State of Direct Primary Care 2026: A Data Report from 2,109 U.S. Practices

Key Findings

• 2,109 active Direct Primary Care practices are listed across all 50 states, Washington, D.C., and Puerto Rico, staffed by 2,783 active providers spanning 1,292 cities.
• The median DPC membership costs $80 per month for an individual adult. The average is $92, with published fees ranging from $10 to $999 (n = 1,348 practices with published pricing).
• Two-thirds of practices (67%) charge between $50 and $99 per month. Only 6.5% charge $150 or more.
• 93.5% of practices with published pricing fall under $150 per month — the individual threshold that made DPC memberships HSA-qualified expenses beginning January 1, 2026.
• Florida (223) and Texas (216) lead the nation in DPC practice counts, together accounting for roughly one in five practices nationwide.
• 62% of practices offer telehealth (1,300 of 2,109).
• Access remains thin in most of the country: 954 of the 1,292 cities with a DPC practice — nearly three in four — have exactly one.

This report is free to cite. See how to cite this report below.

About This Report

Direct Primary Care (DPC) is a membership model in which patients pay their physician a flat monthly fee for primary care instead of billing insurance per visit. (New to the model? Start with our complete guide to Direct Primary Care.) Despite steady growth in physician interest and new federal tax treatment taking effect in 2026, published national data on the DPC market remains scarce. This report contributes original numbers from the Connectedly Health directory — one of the largest structured datasets of DPC practices in the United States.

Methodology

All statistics were computed on July 23, 2026 from active practice listings in the Connectedly Health national DPC directory. Counts include the 2,109 practices marked active at query time. Pricing statistics are limited to the 1,348 practices (64%) that publish an individual adult monthly membership fee between $1 and $1,000 — the same methodology used by our live National DPC Pricing Index. State-level medians are reported only for states with at least 15 priced practices. Family and per-child figures are flagged with their smaller sample sizes.

Limitations: this is a census of a curated national directory, not of every DPC practice in the country. Practices that have not been added to the directory, or that closed without notice, are not captured. No figure in this report is estimated, extrapolated, or modeled — every number is a direct count or aggregate of listed practices.

Where DPC Practices Are: The National Map

DPC now has a footprint in every state. The ten states with the most active practices:

Florida and Texas together host 439 practices — about 21% of the national total. Notably, California ranks just sixth despite being the most populous state, with roughly a third as many practices as Florida.

At the other end, the thinnest DPC coverage is in Washington, D.C. and Puerto Rico (1 listed practice each), Alaska and North Dakota (2 each), South Dakota (3), and Hawaii and Rhode Island (4 each). West Virginia, with 6, has the fewest among the contiguous higher-population states. Browse any state's full listings via the state directory.

The Cities With the Most DPC Choice

Texas and Florida cities occupy six of the nine deepest markets. But the more striking number points the other way: of the 1,292 cities with at least one DPC practice, 954 (74%) have exactly one. For most Americans exploring DPC, the realistic question is not "which practice should I choose?" but "is there one near me at all?" — one reason 62% of practices now offer telehealth memberships that extend their reach.

What DPC Costs in 2026

Across the 1,348 practices publishing an individual adult monthly fee:

• Median: $80 per month
• Average: $92 per month
• Range: $10 to $999 per month

The typical DPC membership is priced like a mid-tier phone plan, not like concierge medicine — a distinction we quantify in our concierge medicine cost comparison. For households, the 29 practices publishing a family plan show a median of $200 per month (small sample), and the 206 practices publishing per-child pricing show a median of $49 per child per month.

The $150 HSA threshold

Since January 1, 2026, DPC membership fees under $150 per month for an individual ($300 for a family) are qualified medical expenses that can be paid with HSA funds. This report finds 93.5% of priced practices (1,261 of 1,348) already fall under that individual threshold — meaning the new rule covers nearly the entire market as it exists today. Details on how the rule works: our DPC + HSA 2026 guide.

Highest- and lowest-cost states

Among the 31 states with at least 15 priced practices, median monthly fees span a remarkably narrow band — from $75 to $100:

• Highest medians ($95–$100): Massachusetts, New York, and California ($100); Oregon ($99); Idaho ($97); Oklahoma and Washington ($95)
• Middle of the market: Texas and Colorado ($90); Florida, Virginia, Illinois, and Maine ($85); North Carolina, Georgia, Michigan, Ohio, Utah, and Montana ($80)
• Lowest medians ($75): Missouri, Arizona, Iowa, Indiana, Kansas, Kentucky, Alabama, Mississippi, and South Carolina

A $25 spread between the most and least expensive state medians is small compared with the geographic variation in insurance premiums, suggesting DPC pricing is shaped more by the model's economics than by local cost of living. Full state-by-state tables, updated continuously: National DPC Pricing Index.

Telehealth Adoption

1,300 of the 2,109 active practices — 62% — offer telehealth. Because most DPC memberships include messaging, phone, and video access to the physician at no per-visit charge, telehealth in DPC functions as a core access channel rather than a billed add-on, and it is the main way practices serve the three-quarters of covered cities that have only a single local option.

How to Cite This Report

This report may be cited freely with attribution and a link. Suggested citation:

Connectedly Health, "State of Direct Primary Care 2026," July 2026. https://connectedlyhealth.com/blog/state-of-direct-primary-care-2026

Journalists, researchers, and benefits professionals: for questions about the data, custom breakdowns (state, metro, or pricing band), or interview requests, contact support@connectedlyhealth.com. We can typically turn custom queries around within a few business days.

Explore the Data

• National DPC Pricing Index — live state-by-state pricing tables
• Browse practices by state — all 50 states, D.C., and Puerto Rico
• DPC vs. insurance: cost comparison
• What is Direct Primary Care? The complete guide