How each state’s ACA premium rate is changing in 2021

Premium rates increased steeply each year following the Affordable Care Act’s enactment in 2010, until they stabilized in 2018. The approved rates for all 50 states in 2020 dropped by an average of 1.09 percent from 2019. 

Below are the 50 states and Washington, D.C., ranked by how their ACA premium rate is changing in 2021:

1. Indiana: 10.5 percent increase
2. Kansas: 7.8 percent increase
3. Texas: 7.4 percent increase
4. Massachusetts: 7 percent increase
5. Louisiana: 6.9 percent increase
6. Nebraska: 5.4 percent increase
7. Alabama: 5.1 percent increase
8. Tennessee: 5 percent increase
9. Kentucky: 5 percent increase
10. Nevada: 4.9 percent increase
11. West Virginia: 4.8 percent increase
12. Georgia: 4.8 percent increase
13. Missouri: 4.7 percent increase
14. Rhode Island: 4.2 percent increase
15. New Jersey: 4.1 percent increase
16. North Carolina: 4 percent increase
17. Vermont: 3.5 percent increase
18. Arkansas: 3.1 percent increase
19. Florida: 3.1 percent increase
20. North Dakota: 3percent increase
21. Mississippi: 2.7 percent increase
22. South Dakota: 2.6 percent increase
23. Oregon: 2.1 percent increase
24. New York: 2.8 percent increase
25. Montana: 1.4 percent increase
26. Idaho: 1.2 percent increase
27. Michigan: 1.1 percent increase
28. Arizona: 1.1 percent increase
29. California: 0.5 percent increase
30. District of Columbia: 0.2 percent increase
31. Connecticut: no change
32. Oklahoma: 0.1 percent decrease
33. Iowa: 0.2 percent decrease
34. Ohio: 0.4 percent decrease
35. Delaware: 1 percent decrease
36. Utah: 1.2 percent decrease
37. Colorado: 1.4 percent decrease
38. South Carolina: 1.5 percent decrease
39. New Mexico: 1.5 percent decrease
40. Hawaii: 1.7 percent decrease
41. Illinois: 1.8 percent decrease
42. Minnesota: 1.9 decrease
43. Alaska: 2 percent decrease
44. Washington: 3.2 percent decrease
45. Pennsylvania: 3.3 percent decrease
46. Wisconsin: 5.2 percent decrease
47. Virginia: 7.2 percent decrease
48. Wyoming: 10 percent decrease
49. New Hampshire: 11.5 percent decrease
50. Maryland: 11.9 percent decrease
51. Maine: 13.1 percent percent decrease

More articles on payers:
Aetna expands coverage for gender-affirming surgery
Blue Shield of California to oversee state’s COVID-19 vaccine distribution
Oscar to run member engagement services for Health First’s health plan