There are different ways to look at automobile deaths. One could consider the percentage of those who die in crashes, or the number of crashes per 100,000 miles. The rural states look much worst this way, as people drive more miles then in urban areas.

Data Source: Insurance Institute for Highway Safety, Highway Loss Data Institute. http://www.iihs.org/iihs/topics/t/general-statistics/fatalityfacts/state-by-state-overview