| Rank | State | Rate |
| 1 | MONTANA | 52.2 |
| 2 | DISTRICT OF COLUMBIA | 51.7 |
| 3 | VERMONT | 49.7 |
| 4 | WEST VIRGINIA | 45.7 |
| 5 | MARYLAND | 42.2 |
| 6 | OHIO | 42.1 |
| 7 | VIRGINIA | 41.6 |
| 8 | NEW HAMPSHIRE | 41.6 |
| 9 | MICHIGAN | 40.6 |
| 10 | PENNSYLVANIA | 39.2 |
| 11 | MISSOURI | 38.8 |
| 12 | NEW JERSEY | 38.2 |
| 13 | DELAWARE | 37.9 |
| 14 | MASSACHUSETTS | 37 |
| 15 | CONNECTICUT | 35.8 |
| 16 | NORTH DAKOTA | 35.5 |
| 17 | WASHINGTON | 35.2 |
| 18 | KENTUCKY | 34 |
| 19 | MAINE | 33.6 |
| 20 | GEORGIA | 33.4 |
| 21 | WISCONSIN | 33 |
| 22 | WYOMING | 33 |
| 23 | MINNESOTA | 32.6 |
| 24 | ILLINOIS | 32 |
| 25 | NORTH CAROLINA | 31.6 |
| 26 | INDIANA | 31 |
| 27 | TENNESSEE | 30.9 |
| 28 | NEW YORK | 30.6 |
| 29 | ALABAMA | 30.5 |
| 30 | IOWA | 30.4 |
| 31 | SOUTH DAKOTA | 29.6 |
| 32 | OREGON | 29 |
| 33 | CALIFORNIA | 27.8 |
| 34 | COLORADO | 27.3 |
| 35 | MISSISSIPPI | 26.9 |
| 36 | KANSAS | 26.9 |
| 37 | LOUISIANA | 26.8 |
| 38 | FLORIDA | 26.7 |
| 39 | SOUTH CAROLINA | 26.2 |
| 40 | HAWAII | 25.9 |
| 41 | RHODE ISLAND | 25 |
| 42 | ALASKA | 24.7 |
| 43 | UTAH | 23.8 |
| 44 | TEXAS | 23.8 |
| 45 | ARKANSAS | 22.8 |
| 46 | OKLAHOMA | 22.6 |
| 47 | ARIZONA | 22.2 |
| 48 | NEVADA | 20.1 |
| 49 | NEBRASKA | 19.9 |
| 50 | NEW MEXICO | 19.3 |
| 51 | IDAHO | 19.3 |