CMS Marketplace state · 55 counties

West Virginia 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

$844
Avg premium (age 27)

Top 10% highest

55
Counties
2
Issuers
#1 of 30
Premium rank (30 states)
Subscribe (RSS)
Avg premium $844/mo (age 27)

West Virginia lists 37 ACA marketplace plans across 55 counties from 2 issuers. Average age-27 premium is $844/mo (age 40: $1,029/mo; age 60: $2,185/mo), ranging $434 to $1,631/mo. Source: CMS Marketplace Public Use Files.

  • State premium corpus place #1 of 30 (highest = #1)
  • Costliest county Silver: Cabell at $981/mo
  • Cheapest county Silver: Berkeley at $789/mo

Premium rank is not plan-count rank

According to CMS Marketplace Public Use Files, West Virginia ranks #1 of 30 federal-marketplace states by average age-27 premium ($844/mo) and #27 of 30 by plan count (37 plans).

#1 of 30
Age-27 premium among 30 states
$844
Average listed premium /mo (age 27)
#27 of 30
Plan count among 30 states
37
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.

Network inventory · plans

How 37 listed West Virginia plans split by CMS network type

Exclusive HMO / EPO / PPO / POS counts by distinct CMS plan_id for this state (same basis as the statewide plan total) - orthogonal to the average-premium and plan-count ranks above.

High-premium band

West Virginia in the high-premium third

$844/mo age-27 avg sits in the top third of tracked federal-marketplace states. Corpus place #1 of 30 (highest premium = #1).

Age-40 / age-60 averages are $1,029 and $2,185/mo. Inside the state, Silver still spans $192 from Berkeley to Cabell.

Source: CMS Marketplace Public Use Files. Informational only; confirm options at HealthCare.gov. How we place states.

Where West Virginia sits by plan inventory

West Virginia lists 37 ACA marketplace plans among 30 federal-marketplace states (inventory signal, not a quality ranking).

West Virginia vs all states by ACA plan count

Where this state's disclosed CMS Marketplace plan inventory sits among every tracked federal-marketplace state

37 27th of 30 higher than 3 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 issuer count

Top 5 most-expensive counties - West Virginia (Silver avg) Horizontal bar chart of the top 5 items by value (USD/mo). Top 5 most-expensive counties - West Virginia (Silver avg) 1. Cabell $981 2. Mason $981 3. Putnam $981 4. Wayne $981 5. Jackson $967 Top 5 West Virginia counties ranked by average Silver-tierACA premium (Plan Year 2026). Source: CMS MarketplacePublic Use Files.

Source: CMS Health Insurance Marketplace Public Use Files (Plan Year 2026) West Virginia 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 Cabell $981/mo 37 2
2 Mason $981/mo 37 2
3 Putnam $981/mo 37 2
4 Wayne $981/mo 37 2
5 Jackson $967/mo 37 2

Most Affordable Counties

# County Silver Avg Plans Issuers
1 Berkeley $789/mo 37 2
2 Grant $789/mo 37 2
3 Hampshire $789/mo 37 2
4 Hardy $789/mo 37 2
5 Jefferson $789/mo 37 2

Reading high-premium markets: see how APTC subsidies offset list rates.

All Counties in West Virginia

County Silver Avg Bronze Avg Gold Avg Plans Issuers YoY
Barbour $890 $665 $820 37 2 +5.4%
Berkeley $789 $589 $727 37 2 +5.1%
Boone $914 $683 $842 37 2 +5.4%
Braxton $914 $683 $842 37 2 +5.4%
Brooke $866 $647 $798 37 2 +5.0%
Cabell $981 $733 $904 37 2 +5.7%
Calhoun $914 $683 $842 37 2 +5.4%
Clay $914 $683 $842 37 2 +5.4%
Doddridge $890 $665 $820 37 2 +5.4%
Fayette $914 $683 $842 37 2 +5.4%
Gilmer $890 $665 $820 37 2 +5.4%
Grant $789 $589 $727 37 2 +5.1%
Greenbrier $914 $683 $842 37 2 +5.4%
Hampshire $789 $589 $727 37 2 +5.1%
Hancock $866 $647 $798 37 2 +5.0%
Hardy $789 $589 $727 37 2 +5.1%
Harrison $890 $665 $820 37 2 +5.4%
Jackson $967 $722 $891 37 2 +5.4%
Jefferson $789 $589 $727 37 2 +5.1%
Kanawha $914 $683 $842 37 2 +5.4%
Lewis $890 $665 $820 37 2 +5.4%
Lincoln $914 $683 $842 37 2 +5.4%
Logan $914 $683 $842 37 2 +5.4%
Marion $890 $665 $820 37 2 +5.4%
Marshall $866 $647 $798 37 2 +5.0%
Mason $981 $733 $904 37 2 +5.7%
McDowell $914 $683 $842 37 2 +5.4%
Mercer $914 $683 $842 37 2 +5.4%
Mineral $789 $589 $727 37 2 +5.1%
Mingo $914 $683 $842 37 2 +5.4%
Monongalia $890 $665 $820 37 2 +5.4%
Monroe $914 $683 $842 37 2 +5.4%
Morgan $789 $589 $727 37 2 +5.1%
Nicholas $914 $683 $842 37 2 +5.4%
Ohio $866 $647 $798 37 2 +5.0%
Pendleton $789 $589 $727 37 2 +5.1%
Pleasants $967 $722 $891 37 2 +5.4%
Pocahontas $890 $665 $820 37 2 +5.4%
Preston $890 $665 $820 37 2 +5.4%
Putnam $981 $733 $904 37 2 +5.7%
Raleigh $914 $683 $842 37 2 +5.4%
Randolph $890 $665 $820 37 2 +5.4%
Ritchie $967 $722 $891 37 2 +5.4%
Roane $914 $683 $842 37 2 +5.4%
Summers $914 $683 $842 37 2 +5.4%
Taylor $890 $665 $820 37 2 +5.4%
Tucker $890 $665 $820 37 2 +5.4%
Tyler $967 $722 $891 37 2 +5.4%
Upshur $890 $665 $820 37 2 +5.4%
Wayne $981 $733 $904 37 2 +5.7%
Webster $890 $665 $820 37 2 +5.4%
Wetzel $890 $665 $820 37 2 +5.4%
Wirt $967 $722 $891 37 2 +5.4%
Wood $967 $722 $891 37 2 +5.4%
Wyoming $914 $683 $842 37 2 +5.4%

Frequently Asked Questions

Why is West Virginia's average ACA premium in the high band?
West Virginia ranks #1 of 30 federal-marketplace states by average age-27 premium (highest = #1; CMS PUF sort). Statewide avg is $844/mo. See /methodology#corpus-placement.
What is the cheapest Silver county in West Virginia?
Berkeley is the lowest Silver average at $789/mo; Cabell is highest at $981/mo.
How thin is issuer competition in West Virginia?
2 issuers list 37 marketplace plans across 55 counties (bottom-third issuer density among tracked states).

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.

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.