CMS Marketplace county · plan year 2026

Sampson, North Carolina ACA premiums

County-level marketplace aggregates from CMS Public Use Files. Listed rates are age-27 premiums unless noted.

Data updated 2026-08-30

$657
Silver avg/mo
56
ACA plans
4
Issuers
+24.0%
YoY premium
Subscribe (RSS)
Silver avg $657/mo

Sampson, North Carolina has 56 ACA marketplace plans from 4 issuers (plan year 2026). Average Silver premium is $657/mo; Bronze averages $513/mo and Gold $705/mo. Figures are CMS Marketplace Public Use File county aggregates for age-27 rates.

  • County Silver corpus place #833 of 2055 (highest = #1)
  • Benchmark (2nd-lowest Silver) $532/mo
  • Plan year 2026 CMS PUF

Silver rank is not plan-count rank

According to CMS Marketplace Public Use Files, Sampson, North Carolina ranks #833 of 2,055 counties by listed Silver average ($657/mo) and #495 of 2,055 by plan count (56 plans).

#833 of 2,055
Silver average among 2,055 counties
$657
Listed Silver average /mo
#495 of 2,055
Plan count among 2,055 counties
56
Listed ACA plans in this county

Highest listed Silver average = #1. Most listed plans = #1. County of residence still governs which plans CMS files for that FIPS.

Sampson, North Carolina offers 56 ACA marketplace plans from 4 issuers for plan year 2026. Bronze plans start at $414/mo and Silver plans start at $532/mo (age 27 listed rates). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$657
Avg Silver Premium/mo
$532
Benchmark Premium/mo
+24.0%
Year-over-Year Change
$4,806
Avg Deductible

Dense plan inventory

Sampson marketplace standing

56 plans put Sampson in the densest third of county ACA inventories. Corpus place #833 of 2055 (highest Silver = #1).

Mid-pack Silver avg $657/mo with 56 plans in the densest third of county inventories. YoY average shift: +24.0%. The local market is heavily HMO-dominated -- shoppers who specifically want a PPO network have only a handful of plans to choose from here.

Source: CMS Marketplace Public Use Files, plan year 2026. Informational only; confirm options at HealthCare.gov. How we place counties.

Premiums by Metal Level

Bronze-tier cards fold CMS Expanded Bronze into Bronze (same population as county_trends and methodology). Plan rows and the premium-vs-deductible chart below keep the CMS source label.

Bronze

22 plans
$513/mo avg
$414 - $608

Silver

20 plans
$657/mo avg
$532 - $756

Gold

14 plans
$705/mo avg
$550 - $901
Benchmark premium & subsidies

The benchmark (second-lowest Silver) premium in Sampson is $532/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference.

ACA plans available

56

Plan year 2026

Issuers in market

4

Competitive market

Benchmark Silver

$532 /mo

Sets your subsidy ceiling

Avg deductible

$4,806

Across all metal tiers

C
Marketplace Access Score
59/100
Sampson

Based on benchmark premium, plan and issuer counts, and average deductible across 2,055 tracked ACA marketplace counties, not plan quality, network adequacy, or provider access.

Affordability D
$532/mo
Benchmark Silver premium; rank #833 of 2055 tracked counties (cheapest first)
Plan Choice B+
56 plans
ACA marketplace plan count; rank #495 of 2055 tracked counties (most first)
Issuer Competition C
4 issuers
Distinct marketplace issuers; rank #890 of 2055 tracked counties (most first)
Cost Predictability B
$4,806
Average deductible across tracked plans; rank #1540 of 2055 tracked counties (lowest first)

Sampson ACA plans by premium and deductible

Each marker is the Sampson average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.

Sampson ACA marketplace plans: premium vs deductible

Source: CMS Marketplace Public Use Files for Sampson, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 4 data points. 020004000600080001000012000 400500600700800 Monthly premium ($, age 27) Avg annual deductible ($) Bronze (1 plan), Monthly premium ($, age 27): 435 · Avg annual deductible ($): 10600Bronze (1 plan)Expanded Bronze (21 plans), Monthly premium ($, age 27): 517 · Avg annual deductible ($): 6019Expanded Bronze (21 plans)Silver (20 plans), Monthly premium ($, age 27): 657 · Avg annual deductible ($): 4570Silver (20 plans)Gold (14 plans), Monthly premium ($, age 27): 705 · Avg annual deductible ($): 1536Gold (14 plans)
Source: CMS Marketplace Public Use Files for Sampson, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

How Sampson's Silver premium compares nationwide

2,055 federal-marketplace counties with a tracked Silver average, banded by monthly premium.

Sampson vs 2,055 tracked counties

Average Silver premium (age 27), CMS Marketplace Public Use Files

$657 833rd of 2055 higher than 1,221 of 2,055 counties

Counties, banded by average Silver premium

Each bar is a $1-wide band; taller bars hold more counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source CMS Marketplace Public Use Files · 2026-08-30

Issuers in Sampson

Issuer Plans Avg Premium (Age 27)
Blue Cross and Blue Shield of NC 18 $637/mo
Ambetter of North Carolina 15 $511/mo
UnitedHealthcare 13 $611/mo
Cigna Healthcare 10 $720/mo

All Plans in Sampson

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
UnitedHealthcare
Bronze HMO $434.86 $530.29 $10,600 $10,600
Everyday Bronze
Ambetter of North Carolina
Expanded Bronze HMO $414.00 $504.86 $8,450 $10,150
Standard Expanded Bronze
Ambetter of North Carolina
Expanded Bronze HMO $415.60 $506.81 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $427.93 $521.84 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $429.59 $523.87 $7,500 $10,000
UHC Bronze Standard (No Referrals)
UnitedHealthcare
Expanded Bronze HMO $459.32 $560.12 $7,500 $10,000
Elite Bronze
Ambetter of North Carolina
Expanded Bronze HMO $470.40 $573.63 $0 $10,500
UHC Bronze Standard+ Dental + Vision (No Referrals)
UnitedHealthcare
Expanded Bronze HMO $476.46 $581.03 $7,500 $10,000
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Expanded Bronze HMO $477.59 $582.41 $0 $10,600
Elite Bronze + Vision + Adult Dental
Ambetter of North Carolina
Expanded Bronze HMO $486.22 $592.93 $0 $10,500
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $516.55 $629.91 $7,000 $10,600
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $532.46 $649.31 $7,000 $10,600
Blue Care Bronze Standard | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $538.61 $656.82 $7,500 $10,000
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $544.83 $664.41 $4,000 $10,600
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $553.70 $675.22 $7,500 $10,000
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze HMO $558.49 $681.06 $8,500 $8,500
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $561.49 $684.71 $4,000 $10,600
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Expanded Bronze PPO $575.60 $701.93 $8,500 $8,500
Connect Bronze 5500 Indiv Med Deductible
Cigna Healthcare
Expanded Bronze HMO $599.13 $730.62 $5,500 $10,250
Connect Bronze CMS Standard
Cigna Healthcare
Expanded Bronze HMO $599.67 $731.27 $7,500 $10,000
Connect Bronze 6500 Indiv Med Deductible
Cigna Healthcare
Expanded Bronze HMO $602.50 $734.72 $6,500 $9,900
Connect myDiabetesCare Bronze
Cigna Healthcare
Expanded Bronze HMO $607.54 $740.87 $6,000 $9,900
Clear Silver with $0 Insulin Options
Ambetter of North Carolina
Silver HMO $532.08 $648.86 $7,000 $7,000
Standard Silver
Ambetter of North Carolina
Silver HMO $532.25 $649.06 $6,000 $8,900
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Ambetter of North Carolina
Silver HMO $546.15 $666.01 $5,900 $8,150
Standard Silver + Vision + Adult Dental
Ambetter of North Carolina
Silver HMO $550.16 $670.90 $6,000 $8,900
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Ambetter of North Carolina
Silver HMO $564.53 $688.42 $5,900 $8,150
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver HMO $633.79 $772.89 $3,550 $10,000
UHC Silver Standard (No Referrals)
UnitedHealthcare
Silver HMO $634.98 $774.33 $6,000 $8,900
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UnitedHealthcare
Silver HMO $642.56 $783.58 $2,500 $10,150
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver HMO $650.94 $793.80 $3,550 $10,000
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Silver HMO $659.70 $804.49 $2,500 $10,150
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $676.95 $825.51 $2,800 $10,600
Blue Care Silver Standard | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $686.07 $836.64 $6,000 $8,900
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $697.75 $850.88 $2,800 $10,600
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Silver HMO $699.80 $853.38 $3,000 $10,600
Blue Advantage Silver Standard | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $705.29 $860.08 $6,000 $8,900
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Silver PPO $721.29 $879.58 $3,000 $10,600
Connect Silver 5000 Indiv Med Deductible
Cigna Healthcare
Silver HMO $745.61 $909.25 $5,000 $8,850
Connect Silver 3600 Indiv Med Deductible
Cigna Healthcare
Silver HMO $747.04 $910.98 $3,600 $9,150
Connect Silver CMS Standard
Cigna Healthcare
Silver HMO $747.30 $911.30 $6,000 $8,900
Connect myDiabetesCare Silver
Cigna Healthcare
Silver HMO $755.80 $921.67 $4,300 $9,200
Standard Gold
Ambetter of North Carolina
Gold HMO $550.22 $670.98 $2,000 $8,200
Standard Gold + Vision + Adult Dental
Ambetter of North Carolina
Gold HMO $568.74 $693.56 $2,000 $8,200
Complete Gold
Ambetter of North Carolina
Gold HMO $575.22 $701.46 $1,450 $7,500
Complete Gold + Vision + Adult Dental
Ambetter of North Carolina
Gold HMO $594.57 $725.06 $1,450 $7,500
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Gold HMO $702.89 $857.16 $0 $10,600
UHC Gold Standard (No Referrals)
UnitedHealthcare
Gold HMO $706.45 $861.49 $2,000 $8,200
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Cross and Blue Shield of NC
Gold HMO $710.39 $866.29 $1,800 $10,600
Blue Care Gold Standard A | Statewide Doctors
Blue Cross and Blue Shield of NC
Gold HMO $719.28 $877.14 $2,000 $8,200
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold HMO $723.28 $882.02 $750 $9,200
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Cross and Blue Shield of NC
Gold PPO $732.21 $892.90 $1,800 $10,600
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Cross and Blue Shield of NC
Gold PPO $739.50 $901.80 $2,000 $8,200
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Gold HMO $740.43 $902.93 $750 $9,200
Connect Gold CMS Standard
Cigna Healthcare
Gold HMO $899.27 $1,096.63 $2,000 $8,200
Connect Gold 1500 Indiv Med Deductible
Cigna Healthcare
Gold HMO $900.78 $1,098.47 $1,500 $9,950

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $506/mo $450 $784 24 5
2023 $536/mo $468 $773 31 5
2024 $496/mo $384 $833 26 5
2025 $521/mo $390 $908 19 5
2026 $657/mo $532 $756 20 4

What this means for Sampson

Use Sampson's own numbers here, not a national average, before you enroll.

Averages and tercile bands are CMS Marketplace Public Use File aggregates for this county; your actual premium depends on your age, household income, and chosen plan.

Frequently Asked Questions

Where does Sampson sit on Silver premiums vs other counties?

Sampson ranks #833 of 2055 tracked federal-marketplace counties by average Silver premium (highest = #1; CMS PUF sort). Local Silver avg is $657/mo. See /methodology#corpus-placement.

How many ACA plans compete in Sampson?

Sampson carries 56 ACA plans from 4 issuers, putting it in the densest third of county inventories nationwide.

What is the cheapest health insurance plan in Sampson?

The lowest-premium plan in Sampson starts at $414/mo (Bronze tier, age 27). Silver plans start at $532/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Sampson?

The benchmark (second-lowest Silver) premium in Sampson is $532/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

Why did Sampson premiums rise +24.0% year-over-year?

The average age-27 premium in Sampson changed by +24.0% between plan years 2025 and 2026, measured across Bronze, Silver, Gold, Platinum and Catastrophic plans. Premium trends are tracked from 2022 to 2026.

What is the average deductible and out-of-pocket maximum in Sampson?

The average annual deductible across all plans in Sampson is $4,806, and the average out-of-pocket maximum is $9,516. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which issuers compete in Sampson's crowded market?

There are 4 insurance issuers offering ACA marketplace plans in Sampson, including Blue Cross and Blue Shield of NC, Ambetter of North Carolina, UnitedHealthcare, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer

This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

Counties With a Similar Benchmark Premium

The closest counties nationwide to Sampson, NC's $532/mo benchmark premium.

One of 2,054 counties nationwide with a tracked benchmark premium, 5 are shown here.

Nationwide counties with similar marketplace profiles

Two CMS Marketplace peer sets for Sampson, NC, both outside NC so the neighborhoods are not state containment (the similar-premium list above may still include same-state rating-area siblings). Peers are drawn from counties with ≥20 plans, the rankings-scale corpus.

Similar benchmark premium

Nearest other-state counties by benchmark premium ($532/mo here).

Similar issuer competition

Nearest other-state counties by issuer count (4 here).

Data sources

Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan

Verify with CMS →

PlainHealthPlan is rendered directly from CMS Health Insurance Marketplace Public Use Files, no number is typed in by an editor. Plan and premium figures for this county come from the live CMS Marketplace PUF aggregates. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.