Ranked 14 of 15 states · median $828/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old speech 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.
Patient-facing and on-your-feet work produces steady, predictable claims — routine visits, refills, physical therapy, the occasional urgent care. That profile is decided by copay design and by whether your providers are in network, not by the sticker premium, so carrier count sits alongside cost below.
Occupational context: Vocal strain; infectious exposure in clinical settings.
None of that changes your price. ACA plans in Arkansas are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a speech 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 |
|---|---|---|---|---|
| Cleveland | $753 | Octave | $6,000 | 4 |
| Dallas | $753 | Octave | $6,000 | 4 |
| Grant | $753 | Octave | $6,000 | 4 |
| Jackson | $753 | Octave | $6,000 | 4 |
| Little River | $753 | Octave | $6,000 | 4 |
| Monroe | $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 speech 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
Cross-state numbers are useful for understanding whether Arkansas is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a speech therapist weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
Deduction categories that generally fit this trade: Licensing, materials, malpractice insurance, CE. Note the ordering problem with health premiums: the §162(l) deduction lowers your AGI, and your AGI is what sets your premium tax credit, so the two calculate against each other. That is a CPA conversation and worth having before you enroll, not after.
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 Speech Therapists in Arkansas and a blog covering deductibles, subsidies and special enrollment.