanyl, per 100,000 people in 48 states and DC in 2025. DC had the highest rate, 32.0, followed by Alaska at 29.4 and New Mexico at 29.0. Nebraska had the lowest, 1.4.

How the data is collected. The counts come from provisional death certificate data that the National Center for Health Statistics (NCHS) at the CDC publishes every month, here for the 12 months ending December 2025. The drug category is ICD-10 code T40.4 on the death certificate. The rate is CDC's count divided by the BEA 2025 population estimate.

Background. Nationally 38,462 deaths involved synthetic opioids, 54.4 per cent of all overdose deaths. They fell 21.0 per cent from 2024, faster than overdose deaths overall.

Limits. Louisiana and Nevada are left out because CDC does not publish drug-specific counts for them in this dataset. A death involving several drugs is counted under each of them.
Analysis

Alaska had the second-highest fentanyl death rate, 29.4, and the highest rate for methamphetamine and other stimulants.

Source:  CDC National Center for Health Statistics, VSRR Provisional Drug Overdose Death Counts

Key Findings

🏆
District of Columbia leads in Synthetic Opioid Deaths per 100,000 People with 32 in 2025.
📊
Average Synthetic Opioid Deaths per 100,000 People in 2025: 12.33  ·  median: 11.30.
↔️
Gap in 2025: District of Columbia is 22.9× larger than Nebraska.

Fentanyl Overdose Death Rate by State 2025

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Data Insights

Numbers, trends & sources behind this chart

Admin
⬡
Data Points
49
49 categories  ·  1 year
↑
Top Value
32
District of Columbia
Synthetic Opioid Deaths per 100,000 People · 2025
◈
Metrics
1
Synthetic Opioid Deaths per 100,000 People
◷
Period
2025
Single year snapshot

Methodology & source

Data source
CDC National Center for Health Statistics, VSRR Provisional Drug Overdose Death Counts
Coverage
49 entities · 2025 · 49 observations
Measure
Synthetic Opioid Deaths per 100,000 People
Last updated
2 October 2026
Compiled by
The ANYSTAT team, from the source above
How the figures are calculated
  • Values are shown as reported by the source. Nothing is rescaled, rebased or converted — the only changes are thousand separators and decimals shown to two places.
  • Entities are ranked highest-first on their value in 2025.

An article using this data

US overdose deaths fell 12.6% in 2025 but rose in eight states, led by New Mexico and Arizona
CDC provisional data: 70,646 overdose deaths in 2025, down 12.6%. Deaths rose in eight states, led by New Mexico and Arizona. Five charts: deaths, rates, change...

Rankings & Full Data

49 records · Synthetic Opioid Deaths per 100,000 People · ranked by 2025

✓ 49 sourced
# Category 2025 Source
🥇 District of Columbia 32
🥈 Alaska 29.40
🥉 New Mexico 29
4 Washington 26.80
5 Arizona 26.50
6 West Virginia 25.60
7 Delaware 22.10
8 Tennessee 17.40
9 Colorado 17.40
10 Oregon 17.10
11 Connecticut 15.80
12 Maine 15.70
13 Vermont 15
14 Maryland 14.90
15 North Carolina 13.80
16 South Carolina 12.70
17 Pennsylvania 12.60
18 New Hampshire 12.60
19 Massachusetts 12.30
20 Rhode Island 12.20
21 Kentucky 12
22 California 11.80
23 New Jersey 11.60
24 New York 11.60
25 Ohio 11.30
26 Indiana 10.40
27 Missouri 10.30
28 Minnesota 9.90
29 Oklahoma 9.80
30 Michigan 9.50
31 Wisconsin 8.70
32 Illinois 8.50
33 Alabama 8.30
34 Virginia 8.30
35 Florida 8.30
36 Montana 7.90
37 Kansas 7.70
38 Utah 7.30
39 North Dakota 7
40 Georgia 6.70
41 Mississippi 6.50
42 Idaho 5.90
43 Hawaii 5.40
44 Texas 4.50
45 Wyoming 3.90
46 Arkansas 3.70
47 South Dakota 2.50
48 Iowa 2.40
49 Nebraska 1.40

Data Sources & References

All external sources cited in this dataset

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