States with highest, lowest Medicare Advantage premiums | 2025

Average Medicare Advantage premiums in 2025 range from $2.44 in Nevada to $62.25 in Minnesota. 

Nationwide, the average Medicare Advantage monthly premium in 2025 will be $17, down from $18.23 in 2024, according to a Sept. 27 CMS news release. 

In most states, 100% of enrollees have access to a Medicare Advantage plan with no monthly premium. 

Here are the states with the highest and lowest average monthly premiums in 2025: 

Lowest month premiums: 

1. Nevada: $2.44
2. Florida: $4.33
3. New Mexico: $5.56
4. Texas: $6.81
5. Arkansas: $7.74
6. Arizona: $8.10
7. Illinois: $8.39
8. Kansas: $11.93
9. Utah: $12.16
10. Colorado: $12.20

Highest monthly premiums: 

41. Wyoming: $29.86
42. Maryland: $30.92
43. Vermont: $31.70
44. Massachusetts: $33.91
45. District of Columbia: $37.89
46. South Dakota: $39.76
47. New York: $42.90
48. Hawaii: $47.51
49. North Dakota: $49.67
50. Minnesota: $62.25