Ranked 12 of 15 states · median $807/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old real estate investor in Texas pays a median $807/month for a Silver plan before subsidies — 12th of 15 on cost. The cheapest plan in the state is $540 from Blue Cross and Blue Shield of Texas in Cameron. On counties covered, Texas ranks 1 of 15 for this occupation.
Work that crosses county and state lines makes network geography the binding constraint. A cheap HMO that only contracts in one metro is worthless 200 miles away, so these pages rank states by network reach and flag the ones with no PPO on the exchange at all.
Occupational context: Property-inspection fall and exposure risk.
Worth being clear about what this does and does not affect: a carrier in Texas cannot ask what you do for a living, cannot charge a real estate investor more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a real estate investor 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 |
|---|---|---|---|---|
| Morris | $705 | CHRISTUS | $6,000 | 3 |
| San Augustine | $706 | UnitedHealthcare | $6,000 | 2 |
| Waller | $712 | Ambetter from Superior HealthPlan | $6,000 | 5 |
| Freestone | $721 | Ambetter from Superior HealthPlan | $6,000 | 3 |
| Lampasas | $731 | Ambetter from Superior HealthPlan | $6,000 | 4 |
| Brewster | $741 | UnitedHealthcare | $6,000 | 4 |
The spread across just these six is $35/month — $422 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 — network reach | 2026 |
|---|---|
| Counties in the state | 254 |
| Counties with only one carrier | 7 (3%) |
| Plan types available | EPO, HMO, POS |
| PPO available on exchange | No |
| Carriers filing in the state | 15 |
| Cheapest Silver @40 | $540 — Cameron |
Texas has no PPO plans on the exchange at all. For a real estate investor covering distance, that single fact outweighs premium: 7 of 254 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
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: Kansas ($765), 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 real estate investor weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
Self-employed Real Estate Investors in Texas typically deduct: Travel, property costs, legal and accounting fees. 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 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 12 of 15 states covered here, at a median $807 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
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 Real Estate Investors in Texas and a blog covering deductibles, subsidies and special enrollment.