| Middlesex to Punta Gorda (Florida) | 1,038.97 mi (1,672.06 km) |
| Middlesex to Puyallup (Washington) | 2,384.94 mi (3,838.19 km) |
| Middlesex to Queen Creek (Arizona) | 2,095.55 mi (3,372.46 km) |
| Middlesex to Queens (New York) | 38.81 mi (62.46 km) |
| Middlesex to Quincy (Illinois) | 889.78 mi (1,431.96 km) |
| Middlesex to Quincy (Massachusetts) | 214.39 mi (345.03 km) |
| Middlesex to Raceland (Louisiana) | 1,176.63 mi (1,893.60 km) |
| Middlesex to Racine (Wisconsin) | 702.39 mi (1,130.39 km) |
| Middlesex to Radcliff (Kentucky) | 640.64 mi (1,031.01 km) |
| Middlesex to Radford (Virginia) | 403.72 mi (649.72 km) |
| Middlesex to Rahway (New Jersey) | 11.79 mi (18.98 km) |
| Middlesex to Raleigh (North Carolina) | 397.28 mi (639.35 km) |
| Middlesex to Ramona (California) | 2,377.28 mi (3,825.86 km) |
| Middlesex to Ramsey (Minnesota) | 1,009.14 mi (1,624.06 km) |
| Middlesex to Ramsey (New Jersey) | 38.33 mi (61.69 km) |
