2027 health plan prices in North Carolina
Across 100 North Carolina counties, the 2027 benchmark silver plan for a 40-year-old costs a median $694 a month before tax credits, a median change of +3.6% from 2026.
| Alamance County | $692 | $507 | +13.5% | 4 |
| Alexander County | $594 | $520 | -0.3% | 4 |
| Alleghany County | $611 | $535 | -9.8% | 3 |
| Anson County | $626 | $541 | +7.4% | 3 |
| Ashe County | $833 | $606 | +12.9% | 2 |
| Avery County | $696 | $599 | -0.9% | 3 |
| Beaufort County | $996 | $730 | +17.8% | 1 |
| Bertie County | $986 | $723 | +17.8% | 1 |
| Bladen County | $623 | $545 | -4.0% | 4 |
| Brunswick County | $648 | $567 | -5.5% | 4 |
| Buncombe County | $696 | $599 | -0.9% | 4 |
| Burke County | $594 | $520 | -0.3% | 4 |
| Cabarrus County | $626 | $507 | +7.4% | 3 |
| Caldwell County | $594 | $520 | -0.3% | 4 |
| Camden County | $986 | $723 | +17.8% | 1 |
| Carteret County | $996 | $730 | +17.8% | 1 |
| Caswell County | $583 | $507 | -4.3% | 3 |
| Catawba County | $594 | $520 | -0.3% | 4 |
| Chatham County | $692 | $507 | +13.5% | 1 |
| Cherokee County | $823 | $599 | +12.9% | 2 |
| Chowan County | $986 | $723 | +17.8% | 1 |
| Clay County | $696 | $599 | -0.9% | 3 |
| Cleveland County | $657 | $570 | +4.5% | 3 |
| Columbus County | $648 | $567 | -5.5% | 3 |
| Craven County | $996 | $730 | +17.8% | 1 |
| Cumberland County | $623 | $545 | -4.0% | 4 |
| Currituck County | $986 | $723 | +17.8% | 1 |
| Dare County | $996 | $730 | +17.8% | 1 |
| Davidson County | $575 | $490 | +5.4% | 5 |
| Davie County | $575 | $490 | +5.4% | 5 |
| Duplin County | $866 | $635 | +18.5% | 2 |
| Durham County | $583 | $507 | -4.3% | 2 |
| Edgecombe County | $995 | $730 | +20.1% | 1 |
| Forsyth County | $575 | $490 | +5.4% | 5 |
| Franklin County | $566 | $495 | -4.2% | 3 |
| Gaston County | $657 | $570 | +2.7% | 3 |
| Gates County | $986 | $723 | +17.8% | 1 |
| Graham County | $696 | $599 | -0.9% | 3 |
| Granville County | $654 | $572 | +2.0% | 3 |
| Greene County | $995 | $730 | +20.1% | 1 |
| Guilford County | $557 | $483 | +1.7% | 5 |
| Halifax County | $986 | $723 | +17.8% | 1 |
| Harnett County | $623 | $545 | -4.0% | 4 |
| Haywood County | $696 | $599 | -0.9% | 4 |
| Henderson County | $823 | $599 | +12.9% | 4 |
| Hertford County | $986 | $723 | +17.8% | 1 |
| Hoke County | $623 | $545 | -4.0% | 4 |
| Hyde County | $996 | $730 | +17.8% | 1 |
| Iredell County | $594 | $520 | -0.3% | 4 |
| Jackson County | $696 | $599 | -0.9% | 4 |
| Johnston County | $566 | $495 | -4.2% | 3 |
| Jones County | $996 | $730 | +17.8% | 1 |
| Lee County | $583 | $507 | -4.3% | 2 |
| Lenoir County | $996 | $730 | +17.8% | 1 |
| Lincoln County | $657 | $570 | +4.5% | 3 |
| Macon County | $696 | $599 | -0.9% | 3 |
| Madison County | $696 | $599 | -0.9% | 4 |
| Martin County | $986 | $723 | +17.8% | 1 |
| McDowell County | $696 | $599 | -0.9% | 4 |
| Mecklenburg County | $626 | $507 | +7.4% | 4 |
| Mitchell County | $696 | $599 | -0.9% | 4 |
| Montgomery County | $726 | $635 | -4.3% | 2 |
| Moore County | $726 | $635 | -4.3% | 2 |
| Nash County | $818 | $600 | +19.9% | 1 |
| New Hanover County | $648 | $567 | -5.5% | 4 |
| Northampton County | $986 | $723 | +17.8% | 1 |
| Onslow County | $866 | $635 | +18.5% | 1 |
| Orange County | $583 | $507 | -4.3% | 3 |
| Pamlico County | $996 | $730 | +17.8% | 1 |
| Pasquotank County | $986 | $723 | +17.8% | 1 |
| Pender County | $648 | $567 | -5.5% | 4 |
| Perquimans County | $986 | $723 | +17.8% | 1 |
| Person County | $583 | $507 | -4.3% | 3 |
| Pitt County | $995 | $730 | +20.1% | 1 |
| Polk County | $696 | $599 | -0.9% | 4 |
| Randolph County | $557 | $483 | +1.7% | 4 |
| Richmond County | $623 | $545 | -4.0% | 3 |
| Robeson County | $623 | $545 | -4.0% | 3 |
| Rockingham County | $654 | $500 | +10.2% | 4 |
| Rowan County | $626 | $507 | +5.7% | 2 |
| Rutherford County | $696 | $599 | -0.9% | 4 |
| Sampson County | $623 | $545 | -4.0% | 3 |
| Scotland County | $623 | $545 | -4.0% | 4 |
| Stanly County | $626 | $541 | +7.4% | 3 |
| Stokes County | $575 | $490 | +5.4% | 4 |
| Surry County | $673 | $490 | +12.9% | 3 |
| Swain County | $696 | $599 | -0.9% | 3 |
| Transylvania County | $696 | $599 | -0.9% | 4 |
| Tyrrell County | $996 | $730 | +17.8% | 1 |
| Union County | $626 | $507 | +7.4% | 3 |
| Vance County | $654 | $572 | +2.0% | 3 |
| Wake County | $566 | $495 | -4.2% | 3 |
| Warren County | $654 | $572 | +2.0% | 3 |
| Washington County | $996 | $730 | +17.8% | 1 |
| Watauga County | $833 | $606 | +12.9% | 2 |
| Wayne County | $995 | $730 | +20.1% | 1 |
| Wilkes County | $611 | $535 | -9.8% | 4 |
| Wilson County | $995 | $730 | +20.1% | 1 |
| Yadkin County | $575 | $490 | +5.4% | 5 |
| Yancey County | $696 | $599 | -0.9% | 4 |
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.