Ranked 14 of 15 states · median $828/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old physical therapist in Arkansas pays a median $828/month for a Silver plan before subsidies — 14th of 15 on cost. The cheapest plan in the state is $753 from Octave in Arkansas. On median Silver premium, Arkansas ranks 14 of 15 for this occupation.
When you use coverage regularly, the annual total is driven by what each visit costs and whether the clinician you already see is contracted. A plan $40 cheaper that drops your specialist is not cheaper. These rankings pair median premium with how many carriers actually file in the state.
Occupational context: Lifting and transfer injuries; chronic back strain.
This is background for choosing a plan, not for pricing one. Since 2014 every Arkansas 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 physical therapist or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a physical therapist in one Arkansas 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 |
|---|---|---|---|---|
| Miller | $753 | Octave | $6,000 | 4 |
| Perry | $753 | Octave | $6,000 | 4 |
| Pulaski | $753 | Octave | $6,000 | 4 |
| Sevier | $753 | Octave | $6,000 | 4 |
| Woodruff | $753 | Octave | $6,000 | 4 |
| Bradley | $753 | Octave | $6,000 | 4 |
The spread across just these six is $0/month — $0 a year for the same metal tier. Statewide the range runs $753 to $879. Coverage by County publishes all 75 Arkansas counties individually.
| Arkansas — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $828 |
| Cheapest Silver @40 | $753 — Octave (Arkansas) |
| Most expensive Silver @40 | $879 |
| Carriers filing in the state | 4 — Ambetter from Arkansas Health & Wellness, Arkansas Blue Cross and Blue Shield, Health Advantage, Octave |
| Plan types available | POS, PPO |
| Counties with only one carrier | 0 of 75 |
Arkansas has 4 carriers filing and 0 of 75 counties served by a single issuer. For a physical therapist 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. 3,900 plan records across 75 Arkansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Utah ($805), Texas ($807), North Carolina ($828). More expensive: Nebraska ($875).
Side-by-side: Arkansas vs Texas · Arkansas vs North Carolina · Arkansas vs Nebraska
A caveat on the table above: rating is by residence, not by job site. A physical therapist living in Arkansas and working across a state line still buys Arkansas plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
Self-employed Physical Therapists in Arkansas typically deduct: Licensing, equipment, malpractice insurance, CE. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
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 Arkansas is $753 per month from Octave, with a state median of $828. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Arkansas 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.
Yes. Plan types filed for 2026: POS, PPO.
Arkansas ranks 14 of 15 states covered here, at a median $828 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
This page compares states. For Arkansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Physical Therapists in Arkansas and a blog covering deductibles, subsidies and special enrollment.