Ranked 9 of 15 states · median $765/mo · CMS PY2026
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A 40-year-old nurse practitioner in Kansas pays a median $765/month for a Silver plan before subsidies — 9th of 15 on cost. The cheapest plan in the state is $565 from Oscar in Anderson. On median Silver premium, Kansas ranks 9 of 15 for this occupation.
Patient-facing and standing work means steady, predictable utilization — regular visits, prescriptions, physical therapy. Copay structure and network breadth drive real annual cost more than the headline premium, so these pages rank states on median premium and carrier count together.
Occupational context: Needlestick and infectious exposure; standing strain.
Two things get confused here constantly. Risk exposure decides what coverage you should buy. It does not decide what you are charged — Kansas carriers rate on age, ZIP, tobacco and family size, full stop. A nurse practitioner with a bad back and a healthy 40-year-old office worker in the same county see the same number.
Premium is set by rating area, so a nurse practitioner in one Kansas 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 |
|---|---|---|---|---|
| Washington | $689 | Ambetter from Sunflower | $6,000 | 3 |
| Harper | $696 | Ambetter from Sunflower | $6,000 | 2 |
| Rice | $696 | Ambetter from Sunflower | $6,000 | 2 |
| Lyon | $698 | UnitedHealthcare | $4,000 | 3 |
| Labette | $719 | Ambetter from Sunflower | $6,000 | 2 |
| Pawnee | $739 | Ambetter from Sunflower | $6,000 | 2 |
The spread across just these six is $51/month — $609 a year for the same metal tier. Statewide the range runs $565 to $979. Coverage by County publishes all 105 Kansas counties individually.
| Kansas — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $765 |
| Cheapest Silver @40 | $565 — Oscar (Anderson) |
| Most expensive Silver @40 | $979 |
| Carriers filing in the state | 6 — Ambetter from Sunflower, Blue Cross and Blue Shield of Kansas, Blue Cross and Blue Shield of Kansas City, Medica |
| Plan types available | EPO |
| Counties with only one carrier | 14 of 105 |
Kansas has 6 carriers filing and 14 of 105 counties served by a single issuer. For a nurse practitioner with an established provider relationship, that carrier count is the number that decides whether you keep your doctor.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 3,058 plan records across 105 Kansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Michigan ($708), South Dakota ($725), Oklahoma ($731). More expensive: Florida ($789), Utah ($805), Texas ($807).
Side-by-side: Kansas vs South Dakota · Kansas vs Oklahoma · Kansas vs Florida · Kansas vs Utah
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a nurse practitioner who moved this year, that move is a qualifying life event and opens a special enrollment period.
Expense categories that typically apply to this trade: Malpractice insurance, licensing, DEA registration, CE. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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 cheapest Silver plan for a 40-year-old in Kansas is $565 per month from Oscar, with a state median of $765. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Kansas uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
No. Only EPO plans were filed for 2026.
Kansas ranks 9 of 15 states covered here, at a median $765 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation is above the cliff in all 20 states reported.
What this figure is. It is the median annual wage BLS reports for Nurse Practitioners (SOC 29-1171) in Kansas. 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 nurse practitioner. 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 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Kansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Nurse Practitioners in Kansas and a blog covering deductibles, subsidies and special enrollment.
Right now 6 carriers file plans across the 105 counties of Kansas. Participation is reset annually, which is why Nurse Practitioners should check the roster in November rather than assume this year’s options carry over.
Nobody can tell you your 2027 Kansas premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Kansas included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
One thing 2027 will not fix: no PPO is sold anywhere in Kansas. All 105 counties offer HMO, EPO or POS only, so care outside the network is effectively emergency-only. If your work as a nurse practitioner crosses county lines, weigh that above the premium.
Because Kansas sells no PPO in any of its 105 counties, the thing that will decide your 2027 experience is which network your providers sit in — and that is far easier to check now than during the rush.
Give me a ZIP and I will tell you three things:
Coverage for Nurse Practitioners is priced county by county across Kansas. Enter your ZIP and I will show you what is on the table.