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Health Insurance Premiums - How much does health insurance cost?


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Average Deductible & Co-Pay in Health Insurance: MEPS, 2012 (pdf)

Statistical Brief #427 reports that 80% of private sector employees had health insurance plans with an annual deductible averaging $1167 per year (2012 data, single) or $2322 (family) across industries. For small firms the average deductible was $1500 single and $3300 family. Average co-pay for an office visit was $24. Data from the 2012 Medical Expenditure Panel Survey, pub. Jan. 2014

Average Health Insurance Cost, Group Market: MEPS (pdf)

The Medical Expenditure Panel Survey identifies the nationwide average premium cost for private sector job-related health insurance at $5832 for singles and $16,655 for family coverage in 2014. While government employees had plans with higher premiums, the employee contributions were much smaller than amounts paid by private sector employees. Statistical Brief #486 by AHRQ, March 2016

Average Health Insurance Cost, Individual Market: MEPS 2005 (pdf)

Average health insurance premium for someone who bought a policy on the open market (non-group individuals) in the first half of 2005 was $3664, compared to out-of-pocket premium of $1655 for an employer-sponsored policy. Medical Expenditure Panel Survey (MEPS) found nationwide average 2005 premium cost for single coverage in the non-group market was $2835 ($5568 for family). A single policy for someone in the 55 to 64 age bracket was $4288 per year. Statistical Brief #202 released by AHRQ April 2008. No updates available

Average Health Insurance Cost, MEPS 2013, by State (pdf)

The Commonwealth Fund shows average Single and Family health insurance premiums for US (employer coverage, $5571 single, $16,029 family) using MEPS data for 2013. Family rates were lowest in Arkansas ($13,516); highest in Alaska ($20,715). Health insurance premiums as a percent of median household income ranged from 17% in Connecticut to 28% in New Mexico, averaging 22% for the US. Single deductible averaged $1273. See issue brief, Tables 1 through 5, January 2015

Average Health Insurance Premiums & Employee Contribution, largest US cities, 2013

Find the average cost for health insurance (2013 data) for New York City, Los Angeles, Chicago, Dallas-Fort Worth, Houston, Philadelphia, Washington DC, Miami-Fort Lauderdale, Atlanta and Boston metro areas. Nationally, the MEPS/AHRQ report shows premium costs were $5571 for single coverage (employees paying $1170), and $16,029 for families (employee paying $4421). Statistical Brief #446, dated July 2014

Average Total Premiums and Employee Contribution, Selected Cities, 2015  Editor's Pick

The 2015 average health insurance premiums and amount of employee contribution for single, single-plus-one, and family coverage by selected cities and metropolitan regions, or remainder of state shown in this MEPS table of costs for private-sector businesses. Average single premiums in many parts of the country now exceed $6000 or even $7000 (Alaska and New York-Newark areas). Lowest rate $5011 was in Little Rock AR. The only regions where average employee-plus-one premiums were under $10,000 were Memphis, and rural parts of AR, MS, and UT. Family premiums were best in Ogden and other parts of UT (about $13,500); but topped $22,500 in parts of Alaska. Single contribution exceeded $2000 in Manchester-Nashua NH, and Family contribution was over $7000 in Oklahoma City and Baltimore MD. Coverage levels and plan design will vary

Cost-Shifting adds $1788 to health insurance cost for family of four (Study)

Study by Milliman released December 2008 shows that cost-shifting from Medicare and Medicaid underpayments accounted for about 15% of the amount paid for hospital and physician costs for privately insured people. Premiums paid through employer-provided insurance were estimated to be 10.6% higher due to the cost-shifting. Study uses 2006 and 2007 data; commissioned by the AHA, AHIP and Blue Cross Blue Shield Assn/Premera Blue Cross

Health Insurance Cost Estimate, 2015 Survey (Mercer)

Mercer's annual National Survey of Employer-Sponsored Health Plans, found that the total health benefit cost increased 3.8% in 2015, to an average of $11,635 per employee. (Average of $11,012 for small employers, to $11,973 for large employers.) A majority of large and jumbo firms offered HSA High Deductible health plans (CDHP) in 2015; overall about 25% of employees are on such plans. Highlights of the survey released November 2015

Health Insurance Premiums - 2016 Employer Health Benefits Survey - KFF/HRET  Editor's Pick

Annual survey reports that premiums for employer-sponsored health insurance coverage rose 3% for families in 2016. Average single coverage cost $6435 per year ($1129 paid by workers), and family coverage (family of 4) averaged $18,142 per year ($5277 paid by workers). High deductible health plans (with savings option) have about 29% market share of covered workers (vast majority have deductibles of $1500 or more). Survey of 1933 nonfederal public and private companies with 3 or more employees completed Jan. to June, 2016. Findings released Sept. 2016 by the Kaiser Family Foundation and the Health Research and Educational Trust (HRET). Very detailed report

Individual Monthly Health Insurance Premium Cost - 2013 (KFF)

Kaiser Family Foundation reports average health insurance premium from 2013 for a single person's policy. Benefit coverage varies by state and policy. Range is from $158 per month in Utah to over $400 in New Jersey, Massachusetts, New York and Vermont. Average in US is $235 per mo. before the 2014 health insurance exchange went into effect.

Small Group Health Insurance Premium Costs 2010 (AHIP)

Detailed 18-page report on survey of about 3.7 million workers in 477,000 small companies (50 or fewer employees) based on health insurance policies in force in January 2010. Shows average single premium cost was $5107 per year (family estimated at $13,409), up more than 22% in 2 years. Monthly premiums shown for 37 selected states in Table 5. Average PPO deductible for Single coverage was $1569 (up 48% in 2 yrs) and was similar for HMO/POS plans; for HSAs the average deductible was $2814. Average annual Out-of-Pocket maximum rose 30% since 2008, to $3415 for PPO plans (with 54% of plans averaging over $3000), $3887 for HSA/HDHP, and $2756 for HMO/POS. Published by AHIP (trade association) Center for Policy and Research, July 2011

Other Helpful Listings

Fact Sheet: Underpayment by Medicare & Medicaid (2014)

Analysis by the American Hospital Association shows that Medicare and Medicaid under-pay the true cost of hospital care by about $51 billion. This cost ends up being borne by other payors and commercial insurance. Using 2014 data, it is estimated Medicare pays 89 cents on the dollar, and Medicaid pays 90. January 2016 report

Farm Families and Ranches: Health Insurance Survey (pdf)

Series of reports on the 2007 Health Insurance Survey of Farm and Ranch Operators, finds most farmers are insured, with 54% of insured farmers getting health insurance through off-farm employment, and 36% purchasing it on their own directly (vs. 8% nationally). Farm families purchasing their own (non-group) insurance typically spent $11,200 per year out-of-pocket for care and premiums, vs. $5600 median expenditure for those with off-farm employment. Feb-March 2007 telephone survey (80% response rate, with 2017 respondents) of non-corporate farmers and ranch operators in Iowa, MN, ND, SD, MT, MO and NE, by The Access Project (a nonprofit social justice program), with Brandeis University and the Center for Rural Health at UND. Link is to the 3rd issue report; see full series of reports 2007-2009

HSAs and HDHPs now enroll 19.7 million people - Jan. 2015 (AHIP)

A 13% growth in the number of people enrolled in Health Savings Accounts / High Deductible Health Plans brings the number to nearly 20 million Americans, according to America's Health Insurance Plans, an association representing health insurance companies. Twenty four states now have at least 200,000 people enrolled in these types of plans in their states. Texas and Illinois have over 1 million each. Average premiums shown, but not out of pocket costs. The adoption rate by large employers has sky rocketed, such that 78% of those in HSA Qualified High-Deductible Health Plans are from large groups. Report released Nov. 2015

Kaiser Snapshot: Employer Health Insurance Cost Trends (2010)

Trends on Employer costs for health insurance 1999 to 2010 show average cost was $3.35 per hour, with a median cost of 12.8% of payroll in 2010. Companies with 1001 to 5000 employees paid 16.6% of payroll for employee health insurance, vs. 12.3% for companies with fewer than 25 employees, who offered health insurance benefits (2010). Report released February 2011 by the Kaiser Family Foundation (KFF)

WI Group Health Insurance Rates for Small Employers Jan. 1, 2017

The Wisconsin Office of the Commissioner of Insurance (OCI) published the 2017 health insurance company premium rates for small employers (2 to 50 employees) for group health insurance policies. Rates for a sample Silver Plan (80/20 with approx $3000 deductible) varied by company and city. Aetna's silver plan for a 50 year old non-smoker was $720/month in Superior, but $856 in Milwaukee. Anthem Blue Cross ranged from $665/month (Wausau) to $930 (Prairie du Chien). Gundersen had a flat $544 for 50-yr olds in their western WI markets. Dean, Group Health, Physician Plus, Aspirus, Security, United Healthcare, Unity, WPS and others are listed

Wisconsin Health Insurance Cost Rankings 2018

Annual premiums and deductibles (2018) for employee health insurance in various metro markets averaged $10,043 per year for single coverage. Citizen Action of Wisconsin, a coalition of individuals and organizations (such as AFSCME locals, AFL-CIO, WEAC, WI Farmers Union), reports health insurance cost in 18 metro regions, including Twin Cities. Rates in Eau Claire ($10,908 per yr, single) were 20% higher than Madison rates ($9096 per yr.) Most areas exceeded $10,00 single. Health plan costs shown for Twin Cities, Oshkosh, Green Bay, Appleton, Manitowoc, Sheboygan, Fond du Lac, Janesville/Beloit, Wausau, Stevens Point, La Crosse, Superior, Eau Claire, Kenosha, Racine, Milwaukee, Dubuque, more. Uniform benefits package was used for all areas, however the report does not specify what type of benefits and deductibles were included. The report also does not indicate whether the rates were adjusted for regional differences in age, or healthy behaviors. Shows annual inflation pre-ACA (2000 to 2013) compared to after ACA (2014-2018), with post-ACA so very much lower. However, this summary can be misleading. In 2018, large group rates went down 5%, while individual inflation was up 51% (up 60% in Madison, doubled in Green Bay), and small group inflation was 10% compared to 2017. Large Group information reflects government employee rate paid by State of Wisconsin's Group Health Insurance Program (GHIP)

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