Americans collectively spend $326 billion a year, including nearly $170 billion in direct health-care costs and more than $156 billion in lost productivity, due to premature death and exposure to secondhand smoke. The states with the lowest annual cost per smoker, according to WalletHub, are:
1. Louisiana, $24,160
2. Kentucky, $24,279
3. Missouri, $24,596
4. West Virginia, $24,625
5. North Carolina, $24,771
6. Georgia, $24,928
7. Tennessee, $25,078
8. South Carolina, $25,281
9. Mississippi, $25,442
10. Alabama, $25,597
Source: WalletHub, based upon calculating the cumulative cost of a cigarette pack per day over several decades, health care expenditures, income losses and other costs from smoking and exposure to secondhand smoke.