The largest commercial payer in each state

Below are the largest commercial payers in each state by total enrollment, according to data and analytics firm ValuePenguin.

The data was sourced from S&P Capital IQ for calendar year 2022, the most recent annual data available. Total enrollment includes group and individual health plans, but not Medicare or Medicaid members.

Largest commercial payer in each state:

Alabama: BCBS

Alaska: Premera Blue Cross

Arizona: BCBS

Arkansas: BCBS

California: Kaiser Permanente

Colorado: Kaiser Permanente

Connecticut: EmblemHealth

Delaware: Highmark

District of Columbia: CareFirst BCBS

Florida: GuideWell (Florida Blue)

Georgia: Centene's Ambetter

Hawaii: BCBS

Idaho: Blue Cross of Idaho

Illinois: BCBS

Indiana: Anthem

Iowa: Wellmark BCBS

Kansas: BCBS

Kentucky: Anthem

Louisiana: BCBS

Maine: Anthem

Maryland: CareFirst

Massachusetts: BCBS

Michigan: BCBS

Minnesota: HealthPartners

Mississippi: BCBS

Missouri: Anthem

Montana: BCBS

Nebraska: BCBS

Nevada: UnitedHealth Group

New Hampshire: Anthem

New Jersey: Horizon BCBS

New Mexico: BCBS

New York: UnitedHealth Group

North Carolina: BCBS

North Dakota: BCBS

Ohio: Anthem

Oklahoma: BCBS

Oregon: Kaiser Permanente

Pennsylvania: Independence Blue Cross

Rhode Island: BCBS

South Carolina: BCBS

South Dakota: Wellmark BCBS

Tennessee: BCBS

Texas: BCBS

Utah: Intermountain Health (Select Health)

Vermont: BCBS

Virginia: Anthem

Washington: Kaiser Permanente

West Virginia: Highmark

Wisconsin: University Health Care (UW Health)

Wyoming: BCBS

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