I live in Arkansas, and my AT&T bill this month is $410. Granted, about $150 of that are payment plans for devices, but still. The base rate plan is $110, and there's a $20-30 per line fee for four separate lines.
I have an iPad Pro 11" LTE and an iPhone X, my wife has an S10+, and I handed down my 6th Gen iPad LTE to my 10-year-old. It's a lot more than "needed", and our aggregate data usage is 30+ GB/month, but still. The difference in cost is staggering.