Health insurance prices in Iowa (2026)
121 marketplace plans from 6 insurers across 99 counties. Official marketplace: HealthCare.gov.
Plan year 2026 prices; 2027 prices will be added as soon as CMS publishes them. Monthly premium for one 40-year-old, before any tax credit (subsidy).
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Individual & family health insurance (marketplace / ACA plans)
Real insurance plans you buy yourself (not through a job), sold by companies like UnitedHealthcare, Blue Cross Blue Shield, Ambetter (Centene), Oscar, Cigna, Molina and Anthem through HealthCare.gov or your state's marketplace.
Looking for Aetna? Aetna CVS Health left the ACA marketplace for 2026 (it sold plans in 17 states in 2025). Source: KFF
All plans here: Bronze $338–$731 (typical $420) · Silver $452–$1,069 (typical $559) · Gold $432–$1,067 (typical $584) · Catastrophic $300–$414 (typical $356)
Insurers, sorted by typical Silver price
Every marketplace insurer must sell Silver and Gold plans; Bronze is optional, so Silver is the fair comparison. Typical = median monthly premium, age 40.
| Insurer | Counties (of 99) | Plans | Cheapest plan | Typical Bronze | Typical Silver | Typical Gold | Cheapest plan name |
|---|---|---|---|---|---|---|---|
| Oscar Health | 75 | 26 | $338 | $385 | $503 | $519 | Bronze Classic Standard | MercyOne |
| Ambetter (Centene) | 58 | 16 | $360 | $424 | $515 | $560 | Everyday Bronze |
| Wellmark Blue Cross Blue Shield (IA)Wellmark (Blue Cross Blue Shield company) | 99 | 10 | $350 | $376 | $534 | $489 | Wellmark Bronze Standard | UnityPoint Health |
| Avera Health Plans | 7 | 12 | $417 | $435 | $577 | $603 | ConnectPlus Standard $7500 HSA Eligible HDHP |
| UnitedHealthcareUnitedHealth Group | 17 | 12 | $480 | $490 | $620 | $607 | UHC Bronze Value ($0 Virtual Urgent Care, No Referrals) |
| Medica | 99 | 45 | $359 | $506 | $739 | $732 | Inspire by Medica Bronze Share |
Deductibles and a bad year, by metal level
| Metal | Lowest | Typical* | Highest | Plans | Typical deductible | Typical out-of-pocket max | Typical bad year** |
|---|---|---|---|---|---|---|---|
| Bronze | $338 | $420 | $731 | 41 | $7,500 | $10,150 | $15,078 |
| Silver | $452 | $559 | $1,069 | 41 | $6,000 | $8,900 | $15,737 |
| Gold | $432 | $584 | $1,067 | 36 | $2,000 | $8,200 | $14,585 |
| CatastrophicUnder 30 or hardship exemption only | $300 | $356 | $414 | 3 | $10,600 | $10,600 | $14,873 |
* Typical = median: half of plans cost less, half cost more. ** Bad year = 12 months of premium + the plan's in-network out-of-pocket maximum (median across plans). Out-of-network care and non-covered services are extra.
Prices by county in Iowa
| County | Insurers | Plans | Cheapest plan | Typical Bronze | Typical Silver |
|---|---|---|---|---|---|
| Adair County | 5 | 64 | $375 | $445 | $593 |
| Adams County | 4 | 38 | $409 | $482 | $621 |
| Allamakee County | 2 | 16 | $388 | $540 | $1,022 |
| Appanoose County | 4 | 42 | $353 | $462 | $631 |
| Audubon County | 5 | 54 | $409 | $480 | $616 |
| Benton County | 4 | 48 | $352 | $423 | $578 |
| Black Hawk County | 3 | 42 | $352 | $372 | $492 |
| Boone County | 4 | 48 | $350 | $410 | $559 |
| Bremer County | 3 | 32 | $387 | $443 | $595 |
| Buchanan County | 4 | 48 | $352 | $423 | $578 |
| Buena Vista County | 3 | 26 | $401 | $438 | $612 |
| Butler County | 4 | 58 | $362 | $422 | $544 |
| Calhoun County | 3 | 26 | $351 | $422 | $567 |
| Carroll County | 3 | 26 | $351 | $422 | $567 |
| Cass County | 5 | 57 | $409 | $471 | $616 |
| Cedar County | 4 | 48 | $352 | $423 | $578 |
| Cerro Gordo County | 4 | 52 | $362 | $422 | $544 |
| Cherokee County | 4 | 42 | $392 | $417 | $556 |
| Chickasaw County | 4 | 42 | $388 | $441 | $587 |
| Clarke County | 4 | 38 | $409 | $482 | $621 |
| Clay County | 3 | 28 | $409 | $438 | $621 |
| Clayton County | 3 | 29 | $353 | $431 | $588 |
| Clinton County | 4 | 52 | $353 | $383 | $492 |
| Crawford County | 3 | 32 | $392 | $428 | $612 |
| Dallas County | 3 | 42 | $343 | $358 | $487 |
| Davis County | 3 | 32 | $353 | $425 | $540 |
| Decatur County | 5 | 54 | $409 | $480 | $616 |
| Delaware County | 3 | 32 | $352 | $425 | $586 |
| Des Moines County | 2 | 16 | $353 | $450 | $801 |
| Dickinson County | 3 | 28 | $409 | $438 | $621 |
| Dubuque County | 4 | 58 | $352 | $383 | $492 |
| Emmet County | 3 | 28 | $388 | $438 | $589 |
| Fayette County | 4 | 55 | $362 | $423 | $552 |
| Floyd County | 4 | 42 | $388 | $441 | $587 |
| Franklin County | 4 | 52 | $362 | $422 | $544 |
| Fremont County | 4 | 44 | $409 | $481 | $616 |
| Greene County | 3 | 29 | $351 | $423 | $569 |
| Grundy County | 3 | 32 | $350 | $422 | $567 |
| Guthrie County | 4 | 38 | $409 | $482 | $621 |
| Hamilton County | 3 | 36 | $345 | $360 | $476 |
| Hancock County | 4 | 52 | $362 | $422 | $544 |
| Hardin County | 4 | 52 | $345 | $376 | $476 |
| Harrison County | 4 | 41 | $409 | $481 | $621 |
| Henry County | 3 | 32 | $353 | $425 | $540 |
| Howard County | 3 | 26 | $388 | $443 | $595 |
| Humboldt County | 3 | 26 | $388 | $443 | $595 |
| Ida County | 4 | 42 | $392 | $417 | $556 |
| Iowa County | 3 | 29 | $353 | $431 | $588 |
| Jackson County | 4 | 58 | $352 | $383 | $492 |
| Jasper County | 4 | 55 | $343 | $373 | $483 |
| Jefferson County | 4 | 42 | $353 | $462 | $631 |
| Johnson County | 2 | 16 | $353 | $465 | $847 |
| Jones County | 3 | 32 | $352 | $425 | $586 |
| Keokuk County | 4 | 42 | $353 | $462 | $631 |
| Kossuth County | 4 | 52 | $362 | $422 | $544 |
| Lee County | 3 | 32 | $353 | $425 | $540 |
| Linn County | 3 | 38 | $352 | $398 | $529 |
| Louisa County | 3 | 32 | $353 | $425 | $540 |
| Lucas County | 3 | 26 | $353 | $476 | $640 |
| Lyon County | 3 | 28 | $409 | $438 | $621 |
| Madison County | 4 | 52 | $343 | $375 | $478 |
| Mahaska County | 4 | 42 | $353 | $462 | $631 |
| Marion County | 4 | 52 | $343 | $375 | $478 |
| Marshall County | 3 | 32 | $350 | $422 | $567 |
| Mills County | 5 | 57 | $409 | $471 | $616 |
| Mitchell County | 3 | 36 | $362 | $396 | $500 |
| Monona County | 4 | 42 | $392 | $417 | $556 |
| Monroe County | 4 | 52 | $353 | $408 | $535 |
| Montgomery County | 5 | 57 | $409 | $471 | $616 |
| Muscatine County | 2 | 22 | $352 | $390 | $618 |
| O'Brien County | 3 | 28 | $409 | $438 | $621 |
| Osceola County | 3 | 28 | $409 | $438 | $621 |
| Page County | 4 | 44 | $409 | $481 | $616 |
| Palo Alto County | 4 | 42 | $392 | $417 | $556 |
| Plymouth County | 3 | 36 | $338 | $401 | $467 |
| Pocahontas County | 2 | 16 | $409 | $507 | $886 |
| Polk County | 4 | 58 | $343 | $372 | $487 |
| Pottawattamie County | 5 | 66 | $409 | $480 | $621 |
| Poweshiek County | 3 | 29 | $350 | $416 | $564 |
| Ringgold County | 5 | 54 | $409 | $480 | $616 |
| Sac County | 3 | 26 | $401 | $438 | $612 |
| Scott County | 4 | 58 | $352 | $383 | $492 |
| Shelby County | 5 | 57 | $409 | $471 | $616 |
| Sioux County | 5 | 54 | $392 | $425 | $560 |
| Story County | 2 | 16 | $351 | $463 | $846 |
| Tama County | 4 | 58 | $345 | $376 | $479 |
| Taylor County | 4 | 44 | $409 | $481 | $616 |
| Union County | 5 | 54 | $409 | $480 | $616 |
| Van Buren County | 4 | 42 | $353 | $462 | $631 |
| Wapello County | 3 | 26 | $353 | $476 | $640 |
| Warren County | 4 | 58 | $343 | $372 | $487 |
| Washington County | 3 | 32 | $353 | $425 | $540 |
| Wayne County | 4 | 42 | $353 | $462 | $631 |
| Webster County | 2 | 16 | $351 | $463 | $846 |
| Winnebago County | 4 | 52 | $362 | $422 | $544 |
| Winneshiek County | 2 | 16 | $388 | $540 | $1,022 |
| Woodbury County | 4 | 58 | $338 | $409 | $521 |
| Worth County | 4 | 52 | $362 | $422 | $544 |
| Wright County | 3 | 26 | $388 | $443 | $595 |
To compare insurance plans side by side (or with health sharing), open your county.