PlansByState

Health Insurance Premiums by State (2027)

What the same Silver plan costs a 40-year-old in 31 states, cheapest to dearest, with the insurers behind the price and the 2027 rate change.

Licensed Agents in 31 States · NPN #22052447

The one premium published on the same basis for every state is KFF’s benchmark Silver: the second-lowest-cost Silver plan for a 40-year-old, the plan the premium tax credit is measured against and the price paid in full above the credit line. For 2027 it runs from $491 a month in Maryland to $1,190 in Wyoming across the 31 states on this site; the U.S. average is $704. Below the credit line (400% of the poverty line, $63,840 for one person in 2027) the credit absorbs most of the difference between states; above it, the whole gap is the buyer’s. The table ranks all 31, then explains what moves a real premium away from the state figure.

Your county sets the price. Get your 2027 numbers

Premiums are set county by county, so a state average tells you very little. Enter your ZIP and a licensed agent will send you the plans filed where you live.

Takes about 30 seconds. No account, and you choose how you are reached.

“I run my own business and my time is valuable. Daniel handled everything — compared the private options, explained what I was actually getting, and had me covered fast. Way better experience than trying to navigate it myself.”
Mark T., client

2027 health insurance premiums by state, cheapest first

#StateBenchmark Silver, age 40vs U.S. averageInsurersWhere you enroll2027 change
1Maryland$491/mo-30%6Maryland Health Connection+14.6% final
2Iowa$528/mo-25%5HealthCare.gov+5.7% final
3Indiana$537/mo-24%4HealthCare.gov+17.5% final
4Virginia$549/mo-22%8Virginia’s Insurance Marketplace+16.9% final
5Nevada$565/mo-20%8Nevada Health Link+17.0% final
6Michigan$595/mo-15%7HealthCare.gov+14.5% final
7Ohio$603/mo-14%9HealthCare.gov+16.3% final
8Colorado$615/mo-13%7Connect for Health Colorado+10.0% final
9North Carolina$660/mo-6%5HealthCare.gov+14.1% final
10Kentucky$667/mo-5%3kynect+18.7% final
11Missouri$675/mo-4%6HealthCare.gov+12.3% final
12Oklahoma$686/mo-3%5HealthCare.gov+21.4% final
13South Carolina$702/moabout average6HealthCare.gov+22.1% final
14South Dakota$704/moabout average3HealthCare.gov+10.1% final
15Illinois$707/moabout average5Get Covered Illinois+14.1% final
16Alabama$712/mo+1%4HealthCare.gov+20.7% final
17Utah$716/mo+2%5HealthCare.gov+7.4% final
18Wisconsin$720/mo+2%12HealthCare.gov+21.7% final
19Louisiana$730/mo+4%5HealthCare.gov+18.1% final
20Georgia$733/mo+4%8Georgia Access+20.7% final
21Texas$737/mo+5%13HealthCare.gov+14.6% final
22Florida$738/mo+5%12HealthCare.gov+10.4% final
23Kansas$748/mo+6%5HealthCare.gov+19.5% final
24Arkansas$757/mo+8%4HealthCare.gov+7.6% final
25Nebraska$780/mo+11%5HealthCare.gov+13.8% final
26Tennessee$796/mo+13%5HealthCare.gov+15.6% final
27Mississippi$814/mo+16%3HealthCare.gov+20.2% final
28Delaware$876/mo+24%2HealthCare.gov+16.4% final
29Montana$889/mo+26%2HealthCare.gov+23.3% final
30West Virginia$1,185/mo+68%2HealthCare.gov+14.9% final
31Wyoming$1,190/mo+69%2HealthCare.gov+11.1% final

Benchmark: KFF’s 2027 average benchmark premium (the second-lowest-cost Silver plan for a 40-year-old, weighted by plan selections); the U.S. average is $704. Insurers: every company selling marketplace plans somewhere in the state for 2027, from the CMS Plan Year 2027 landscape file for HealthCare.gov states and the state marketplace’s own list elsewhere. 2027 change: the average rate change before any credit, final in 31 of the 31 states and still the requested figure in 0 (status and sources, state by state). Checked November 7, 2026. Full-price rates, not a quote or an offer of coverage.

How to read it

What a premium is, and what it is not

A premium is the monthly price of the plan before anyone uses it. It does not include the deductible, the copays or the out-of-pocket maximum, and a cheap premium often sits on a high deductible. The figures here are full filed rates before any premium tax credit; the price after the credit depends on household income and size, which is why the same plan can cost one neighbour $40 a month and another the full $1,190.

Download this table as a one-page PDF (free to reproduce with credit).

More: cheapest states for ACA plans · the 23-state comparison chart with PPO availability · benchmark premiums for all 51 · your own price in each state, after the credit · Open Enrollment 2027 by state

What does 2027 do to your premium?

A state average can’t tell you that. Enter your ZIP and a licensed agent will send you the real 2027 prices for your county as soon as they’re posted, and what you’d pay after any credit you qualify for. It costs nothing, and you deal with a licensed agent, not a call center.

Get my 2027 prices ↑

More state rankings

What You Pay Above the Subsidy Cliff, State by State · Health Insurance Comparison Chart by State · Health Insurance Rating Areas, State by State · Health Insurance Premiums by Age, State by State · Insurers Leaving the ACA Marketplace in 2027 · Cheapest States for Health Insurance 2026 — All 51 Jurisdictions · Cheapest States for Health Insurance (2026) · 7 States With No PPO Plans · Where One Insurer Controls the Market · The Age Curve, State by State · Where Your County Matters Most · Carrier Competition by State

See my price ↑