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Share with direct-purchase health insurance: U.S. states ranked (2025)

Measure: Share with direct-purchase health insurance (%). All 50 states and District of Columbia with data in Health insurance by type by state, ranked from highest to lowest. Reference period: 2025.

Licence
Public domain (U.S. federal government work).
Data last updated
2026-11-03
Download full table CSVSource: U.S. Census Bureau (Table S2703) (opens in a new tab)Source: U.S. Census Bureau (Table S2704) (opens in a new tab)

National value: 8.8 (United States).

Washington: 7.4Idaho: 11.1Montana: 12North Dakota: 10.8Minnesota: 10Michigan: 7.2Ohio: 6.6Pennsylvania: 8New York: 6.9Vermont: 10.6New Hampshire: 9.3Maine: 8.7Arizona: 8.1California: 8.2New Mexico: 5.6Texas: 9.8Louisiana: 6.6Mississippi: 10.3Alabama: 9Florida: 15.4Georgia: 10South Carolina: 10North Carolina: 8.4Virginia: 7.3District of Columbia: 5.1Maryland: 7.2Delaware: 8.8New Jersey: 7.7Connecticut: 6.8Rhode Island: 9.9Massachusetts: 10Oregon: 7.9Utah: 10.9Wyoming: 12.6Nevada: 6.2Colorado: 8.3South Dakota: 12.3Nebraska: 9.9Kansas: 10.3Oklahoma: 7.8Iowa: 9.4Missouri: 7.6Wisconsin: 9.7Illinois: 7.2Kentucky: 5.2Arkansas: 8.9Tennessee: 9.6West Virginia: 5.4Indiana: 7.3Alaska: 4.8Hawaii: 6.1

Small states, hard to see on the map:

  • Lowest: 4.8 to 6.9 %
  • Group 2: 6.9 to 7.9 %
  • Group 3: 7.9 to 9.3 %
  • Group 4: 9.3 to 10 %
  • Highest: 10 to 15.4 %
The map is a visual summary; every value is in the table below, which is the keyboard and screen-reader path. Groups are quintiles of the values shown (a derived grouping). Boundaries: Natural Earth (public domain), simplified. Alaska and Hawaii are shown as insets, not to scale.

Rank is derived by Quadranac: 1 = highest value; ties share a rank. Values are as published in the source table.

1Florida15.4
2Wyoming12.6
3South Dakota12.3
4Montana12
5Idaho11.1
6Utah10.9
7North Dakota10.8
8Vermont10.6
9Kansas10.3
9Mississippi10.3
11Georgia10
11Massachusetts10
11Minnesota10
11South Carolina10
15Nebraska9.9
15Rhode Island9.9
17Texas9.8
18Wisconsin9.7
19Tennessee9.6
20Iowa9.4
21New Hampshire9.3
22Alabama9
23Arkansas8.9
24Delaware8.8
25Maine8.7
26North Carolina8.4
27Colorado8.3
28California8.2
29Arizona8.1
30Pennsylvania8
31Oregon7.9
32Oklahoma7.8
33New Jersey7.7
34Missouri7.6
35Washington7.4
36Indiana7.3
36Virginia7.3
38Illinois7.2
38Maryland7.2
38Michigan7.2
41New York6.9
42Connecticut6.8
43Louisiana6.6
43Ohio6.6
45Nevada6.2
46Hawaii6.1
47New Mexico5.6
48West Virginia5.4
49Kentucky5.2
50District of Columbia5.1
51Alaska4.8

Source: U.S. Census Bureau, American Community Survey 1-year estimates, Table S2703: Private Health Insurance Coverage by Type and Selected Characteristics
Source: U.S. Census Bureau, American Community Survey 1-year estimates, Table S2704: Public Health Insurance Coverage by Type and Selected Characteristics. Reference period: 2025.

Cite this ranking

U.S. states ranked by share with direct-purchase health insurance (%) (2025). Data: U.S. Census Bureau, American Community Survey, ACS 1-year estimates, Tables S2703 and S2704; rank derived by Quadranac. Data last updated 2026-11-03. https://quadranac.com/rankings/us-states-by-direct-purchase/

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