Average Health Insurance Cost by State (2026)

Health insurance in the US costs $450–$650/month for an individual on the marketplace before subsidies — but costs vary dramatically by state. Here’s what you’ll pay across the country.

Average Monthly Premium by State (Benchmark Silver Plan, Individual)

State Monthly Premium Annual Cost
Alabama $500 $6,000
Alaska $750 $9,000
Arizona $450 $5,400
California $500 $6,000
Colorado $480 $5,760
Connecticut $550 $6,600
Florida $550 $6,600
Georgia $520 $6,240
Illinois $480 $5,760
Maryland $400 $4,800
Massachusetts $450 $5,400
Michigan $450 $5,400
Minnesota $380 $4,560
New Hampshire $370 $4,440
New Jersey $520 $6,240
New York $600 $7,200
North Carolina $530 $6,360
Ohio $460 $5,520
Pennsylvania $470 $5,640
Texas $520 $6,240
Virginia $460 $5,520
Washington $480 $5,760
West Virginia $700 $8,400
Wyoming $720 $8,640

Premiums are for a 40-year-old non-smoker, pre-subsidy. Your cost may be significantly lower with ACA subsidies.

Average Cost by Coverage Type

Coverage Type Individual Couple Family
Marketplace (pre-subsidy) $500–$650 $1,000–$1,300 $1,400–$1,800
Marketplace (after avg. subsidy) $100–$250 $200–$500 $300–$700
Employer plan (employee share) $130–$200 $300–$450 $500–$700
Employer plan (total cost) $650–$800 $1,300–$1,600 $1,800–$2,400
COBRA $700–$900 $1,400–$1,800 $2,000–$2,600
Short-term plan $100–$200 $200–$400 $300–$600

ACA Subsidies: What You’ll Actually Pay

Household Income (Single) % of Income Cap Monthly Cap
$15,000 (100% FPL) 0% $0
$22,000 (150% FPL) 2% $37
$30,000 (~200% FPL) 4% $100
$40,000 (~265% FPL) 6% $200
$55,000 (~365% FPL) 8.5% $390
$60,000+ (400%+ FPL) 8.5% cap Varies

Enhanced subsidies from ACA expansion remain in effect through 2025; check current status for 2026.

How to Reduce Health Insurance Costs

Strategy Potential Savings
Use ACA marketplace (check subsidy) $200–$500/month
Choose a higher deductible plan (HDHP) $50–$150/month lower premium
Pair HDHP with HSA Triple tax benefit on healthcare spending
Compare plans during open enrollment 10–30% variation between similar plans
See if you qualify for Medicaid Free coverage if income-eligible
Check spouse’s employer plan Often cheaper than individual marketplace

Bottom Line

Always check the ACA marketplace before buying private insurance — subsidies reduce costs dramatically for most Americans. A family earning $60,000 might pay $300–$400/month instead of $1,500+. Use healthcare.gov during open enrollment (November–January) to see your actual cost. If you’re healthy and want lower premiums, pair an HDHP with an HSA for triple tax savings.

See our Medicare Part D guide or average dental costs for more healthcare cost information.

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