States with the Highest Average Deductibles

All states ranked by highest average plan deductible, where out-of-pocket costs before coverage are highest.

What This Ranking Tells Us

High average deductibles can indicate several market dynamics: dominance of Bronze and Catastrophic plan enrollment, limited Silver plan CSR availability, or overall higher healthcare costs that push plan designs toward higher cost-sharing. In these states, consumers face more financial exposure before their insurance begins covering costs. Health Savings Accounts (HSAs) paired with high-deductible plans can help offset this burden through tax-advantaged savings.

What the Data Reveals Across 30 States

This ranking covers 30 states and jurisdictions in the ACA marketplace. Michigan tops the list at $5,919, while Texas sits at the opposite end with $4,481. The median value across all ranked states is $5,045, giving a rough sense of where a typical state lands relative to the extremes. The spread between top and bottom - $1,438 - illustrates how unevenly this particular metric is distributed across the country.

Rankings of this kind are shaped by a mix of structural factors: issuer competition, hospital and physician pricing, whether a state expanded Medicaid (which affects who enrolls in marketplace plans vs Medicaid), state-specific benefit mandates, and the age and health profile of each state's enrollment pool. Two states with similar demographics can still post very different numbers because of marketplace design choices and regulatory posture. The figures shown here are base rates, most enrollees pay less after Advance Premium Tax Credits are applied, with subsidy size keyed to each county's benchmark (second-lowest Silver) premium.

Use this ranking as a starting point for state-level comparison, not as a personalized recommendation. Your actual premium, deductible, and out-of-pocket exposure depend on age, household income, tobacco use, county of residence, and the specific plan you choose. Click any state to drill into county-level data, and always verify final pricing, provider networks, and subsidy eligibility at HealthCare.gov before enrolling. This page is informational only and is not insurance, medical, or tax advice. Source: CMS ACA Marketplace Public Use Files, Plan Year 2026.

Top 12 states - avg deductible

All states ranked by highest average plan deductible, where out-of-pocket costs before coverage are highest.

States with the Highest Average Deductibles

Michigan$5,919Arkansas$5,607Arizona$5,550Oregon$5,472South Dakota$5,443Indiana$5,418Montana$5,388Tennessee$5,353Wisconsin$5,293West Virginia$5,283South Carolina$5,169North Dakota$5,161
Source: CMS ACA Marketplace Public Use Files, Plan Year 2026. Top 12 of 30 ranked states.
# State Avg Deductible
1 Michigan MI $5,919
2 Arkansas AR $5,607
3 Arizona AZ $5,550
4 Oregon OR $5,472
5 South Dakota SD $5,443
6 Indiana IN $5,418
7 Montana MT $5,388
8 Tennessee TN $5,353
9 Wisconsin WI $5,293
10 West Virginia WV $5,283
11 South Carolina SC $5,169
12 North Dakota ND $5,161
13 Missouri MO $5,056
14 Ohio OH $5,047
15 Iowa IA $5,045
16 Alabama AL $5,045
17 Utah UT $5,025
18 Louisiana LA $4,974
19 Florida FL $4,963
20 New Hampshire NH $4,944
21 Mississippi MS $4,911
22 Kansas KS $4,878
23 Hawaii HI $4,877
24 North Carolina NC $4,840
25 Nebraska NE $4,829
26 Delaware DE $4,819
27 Oklahoma OK $4,765
28 Wyoming WY $4,578
29 Alaska AK $4,502
30 Texas TX $4,481

Source: CMS ACA Marketplace Public Use Files, Plan Year 2026.

Frequently Asked Questions

Why do some states have much higher deductibles?

Higher average deductibles often reflect enrollment patterns favoring Bronze plans (which have the lowest premiums but highest deductibles), limited availability of Cost-Sharing Reduction Silver plans, and underlying healthcare costs that force insurers to design plans with more cost-sharing to keep premiums manageable.

Can I reduce my deductible?

Yes. Choosing a higher metal level (Silver, Gold, Platinum) gives you a lower deductible in exchange for higher monthly premiums. If you qualify for Cost-Sharing Reductions (income 100-250% FPL), Silver plans offer dramatically reduced deductibles. Additionally, preventive care services are always covered at no cost regardless of whether you have met your deductible.

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

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