2027 health plan prices in Iowa
Across 99 Iowa counties, the 2027 benchmark silver plan for a 40-year-old costs a median $537 a month before tax credits, a median change of +4.7% from 2026.
| Adair County | $600 | $407 | +19.5% | 4 |
| Adams County | $605 | $407 | -0.6% | 3 |
| Allamakee County | $570 | $391 | -3.3% | 2 |
| Appanoose County | $537 | $361 | +2.4% | 3 |
| Audubon County | $604 | $407 | +6.2% | 4 |
| Benton County | $536 | $360 | +9.4% | 3 |
| Black Hawk County | $495 | $360 | +3.6% | 3 |
| Boone County | $487 | $366 | +5.0% | 3 |
| Bremer County | $581 | $390 | +0.1% | 2 |
| Buchanan County | $536 | $360 | +9.4% | 3 |
| Buena Vista County | $537 | $407 | -2.0% | 3 |
| Butler County | $534 | $390 | +10.0% | 3 |
| Calhoun County | $546 | $367 | +2.4% | 2 |
| Carroll County | $546 | $367 | +2.4% | 2 |
| Cass County | $604 | $407 | +6.2% | 4 |
| Cedar County | $536 | $360 | +9.4% | 3 |
| Cerro Gordo County | $556 | $391 | +14.7% | 3 |
| Cherokee County | $537 | $407 | +6.3% | 3 |
| Chickasaw County | $570 | $391 | +4.7% | 3 |
| Clarke County | $605 | $407 | -0.6% | 3 |
| Clay County | $537 | $407 | -5.9% | 3 |
| Clayton County | $537 | $361 | +0.1% | 3 |
| Clinton County | $536 | $361 | +12.4% | 3 |
| Crawford County | $537 | $407 | +6.3% | 2 |
| Dallas County | $483 | $356 | +5.1% | 3 |
| Davis County | $537 | $361 | +2.4% | 2 |
| Decatur County | $604 | $407 | +6.2% | 4 |
| Delaware County | $536 | $360 | +1.5% | 3 |
| Des Moines County | $537 | $361 | +0.1% | 2 |
| Dickinson County | $537 | $407 | -5.9% | 3 |
| Dubuque County | $495 | $360 | +3.6% | 2 |
| Emmet County | $582 | $391 | +0.4% | 2 |
| Fayette County | $556 | $391 | +14.7% | 3 |
| Floyd County | $570 | $391 | +4.7% | 3 |
| Franklin County | $556 | $391 | +14.7% | 3 |
| Fremont County | $604 | $407 | +6.2% | 3 |
| Greene County | $546 | $367 | +2.4% | 2 |
| Grundy County | $545 | $366 | +3.8% | 2 |
| Guthrie County | $605 | $407 | -0.6% | 3 |
| Hamilton County | $487 | $367 | +5.5% | 3 |
| Hancock County | $556 | $391 | +14.7% | 3 |
| Hardin County | $487 | $367 | +5.7% | 3 |
| Harrison County | $605 | $407 | -0.6% | 3 |
| Henry County | $537 | $361 | +2.4% | 2 |
| Howard County | $570 | $391 | -2.9% | 3 |
| Humboldt County | $582 | $391 | -0.9% | 2 |
| Ida County | $537 | $407 | +6.3% | 3 |
| Iowa County | $537 | $361 | +0.1% | 2 |
| Jackson County | $495 | $360 | +3.6% | 3 |
| Jasper County | $483 | $356 | +5.1% | 3 |
| Jefferson County | $537 | $361 | +2.4% | 3 |
| Johnson County | $537 | $361 | +0.1% | 3 |
| Jones County | $536 | $360 | +1.5% | 2 |
| Keokuk County | $537 | $361 | +2.4% | 3 |
| Kossuth County | $556 | $391 | +14.7% | 3 |
| Lee County | $537 | $361 | +2.4% | 2 |
| Linn County | $536 | $360 | +9.4% | 3 |
| Louisa County | $537 | $361 | +2.4% | 2 |
| Lucas County | $537 | $361 | +0.1% | 2 |
| Lyon County | $605 | $407 | +6.0% | 2 |
| Madison County | $483 | $357 | +5.1% | 3 |
| Mahaska County | $537 | $361 | +2.4% | 3 |
| Marion County | $483 | $357 | +5.1% | 3 |
| Marshall County | $545 | $366 | +3.8% | 2 |
| Mills County | $604 | $407 | +6.2% | 4 |
| Mitchell County | $556 | $391 | +14.7% | 3 |
| Monona County | $537 | $407 | +6.3% | 3 |
| Monroe County | $537 | $361 | +3.3% | 3 |
| Montgomery County | $604 | $407 | +6.2% | 4 |
| Muscatine County | $536 | $360 | +1.5% | 1 |
| O'Brien County | $605 | $407 | +6.0% | 2 |
| Osceola County | $537 | $407 | -5.9% | 3 |
| Page County | $604 | $407 | +6.2% | 3 |
| Palo Alto County | $537 | $407 | +6.3% | 3 |
| Plymouth County | $600 | $407 | +32.6% | 2 |
| Pocahontas County | $537 | $407 | -13.5% | 2 |
| Polk County | $483 | $356 | +5.1% | 3 |
| Pottawattamie County | $604 | $407 | +6.2% | 4 |
| Poweshiek County | $545 | $366 | +3.8% | 2 |
| Ringgold County | $604 | $407 | +6.2% | 4 |
| Sac County | $600 | $407 | +9.4% | 2 |
| Scott County | $495 | $360 | +3.6% | 3 |
| Shelby County | $604 | $407 | +6.2% | 4 |
| Sioux County | $537 | $407 | +6.3% | 4 |
| Story County | $546 | $367 | +2.4% | 2 |
| Tama County | $487 | $366 | +5.7% | 3 |
| Taylor County | $604 | $407 | +6.2% | 3 |
| Union County | $604 | $407 | +6.2% | 4 |
| Van Buren County | $537 | $361 | +2.4% | 3 |
| Wapello County | $537 | $361 | +0.1% | 3 |
| Warren County | $483 | $356 | +5.1% | 3 |
| Washington County | $537 | $361 | +2.4% | 2 |
| Wayne County | $537 | $361 | +2.4% | 3 |
| Webster County | $546 | $367 | +2.4% | 1 |
| Winnebago County | $556 | $391 | +14.7% | 3 |
| Winneshiek County | $570 | $391 | -3.3% | 2 |
| Woodbury County | $595 | $405 | +31.5% | 2 |
| Worth County | $556 | $391 | +14.7% | 3 |
| Wright County | $582 | $391 | -0.9% | 2 |
Sources
- QHP Landscape PY2027 Individual Medical, Centers for Medicare & Medicaid Services, checked 1 November 2026
- QHP Landscape Instructions PY2027 Individual Medical, Centers for Medicare & Medicaid Services, checked 1 November 2026
- QHP Landscape PY2026 Individual Medical, Centers for Medicare & Medicaid Services, checked 1 November 2026
CMS data current as of 20 October 2026 and subject to change. Prices are monthly premiums before tax credits.