Head-to-head, from CMS Plan Year 2026 data.
Licensed Independent Agent · NPN #22052447 · 21 States
Ohio is the cheaper of the two: a 40-year-old pays about $625/month for the median lowest-cost Silver plan, versus $828 — a difference of $203/month (32%) before subsidies.
| Ohio | North Carolina | |
|---|---|---|
| Median Silver @40 | $625 | $828 |
| Cheapest Silver @40 | $482 | $540 |
| Most expensive county @40 | $924 | $1,128 |
| Age 27 | $395 | $443 |
| Age 60 | $1,023 | $1,147 |
| Carriers | 11 | 6 |
| Counties | 88 | 100 |
| 1-carrier counties | 0 | 0 |
| Plan types | HMO | EPO, HMO, POS, PPO |
Network note: Ohio has no PPO plans in 2026 while North Carolina does. If you work across county or state lines that difference matters more than the premium gap.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape. Full-price filed rates before premium tax credits; not a quote or an offer of coverage.
This page sets two states against each other. For county-by-county carriers, plan data and help actually enrolling, I publish a page for each state on Coverage by County: Ohio or North Carolina. There is also a blog covering deductibles, subsidies and special enrollment periods.
Put your ZIP code in and I will show you the carriers filing in your county, what the cheapest plan costs, and what you would actually pay after any help you qualify for. No cost, and you talk to me — not a call center.