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.

Six state ranking boards from CMS PUF plus county YoY premium change

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.

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  1. 1 West Virginia $844
  2. 2 Wyoming $841
  3. 3 Utah $791
  4. 4 Nebraska $729
  5. 5 Florida $728

Cheapest Premiums

States with the most affordable average monthly premiums.

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  1. 1 New Hampshire $391
  2. 2 Iowa $458
  3. 3 Hawaii $463
  4. 4 North Dakota $499
  5. 5 South Carolina $500

Cheapest Bronze Premiums

States with the lowest plan-weighted Bronze-tier monthly premiums.

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  1. 1 New Hampshire $335
  2. 2 Iowa $370
  3. 3 Indiana $372
  4. 4 Hawaii $383
  5. 5 North Dakota $398

Cheapest Gold Premiums

States with the lowest plan-weighted Gold-tier monthly premiums.

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  1. 1 New Hampshire $455
  2. 2 Hawaii $491
  3. 3 Iowa $519
  4. 4 South Carolina $558
  5. 5 North Dakota $575

Most Insurance Issuers

States with the most health insurance companies competing.

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  1. 1 Texas 18
  2. 2 Florida 16
  3. 3 Wisconsin 12
  4. 4 Ohio 11
  5. 5 Missouri 8

Lowest Average Deductibles

States where plans have the lowest average deductible amounts.

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  1. 1 Texas $4,481
  2. 2 Alaska $4,502
  3. 3 Wyoming $4,578
  4. 4 Oklahoma $4,765
  5. 5 Delaware $4,819

Highest Average Deductibles

States where plans have the highest average deductible amounts.

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  1. 1 Michigan $5,919
  2. 2 Arkansas $5,607
  3. 3 Arizona $5,550
  4. 4 Oregon $5,472
  5. 5 South Dakota $5,443

Most Plan Options

States with the most ACA marketplace plan choices available.

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  1. 1 Texas 834
  2. 2 Florida 410
  3. 3 Wisconsin 311
  4. 4 North Carolina 206
  5. 5 Arizona 199

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.