Employer health plans · by carrier
Blue Cross Blue Shield employer health plans by state
Where Blue Cross Blue Shield insures employer health plans, how large its share is in each state, and what those plans pay.
2024 plan filings
Blue Cross Blue Shield employer health plans at a glance
Employer plan filings, 2024
Insured employer health plans
15,166
51 states, form year 2024
Persons covered
8,087,197
on major-medical contracts
State pages
45
states with 25+ plans
Blue Cross Blue Shield by state
Insured large employer health plans
| State | Plans | Share of state | Median premium / person | Median broker % |
|---|---|---|---|---|
| Texas | 1,804 | 50% | $6,240 | 4.3% |
| Illinois | 1,496 | 69% | $7,619 | 4.0% |
| California | 1,178 | 18% | $8,573 | 5.3% |
| Michigan | 1,065 | 67% | $6,461 | 3.3% |
| Florida | 936 | 39% | $11,719 | 4.5% |
| Massachusetts | 801 | 53% | $8,043 | 2.6% |
| Pennsylvania | 800 | 54% | $7,441 | 3.3% |
| New York | 603 | 22% | $10,634 | 3.7% |
| Tennessee | 530 | 58% | $5,334 | 4.9% |
| North Carolina | 478 | 51% | $6,672 | 3.2% |
| Alabama | 396 | 90% | $6,333 | 4.1% |
| Iowa | 331 | 76% | $11,665 | 2.0% |
| Oklahoma | 304 | 68% | $5,721 | 5.0% |
| Arizona | 293 | 39% | $5,557 | 5.0% |
| New Jersey | 292 | 27% | $12,018 | 4.4% |
| Washington | 289 | 38% | $7,473 | 4.3% |
| Louisiana | 287 | 65% | $7,541 | 5.0% |
| South Carolina | 264 | 61% | $10,298 | 4.0% |
| Georgia | 254 | 22% | $6,477 | 4.5% |
| Maryland | 250 | 31% | $7,806 | 5.2% |
| Minnesota | 215 | 28% | $7,303 | 3.0% |
| Kansas | 214 | 65% | $5,967 | 3.1% |
| Virginia | 177 | 15% | $7,133 | 4.9% |
| Missouri | 145 | 23% | $7,522 | 4.0% |
| Oregon | 142 | 23% | $7,416 | 3.2% |
| Arkansas | 141 | 55% | $5,286 | 3.1% |
| Wisconsin | 131 | 18% | $6,698 | 3.0% |
| Mississippi | 116 | 70% | $4,505 | 3.6% |
| Rhode Island | 115 | 72% | $7,313 | 1.8% |
| District of Columbia | 112 | 29% | $8,416 | 4.8% |
| North Dakota | 105 | 72% | $5,699 | 2.0% |
| Idaho | 100 | 61% | $6,116 | 3.2% |
| Hawaii | 91 | 40% | $7,221 | 1.7% |
| Montana | 80 | 80% | $6,567 | 3.8% |
| Utah | 74 | 15% | $5,612 | 4.0% |
| South Dakota | 70 | 61% | $11,778 | 1.5% |
| Nebraska | 67 | 38% | $8,073 | 4.2% |
| New Mexico | 62 | 47% | $7,261 | 4.1% |
| Ohio | 56 | 4% | $6,144 | 4.4% |
| Delaware | 45 | 47% | $9,150 | 3.5% |
| West Virginia | 43 | 61% | $9,556 | 3.1% |
| Connecticut | 42 | 8% | $7,152 | 4.2% |
| Alaska | 36 | 71% | $8,664 | 4.0% |
| Vermont | 33 | 43% | $7,876 | 1.6% |
| Colorado | 31 | 5% | $6,582 | 4.3% |
| Indiana | 24 | 5% | $7,964 | 3.1% |
| Kentucky | 17 | 4% | $6,275 | 4.9% |
| Nevada | 9 | 3% | $7,214 | 5.0% |
| Maine | 8 | 5% | $8,271 | 2.9% |
| Wyoming | 8 | 35% | $9,528 | 3.5% |
| New Hampshire | 6 | 4% | $5,464 | 2.3% |
Methodology
How these numbers are calculated
- Sources: employer health plan filings for 2020–2024 (2025 is still coming in and is labelled partial), negotiated rates published by health insurers and hospitals (2026), and Medicare fee schedules for reference.
- Which plans count: large employer health plans, placed in the state of the employer's business address. A carrier's figures count plans with a major-medical insurance contract with that carrier. Self-funded plans that a carrier only administers are not counted under that carrier, and supplemental coverage (dental, vision, accident, hospital indemnity) is excluded.
- Premium per person covered: premium divided by the persons covered on the contract, for contracts covering at least 20 persons.
- Broker pay: commissions and fees paid on each contract, as a share of that contract's premium.
- Network rates: physician negotiated rates for the Employer 50 services, from a sample of providers, shown as a percentage of Medicare. Shown only where the network passes Medlyze's quality checks for the state.
- Hospital prices: commercial negotiated rates (2026) for the whole hospital stay or the hospital's facility charge. Medicare Advantage, Medicaid and individual-market rates are excluded, and so is Humana, whose hospital rates are almost all Medicare. Physician, anesthesia and implant charges are separate.
- Not a judgement: differences describe the plans and rates analyzed. They are not findings about any employer, carrier or broker, and they say nothing about quality or value.
Get the full figures
Brokers: an Employer Account Brief on one employer, or a Prospect List for this market. Employers: a Plan Cost Benchmark for your own plan, with every hospital near your people.