Vermont will have the highest average monthly premiums for the lowest-cost Silver-tier marketplace plan in 2026, while New Hampshire will have the lowest, according to KFF.
The national average is $611. 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 Silver-tier premiums in 2026:
- Vermont: $1,289
- Wyoming: $1,089
- West Virginia: $1,036
- Alaska: $1,019
- New York: $788
- Connecticut: $757
- Arkansas: $753
- Nebraska: $710
- Tennessee: $707
- Maine: $696
- Delaware: $685
- Montana: $681
- Florida: $674
- Mississippi: $661
- Texas: $651
- Kansas: $650
- South Dakota: $642
- Louisiana: $637
- Illinois: $635
- North Carolina: $633
- Alabama: $632
- Utah: $614
- Georgia: $604
- Missouri: $604
- Oklahoma: $602
- Wisconsin: $602
- Washington: $590
- Kentucky: $577
- District of Columbia: $565
- New Mexico: $565
- South Carolina: $564
- Pennsylvania: $555
- North Dakota: $553
- New Jersey: $538
- Colorado: $535
- Oregon: $535
- Hawaii: $533
- California: $522
- Arizona: $519
- Michigan: $513
- Ohio: $513
- Iowa: $497
- Nevada: $495
- Rhode Island: $488
- Idaho: $484
- Massachusetts: $476
- Indiana: $473
- Virginia: $455
- Minnesota: $437
- Maryland: $403
- New Hampshire: $394
