Esc
↑↓ to moveEnter to openTip: press Ctrl K anywhere
KFF · Nov 3, 2025

Health insurance cost in North Carolina

The benchmark silver Marketplace plan for a 40-year-old costs $638 a month in North Carolina in 2026 before subsidies, per KFF. Premium tax credits lower that for many buyers, and age, plan level and county change it.

Health insurance cost
$638
a month
A year
$7,656
Rank
30 of 51
1 = cheapest; +2% vs U.S.
StateHealth insurance costRank
Georgia$61528
New Mexico$62329
North Carolina$63830
Utah$64031
Alabama$64532
U.S.$625-

Source: KFF, Average Marketplace Premiums by Metal Tier, 2018-2026 (Nov 3, 2025). Average benchmark premium (second-lowest-cost silver plan) for a 40-year-old, monthly, before premium tax credits, plan year 2026; county-level benchmarks weighted by county plan selections; may include premiums for non-essential health benefits. Source: KFF analysis of Healthcare.gov, state rate review websites, state plan finder tools and state-provided data.

Common questions

How much is health insurance in North Carolina?

The benchmark silver Marketplace plan for a 40-year-old costs $638 a month in North Carolina in 2026 before subsidies, per KFF. Premium tax credits lower that for many buyers, and age, plan level and county change it.

Is health insurance in North Carolina expensive?

North Carolina ranks 30 of 51 (1 = cheapest). The U.S. average is $625 a month.

Add it to a full month with the budget by state tool.

More for North Carolina: monthly budget · take-home pay · rent.