CMS Marketplace state rankings
Health Plan Rankings
States ranked by listed premiums, deductibles, issuer counts, and plan availability from ACA marketplace filings.
- 30
- States ranked
- 2,055
- Counties tracked
- 183
- Marketplace issuers
- 97,082
- ACA plans listed
Two boards, two leaders
According to CMS Marketplace Public Use Files, Monroe, Florida leads listed Silver averages at $1,318/mo (#1 of 2,055) while ranking #1,449 of 2,055 by plan count; Blue Cross and Blue Shield of Texas leads issuer footprint at 546 plans (#1 of 183) at average-premium rank #58 of 183.
- $1,318
- Monroe, FL Silver #1 of 2,055
- #1,449 of 2,055
- Monroe plan-count rank
- 546
- Blue Cross and Blue Shield of Texas plans #1 of 183
- #58 of 183
- Blue Cross and Blue Shield of Texas avg-premium rank
Highest listed Silver average = county #1. Most listed plans = issuer #1. Registry facts from the loaded CMS PUF vintage, not a plan recommendation.
PlainHealthPlan ranks federal-marketplace states on six CMS-derived boards: most expensive and cheapest average premiums, most issuers, lowest and highest average deductibles, and most plan options, plus a county year-over-year premium-change board. Each board sorts live from Marketplace Public Use File aggregates so a reader can open the full table without guessing which dimension moved the price.
- Boards: premiums, deductibles, issuers, plan count, YoY change
- Sorts refresh from the loaded marketplace vintage
- Each card previews the top five states
County year-over-year listed-premium change (plan year vs prior) is a separate board: Premium change rankings.
Most Expensive Premiums
States with the highest average monthly health plan premiums.
- 1 West Virginia $844
- 2 Wyoming $841
- 3 Utah $791
- 4 Nebraska $729
- 5 Florida $728
Cheapest Premiums
States with the most affordable average monthly premiums.
- 1 New Hampshire $391
- 2 Iowa $458
- 3 Hawaii $463
- 4 North Dakota $499
- 5 South Carolina $500
Cheapest Bronze Premiums
States with the lowest plan-weighted Bronze-tier monthly premiums.
- 1 New Hampshire $335
- 2 Iowa $370
- 3 Indiana $372
- 4 Hawaii $383
- 5 North Dakota $398
Cheapest Gold Premiums
States with the lowest plan-weighted Gold-tier monthly premiums.
- 1 New Hampshire $455
- 2 Hawaii $491
- 3 Iowa $519
- 4 South Carolina $558
- 5 North Dakota $575
Most Insurance Issuers
States with the most health insurance companies competing.
Lowest Average Deductibles
States where plans have the lowest average deductible amounts.
How PlainHealthPlan Rankings Are Compiled
Our rankings are computed directly from the upstream dataset, not editorially curated and not influenced by advertisers. Each ranking surfaces a clear, reproducible metric (for example, count of records per jurisdiction, share of records within a category, or rate per capita), and the underlying numbers are visible on the associated record pages so you can verify them. We recompute rankings whenever the upstream data refreshes, and we publish the refresh cadence on the methodology page.
What Rankings Mean (and What They Do Not)
A ranking is a useful lens, it tells you where to start looking, but it is not a judgment about quality, safety, or reputation. Being at the top of a count-based ranking typically reflects scale: more records in a jurisdiction, more entities in a category. It does not mean "better" or "worse." Whenever a ranking could be misread as a quality claim, we include an explanatory note on the page. When a ranking is rate-based (per capita, per thousand, share), we describe the denominator so you can sanity-check whether the normalization fits your question.
Why We Publish These Rankings
Rankings make large public datasets navigable. Most visitors arrive with a question ("Which jurisdiction has the most records?" or "Where is this category concentrated?") and benefit from seeing a ranked list with direct links to the full records. Publishing ranked views of public data is a long-established practice in civic journalism; we are careful to surface the raw numbers, link to the official source, and avoid editorial spin. If a ranking ever implies a value judgment not supported by the data, please email us at the address on the contact page and we will review the wording.
Methodology, Sources, and Corrections
Every ranking is derived from the source dataset linked on the methodology page. We do not blend proprietary signals; we do not substitute editor opinion for data. If you believe a ranking is miscomputed or that a record is misclassified, please contact us with the specific record ID and the expected correction, and we will investigate within the next refresh cycle. Corrections that affect the published ranking are rolled forward immediately; minor formatting fixes go out with the next scheduled refresh.
Download marketplace catalog CSV - same CMS PUF aggregates used on these ranking boards.