The group published its annual “Competition in Health Insurance” report in December. According to the organization, 73% of metropolitan areas have “highly concentrated” markets, meaning one payer controls more than 30% of the commercial and exchange market.
Of those, 41 cities’ markets are dominated by one insurer with a more than 70% market share.
Here are the least competitive commercial insurance markets:
1. Anniston-Oxford, Ala.
BCBS Alabama: 92%
1. Gadsden, Ala.
BCBS Alabama: 92%
3. Tuscaloosa, Ala.
BCBS Alabama: 91%
4. Dothan, Ala.
BCBS Alabama: 89%
4. Florence-Muscle Shoals, Ala.
BCBS Alabama: 89%
4. Montgomery, Ala.
BCBS Alabama: 89%
7. Decatur, Ala.
BCBS Alabama: 88%
8. Huntsville, Ala
BCBS Alabama: 85%
8. Mobile, Ala.
BCBS Alabama: 85%
10. Auburn-Opelika,Ala.
BCBS Alabama: 84%
10. Tallahassee, Fla.
BCBS Florida: 84%
12. Birmingham-Hoover, Ala.
BCBS Alabama: 83%
13. Ann Arbor, Mich.
BCBS Michigan: 81%
13. Daphne-Fairhope-Foley, Ala.
BCBS Alabama: 81%
15. Atlantic City-Hammonton, N.J.
Horizon BCBS: 79%
15. Rochester, N.Y.
Lifetime Healthcare: 79%
15. Goldsboro, N.C.
BCBS North Carolina: 79%
18. New Bern, N.C.
BCBS North Carolina: 78%
19. Panama City, Fla.
BCBS Florida: 76%
19. Manhattan, Kan.
BCBS Kansas: 76%
19. Bay City, Mich.
BCBS Michigan: 76%
19. Monroe, Mich.
BCBS Michigan: 76%
19. Ocean City, N.J.
Horizon BCBS: 76%
24. Battle Creek, Mich
BCBS Michigan: 75%
24. Jackson, Mich.
BCBS Michigan: 75%
24. Lawton, Okla.
HCSC: 75%
27. Topeka, Kan.
BCBS Kansas: 74%
27. Lansing-East Lansing, Mich.
BCBS Michigan: 74%
27. Greenville, N.C.
BCBS North Carolina: 74%
27. Jacksonville, N.C.
BCBS North Carolina: 73%
31. Vallejo, Calif.
Kaiser Permanente: 73%
31. Midland, Mich.
BCBS Michigan: 73%
31. Niles, Mich.
BCBS Michigan: 73%
34. Lexington-Fayette, Ky.
Elevance Health: 72%
34. Lake Charles, La.
BCBS Louisiana: 72%
34. Flint, Mich.
BCBS Michigan: 72%
37. Decatur, Ill.
HCSC: 71%
37. Detroit-Warren-Dearborn, Mich.
BCBS Michigan: 71%
37. Rocky Mount, N.C.
BCBS North Carolina: 71%
40. Owensboro, Ky.
Elevance Health: 70%
40. Gainesville, Fla.
BCBS Florida: 70%
