Ranked 14 of 17 states · median $807/mo · CMS PY2026
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A 40-year-old carpenter in Texas pays a median $807/month for a Silver plan before subsidies — 14th of 17 on cost. The cheapest plan in the state is $540 from Blue Cross and Blue Shield of Texas in Cameron. On highest out-of-pocket maximum, Texas ranks 13 of 17 for this occupation.
Trade work concentrates cost into rare, expensive events rather than spreading it across the year. That inverts the usual shopping logic: a lower premium with a $9,200 ceiling is a worse deal than a higher premium with a $6,000 one, because the ceiling is what you actually hit. These rankings follow the ceiling.
Occupational context: Saw and nail-gun injuries; hearing loss; back strain from lifting.
This is background for choosing a plan, not for pricing one. Since 2014 every Texas exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a carpenter or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a carpenter in one Texas county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Brooks | $590 | CHRISTUS | $5,990 | 4 |
| Lee | $608 | Sendero Health Plans, Local Nonprofit | $6,000 | 5 |
| Orange | $625 | CHRISTUS | $5,990 | 6 |
| Upshur | $635 | CHRISTUS | $6,000 | 3 |
| Midland | $645 | Ambetter from Superior HealthPlan | $6,000 | 4 |
| Zapata | $649 | Ambetter from Superior HealthPlan | $6,000 | 3 |
The spread across just these six is $59/month — $703 a year for the same metal tier. Statewide the range runs $540 to $1,409. Coverage by County publishes all 254 Texas counties individually.
| Texas — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $5,000 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $467 — Blue Cross and Blue Shield of Texas |
| Gold deductible | $500 |
| Cheapest Silver @40 | $540 — Blue Cross and Blue Shield of Texas |
| Cheapest Silver @50 | $754 |
For a carpenter, the gap between $5,000 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 13,013 plan records across 254 Texas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Mississippi ($773), Florida ($789), Utah ($805). More expensive: North Carolina ($828), Arkansas ($828), Nebraska ($875).
Side-by-side: Texas vs Florida · Texas vs Utah · Texas vs North Carolina · Texas vs Arkansas
Cross-state numbers are useful for understanding whether Texas is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a carpenter weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
If you file a Schedule C as a carpenter, the categories that usually show up are: Tools, truck, lumber, jobsite travel, liability insurance. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The BLS median wage for Carpenters in Texas is $48,150 a year (May 2024). Starting pay — the 10th percentile — is about $35,520. The middle half earn $41,750 to $56,450, and the top 10% more than $62,380. BLS counts about 34,400 people doing this work for an employer in Texas. The self-employed are not in the BLS survey, so this is the going rate for the work, not your own number.
The cheapest Silver plan for a 40-year-old in Texas is $540 per month from Blue Cross and Blue Shield of Texas, with a state median of $807. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Under the ACA, carriers cannot rate, decline, or exclude based on occupation or health history. Rates vary only by age, ZIP code, tobacco use and household size.
No. Only EPO and HMO and POS plans were filed for 2026.
Texas ranks 14 of 17 states covered here, at a median $807 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2027.
This occupation sits above the cliff in 1 of the 23 states reported and below it in the other 22, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Carpenters (SOC 47-2031) in Texas. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed carpenter. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2027 the 400% FPL limit applies again, so household income above $63,840 ends premium tax credit eligibility outright.
This page compares states. For Texas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Carpenters in Texas and a blog covering deductibles, subsidies and special enrollment.
One of Texas’s 15 carriers is leaving. Cigna exits the individual market entirely on January 1, 2027, so if you are a carpenter covered by them the question is not whether you switch but whether you choose the switch yourself.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Texas has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
The window opens November 1, 2026, and December 15 is the date worth writing down — it is what secures January 1 cover in Texas and everywhere else. You will find later dates quoted; they stem from a 2025 rule that was vacated in June 2026 and is under appeal.
One thing 2027 will not fix: no PPO is sold anywhere in Texas. All 254 counties offer HMO, EPO or POS only, so care outside the network is effectively emergency-only. If your work as a carpenter crosses county lines, weigh that above the premium.
You already know you are changing plans — Cigna is leaving. The only real question is whether you pick the replacement or the marketplace picks it for you, and that is a much easier decision made now than in the second week of December.
Enter a ZIP and a licensed agent will tell you three things:
The sticker price is rarely what Carpenters in Texas end up paying. Start with a ZIP and a licensed agent will work out your actual number.
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