CMS Marketplace ranking · Avg Deductible

States with the Highest Average Deductibles

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

Data updated 2026-08-30

$5,919
#1 Michigan
30
States ranked
$5,045
Median value
$4,481
Last: Texas

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

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

  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
  6. 6
    Indiana $5,418
  7. 7
    Montana $5,388
  8. 8
    Tennessee $5,353
  9. 9
    Wisconsin $5,293
  10. 10
    West Virginia $5,283
  11. 11
  12. 12
    North Dakota $5,161

Source CMS ACA Marketplace Public Use Files, Plan Year 2026

The Bar to Make This List

Where the top-12 cutoff sits among all 30 ranked states

Every ranked state's avg deductible, bucketed by $740

$5,161 12th of 30 higher than 18 of 30 states

all 30 ranked states, bucketed by value

Each bar is a $740-wide band; taller bars hold more states. 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 ACA Marketplace Public Use Files, Plan Year 2026

#StateAvg Deductible
1MichiganMI$5,919
2ArkansasAR$5,607
3ArizonaAZ$5,550
4OregonOR$5,472
5South DakotaSD$5,443
6IndianaIN$5,418
7MontanaMT$5,388
8TennesseeTN$5,353
9WisconsinWI$5,293
10West VirginiaWV$5,283
11South CarolinaSC$5,169
12North DakotaND$5,161
13MissouriMO$5,056
14OhioOH$5,047
15IowaIA$5,045
16AlabamaAL$5,045
17UtahUT$5,025
18LouisianaLA$4,974
19FloridaFL$4,963
20New HampshireNH$4,944
21MississippiMS$4,911
22KansasKS$4,878
23HawaiiHI$4,877
24North CarolinaNC$4,840
25NebraskaNE$4,829
26DelawareDE$4,819
27OklahomaOK$4,765
28WyomingWY$4,578
29AlaskaAK$4,502
30TexasTX$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

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