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KFF · Nov 3, 2025

Health insurance cost in North Dakota

The benchmark silver Marketplace plan for a 40-year-old costs $570 a month in North Dakota 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
$570
a month
A year
$6,840
Rank
20 of 51
1 = cheapest; −9% vs U.S.
StateHealth insurance costRank
South Carolina$56418
California$57019
North Dakota$57020
Pennsylvania$57221
Kentucky$59022
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 Dakota?

The benchmark silver Marketplace plan for a 40-year-old costs $570 a month in North Dakota 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 Dakota expensive?

North Dakota ranks 20 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 Dakota: monthly budget · take-home pay · rent.