The cost of the lowest-priced silver plan in the Affordable Care Act exchanges fell by an average of 3.5% from 2019 to 2020, according to a new analysis from the Robert Wood Johnson Foundation. The report also examined premiums in major urban and rural areas in selected states, finding that rural premiums were higher than urban premiums in Arizona, California, North Carolina, Ohio and Oregon, while Alabama, Georgia and Indiana showed a different picture.

NOTES: Premium changes are calculated based on premiums for 40-year-old non-smokers. “N/A” means that the insurer was not participating in the marketplace in 2020 or previous years.
SOURCES: AIS’s Directory of Health Plans, as of January 2020. Robert Wood Johnson Foundation, “Marketplace Premiums and Insurer Participation: 2017-2020.” Visit