States ranked by average lowest-cost ACA gold premiums in 2026

Vermont will have the highest average monthly premiums for the lowest-cost Gold-tier marketplace plan in 2026, while Maryland will have the lowest, according to KFF.

The national average is $615. Premiums were analyzed using the lowest-cost premium for a 40-year-old in each county and weighted by county plan selections.

States ranked by average lowest-cost Gold-tier premiums in 2026:

1. Vermont: $1,135
2. New York: $1,057
3. Wyoming: $1,000
4. West Virginia: $961
5. Alaska: $912
6. Mississippi: $845
7. Connecticut: $805
8. Maine: $752
9. Nebraska: $729
10. Delaware: $727
11. Alabama: $706
12. Utah: $701
13. Montana: $701
14. New Jersey: $700
15. Tennessee: $698
16. Kansas: $684
17. Louisiana: $676
18. Kentucky: $667
19. South Dakota: $665
20. North Carolina: $662
21. District of Columbia: $649
22. Arkansas: $647
23. Indiana: $646
24. Florida: $640
25. Wisconsin: $640
26. Georgia: $638
27. Nevada: $626
28. Oklahoma: $617
29. Oregon: $603
30. Arizona: $602
31. South Carolina: $594
32. Missouri: $579
33. Massachusetts: $575
34. California: $572
35. Texas: $570
36. Michigan: $561
37. North Dakota: $549
38. Ohio: $548
39. Hawaii: $542
40. Illinois: $539
41. Colorado: $515
42. Idaho: $511
43. New Mexico: $509
44. Rhode Island: $502
45. Minnesota: $501
46. Pennsylvania: $478
47. Washington: $466
48. Iowa: $466
49. Virginia: $441
50. New Hampshire: $434
51. Maryland: $404