A new study published in JAMA estimates $94.4 billion of lost earnings due to US cancer deaths in 2015.

The estimates were for individuals aged 18 to 84 who died from cancer that year although the estimates may be conservative, given the study’s authors did not account for lost productivity.

According to the paper, a total of 8.7 million years of life were lost in the US to cancer in 2015.

Lost earning were highest for patients who were diagnosed with lung cancer ($21.3 billion), colorectal ($9.4 billion), female breast ($6.2 billion), and pancreatic ($6.1 billion) cancer.

The study found a “large variation” between states, with the highest rates on income loss in the south and the lowest in the west. Kentucky’s rate of lost income, for example, was 80 percent higher than Utah’s.

The full paper can be accessed free online and read here.