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Which states have the highest and lowest average Obamacare premiums in 2024?

Checked on November 10, 2025
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Executive Summary

Available analyses disagree on which single state had the highest and lowest average Obamacare (ACA) premiums in 2024 because they use different metrics and data slices. One set of sources identifies Vermont (highest) and New Hampshire (lowest) for 2024 benchmark silver premiums, while another set reports New York (highest) and Mississippi (lowest) for average premiums after subsidies; resolving the question requires picking which premium measure you mean.

1. Dramatic claim roundup — two competing answers emerge from the records

Two distinct narratives appear in the dataset: one finds Vermont as the most expensive and New Hampshire as the cheapest for 2024 ACA marketplace premiums, citing benchmark silver‑plan averages used by analysts tracking insurer filings and benchmark plan costs [1] [2]. A different set of analysis reports a separate outcome: New York as the highest and Mississippi as the lowest when looking at average monthly premiums after subsidies for 2024 [3]. Both claims are presented as definitive within their sources, and both appear in the supplied analyses without a single reconciled table. The presence of two divergent answers highlights that “average premium” is not a single unambiguous metric and that different aggregations of the ACA market (benchmark silver plan vs. population‑weighted after‑subsidy average) produce different state rankings [2] [3].

2. Why the data disagree — different metrics, different populations, different intents

The Vermont/New Hampshire framing comes from comparisons of benchmark silver‑plan premiums — the plan that determines premium tax credits and is often used for insurer rate comparisons across states [2]. The New York/Mississippi framing uses average premiums after federal subsidies averaged across enrollees, which compresses apparent costs in states with large subsidies or many low‑income enrollees [3]. These are fundamentally different accounting choices: one compares list prices that drive policy debates about sticker shock, while the other reflects consumer pocketbook averages after federal help. Methodological differences — which plan typology, whether subsidies are applied, and whether averages are weighted by enrollment — explain most of the contradiction between the two headline answers [1] [3].

3. Cross‑checking the timeline and source types — what the analyses actually draw on

The provided analyses cite insurer filings and summary tables from policy trackers covering 2024 and later years. Several entries explicitly note publication or data-year differences: for example, some analyses reference 2024 marketplace summaries while others pull benchmark lists tied to 2023–2025 comparisons [4] [5]. One cluster explicitly warns that some cited figures apply to 2025 coverage or proposed 2026 rate changes, not strictly the 2024 year asked about [5] [2]. This mixture of publication dates and coverage years increases the risk of misattributing a 2025 or 2026 observation to 2024, so the apparent contradiction can partly be a timeline mismatch as well as a metric mismatch [5] [2].

4. Which figure answers the user’s likely intent — price signal versus consumer burden

If the goal is to identify the state with the highest sticker price comparable across markets (and often used in media coverage), the benchmark silver plan is the right lens — and that produces Vermont high and New Hampshire low in the dataset [2]. If the goal is to know the state where typical enrollees paid the most or least on average after financial help, the population‑weighted after‑subsidy average is the correct metric — yielding New York high and Mississippi low in the supplied analysis [3]. Both answers are “correct” within their methodological frame, so the decisive question is which definition of “average Obamacare premium” you intend to use [2] [3].

5. Bottom line and recommended citation practice for future queries

Do not state a single state as the definitive highest or lowest without specifying the measure: for benchmark silver premiums in 2024, cite Vermont (highest) and New Hampshire (lowest); for average premiums after subsidies across enrollees in 2024, cite New York (highest) and Mississippi (lowest) [2] [3]. When reporting or deciding policy implications, always name the metric (benchmark vs after‑subsidy), note whether the average is enrollment‑weighted, and confirm the coverage year because some sources conflate 2024 with 2025 or proposed 2026 changes [5] [2]. This reconciles the conflicting claims in the supplied analyses and shows that disagreement stems from definitional and temporal choices, not necessarily data errors [2] [3].

Want to dive deeper?
What factors drive variations in Obamacare premiums across states?
How have Obamacare premiums changed from 2023 to 2024?
Which states offer the most affordable health insurance subsidies under ACA?
Impact of state regulations on ACA premium costs 2024
Best and worst states for individual health insurance rates 2024