No one disputes that opioid abuse has caused an epidemic in our country, one that costs tens of billions, if not hundreds of billions, of dollars per year. Less well known, but of vital importance to policymakers, is how these costs are distributed. Opioid abuse rates and deaths vary considerably from state to state, as do the costs associated with this epidemic. But researchers have generally focused on the economic impact of the crisis in the aggregate, at the US level. In a new analysis, I estimate the cost at the state level and find substantial variation across the country. Here, I offer a preview of my findings, which will be released in full next month.