CMS Marketplace state · 95 counties
Tennessee ACA marketplace premiums
Statewide aggregates from CMS Public Use Files. Listed rates are age-27 premiums unless a row notes another age band.
Data updated 2026-08-30
- $583
- Avg premium (age 27)
- 95
- Counties
- 6
- Issuers
- #12 of 30
- Premium rank (30 states)
Above median
Tennessee lists 158 ACA marketplace plans across 95 counties from 6 issuers. Average age-27 premium is $583/mo (age 40: $711/mo; age 60: $1,511/mo), ranging $382 to $858/mo. Source: CMS Marketplace Public Use Files.
- State premium corpus place #12 of 30 (highest = #1)
- Costliest county Silver: Bedford at $684/mo
- Cheapest county Silver: Anderson at $582/mo
Premium rank is not plan-count rank
According to CMS Marketplace Public Use Files, Tennessee ranks #12 of 30 federal-marketplace states by average age-27 premium ($583/mo) and #9 of 30 by plan count (158 plans).
- #12 of 30
- Age-27 premium among 30 states
- $583
- Average listed premium /mo (age 27)
- #9 of 30
- Plan count among 30 states
- 158
- Listed ACA plans in this state
Highest listed average premium = #1. Most listed plans = #1. Federal-marketplace states only; state-based exchanges are outside this corpus.
Crowded issuer book
Tennessee marketplace standing
6 issuers put Tennessee in the densest third of state issuer books. Corpus place #12 of 30 (highest premium = #1).
Mid-pack age-27 avg $583/mo with 158 plans and a crowded 6-issuer book. YoY average shift: +35.4%.
Source: CMS Marketplace Public Use Files. Informational only; confirm options at HealthCare.gov. How we place states.
Where Tennessee sits by plan inventory
Tennessee lists 158 ACA marketplace plans among 30 federal-marketplace states (inventory signal, not a quality ranking).
Tennessee vs all states by ACA plan count
Where this state's disclosed CMS Marketplace plan inventory sits among every tracked federal-marketplace state
158 9th of 30 higher than 21 of 30 states
States, banded by ACA marketplace plan count
Each bar is a 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 Marketplace Public Use Files · 2026-08-30
Nationwide similar states
Similar average premium
Similar issuer count
Source: CMS Health Insurance Marketplace Public Use Files (Plan Year 2026) Tennessee ACA marketplace premiums by county and metal tier (Plan Year 2026) · 2026 CMS publishes the Marketplace Public Use Files annually, covering the federal exchange and participating state-based exchanges. Premiums shown are pre-subsidy and reflect age-27 Silver averages.
Most Expensive Counties
| # | County | Silver Avg | Plans | Issuers |
|---|---|---|---|---|
| 1 | Bedford | $684/mo | 55 | 4 |
| 2 | Coffee | $684/mo | 55 | 4 |
| 3 | Dickson | $684/mo | 55 | 4 |
| 4 | Giles | $684/mo | 55 | 4 |
| 5 | Hickman | $684/mo | 55 | 4 |
Most Affordable Counties
| # | County | Silver Avg | Plans | Issuers |
|---|---|---|---|---|
| 1 | Anderson | $582/mo | 50 | 4 |
| 2 | Blount | $582/mo | 50 | 4 |
| 3 | Campbell | $582/mo | 50 | 4 |
| 4 | Claiborne | $582/mo | 50 | 4 |
| 5 | Cocke | $582/mo | 50 | 4 |
Next: choosing a metal level or estimating subsidies.
All Counties in Tennessee
| County | Silver Avg | Bronze Avg | Gold Avg | Plans | Issuers | YoY |
|---|---|---|---|---|---|---|
| Anderson | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Bedford | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Benton | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Bledsoe | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Blount | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Bradley | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Campbell | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Cannon | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Carroll | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Carter | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Cheatham | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Chester | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Claiborne | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Clay | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Cocke | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Coffee | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Crockett | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Cumberland | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Davidson | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Decatur | $627 | $482 | $648 | 65 | 5 | +36.6% |
| DeKalb | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Dickson | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Dyer | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Fayette | $590 | $452 | $608 | 65 | 5 | +30.9% |
| Fentress | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Franklin | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Gibson | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Giles | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Grainger | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Greene | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Grundy | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Hamblen | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Hamilton | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Hancock | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Hardeman | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Hardin | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Hawkins | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Haywood | $590 | $452 | $608 | 65 | 5 | +30.9% |
| Henderson | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Henry | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Hickman | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Houston | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Humphreys | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Jackson | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Jefferson | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Johnson | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Knox | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Lake | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Lauderdale | $590 | $452 | $608 | 65 | 5 | +30.9% |
| Lawrence | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Lewis | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Lincoln | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Loudon | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Macon | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Madison | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Marion | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Marshall | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Maury | $684 | $527 | $708 | 55 | 4 | +34.6% |
| McMinn | $625 | $471 | $630 | 59 | 5 | +33.5% |
| McNairy | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Meigs | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Monroe | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Montgomery | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Moore | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Morgan | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Obion | $627 | $482 | $648 | 65 | 5 | +36.6% |
| Overton | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Perry | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Pickett | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Polk | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Putnam | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Rhea | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Roane | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Robertson | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Rutherford | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Scott | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Sequatchie | $625 | $471 | $630 | 59 | 5 | +33.5% |
| Sevier | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Shelby | $590 | $452 | $608 | 65 | 5 | +30.9% |
| Smith | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Stewart | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Sullivan | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Sumner | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Tipton | $590 | $452 | $608 | 65 | 5 | +30.9% |
| Trousdale | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Unicoi | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Union | $582 | $446 | $592 | 50 | 4 | +36.8% |
| Van Buren | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Warren | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Washington | $603 | $464 | $626 | 50 | 4 | +35.4% |
| Wayne | $684 | $527 | $708 | 55 | 4 | +34.6% |
| Weakley | $627 | $482 | $648 | 65 | 5 | +36.6% |
| White | $672 | $513 | $693 | 40 | 3 | +36.2% |
| Williamson | $670 | $516 | $690 | 65 | 5 | +37.4% |
| Wilson | $670 | $516 | $690 | 65 | 5 | +37.4% |
Frequently Asked Questions
Where does Tennessee sit on ACA premiums vs other states? ▼
What is the cheapest Silver county in Tennessee? ▼
How crowded is the Tennessee issuer book? ▼
Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are base rates for a 27-year-old non-tobacco user unless otherwise noted. Actual premiums vary by age, location, tobacco use, and subsidy eligibility. Source: CMS Marketplace PUF.
Read our methodology - how this data is sourced, computed, and verified.
PlainHealthPlan is rendered directly from CMS Health Insurance Marketplace Public Use Files, no number is typed in by an editor. County premiums and issuer counts are aggregated live from the CMS PUF records for each marketplace year. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.